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The following factors may increase your risk for developing acne:1
Hormones:
An increase in androgens, which are male sex hormones, may lead to acne.1 These increase in both boys and girls normally during puberty and cause the sebaceous glands to enlarge and produce more sebum.1
Family History: You may be more likely to get acne if your parents had acne. The heritability of acne is almost 80% in first degree relatives.2 Acne occurs earlier and is more severe in those with a positive family history.2
Age: People of all ages can get acne, although it is more common in teens.1
Medications:
Certain medications, such as medications containing hormones, corticosteroids and lithium, can cause acne.1
Gender: Adolescent acne is more common in males than in females. On the contrary, when acne continue into adulthood, it is more common in women.1
Other Factors: seborrhea, the premenstrual phase, mental stress, and sweet and oily foods were recognized as risk factors for moderate to severe acne.2