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10.1177/0333102413490347 Cephalalgia 73 YuS.LiuR.ZhaoG.YangX.QiaoX.FengJ.et al (2012)

They represent structural changes in the skin that occurred during the healing process after inflammatory acne
22 This compromises endothelial barrier function and vasoregulation, reducing vasodilatory factors (eg, NO, prostacyclin) while increasing vasoconstrictors (eg, ET-1, TXA2), exacerbating vasoconstriction

Chester D, Kathard R, Nortey J, Nellenbach K, Brown AC

2020 Mar 25;250:112477