The authors also discuss how various strains of p. acnes have been found to be contagious - and can be spread in dermatology clinics or to family members of patients being treated for acne. The authors reach the conclusion that acne is an infectious disease affecting genetically
susceptible individuals.
The results of our study provide a convincing explanation to the long-term controversy on the significance of P. acnes in relation to acne. While some evolutionary lineages of the species are associated with health, others, including an epidemic clone, are strongly associated with moderate to severe acne. The fact that this dichotomy correlates with previously observed differences in the in vitro expression of putative virulence factors strongly support the conclusion that acne is an infectious disease affecting genetically susceptible individuals. The results of the study indicate that particular clones of P. acnes play an etiologic role in acne while others are associated with health.
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