Nodules are actually quite similar to papules, as far as appearance is concerned. However, nodules are more serious and go deeper into the skin. It can be quite painful and the chance of scarring is higher than other conditions.
Thirdly, stress and sleeplessness have also been considered culprits when it comes to acne but there also no medical truth to the myth. Doctors however advice people with acne to keep unhealthy eating, smoking and stress to a minimum level. These are considered acne aggravators and as such need to be controlled.
Now most acne companies loudly proclaim that diet has nothing to do with acne. But from my experiences, this was not true...
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