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Basaloid follicular hamartoma
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Olha Maikina on Instagram: "Inflammatory acne does not appear suddenly. It progresses through clearly defined biological stages. It begins with abnormal keratinization inside the follicular infundibulum, forming a microcomedone. As keratin and sebum accumulate, the pore becomes obstructed, evolving into a closed or open comedone. When follicular pressure increases and the local immune response activates, perifollicular inflammation develops — presenting clinically as a papule. If inflammatory me
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Follow for more skin education 🩵 Blackheads vs. Whiteheads Same beginning. Different outcomes. Both start the exact same way — inside a single follicular unit. It begins with retention hyperkeratosis: keratinocytes in the follicular infundibulum don’t shed normally. Add sebum production. The mixture of keratin lipids forms a plug. This is an early comedone. From here, oxygen decides the story. If the follicular opening remains open, the plug is exposed to air. Melanin and lipids inside the plug
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