The causes are not ascertainable many times in an individual and following factors have been associated;
1) dry skin
2) environment pollution
4) hereditary factors
The treatment is dependent on the cause and consist of;
1) excision by minor surgery,
2) laser ablation,
3) topical and / or oral antibiotics,
4) topical or oral retinoids,
Usually laser ablation done by the dermatologist is one of the best way and prevent the recurrence.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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