A 22-Year-Old Woman Visits the Office Because She Has Had

A 22-year-old woman visits the office because she has had persistent facial blemishes for several years that have not responded to over-the-counter treatment. The patient has no other medical problems. She does not smoke, drink, or use illegal drugs. The following image depicts the results of a skin examination: Which of the following most likely contributed to the pathogenesis of this patient's skin condition?

A) Androgen-induced involution of sebaceous glands
B) Bacterial degradation of apocrine gland secretions
C) Estrogen-stimulated secretory function of sebaceous glands
D) Increased desquamation of follicular epithelial cells
E) Proliferation of lipid-utilizing bacteria within pilosebaceous follicles

Correct Answer:

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