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Chin acne in cats is a poorly understood disorder of follicular keratinization (the overproduction of keratin, a protein found in the outer layer of skin). If this excess keratin is trapped in the hair follicle, comedones (blackheads) form. Pustules (pimples) may form if bacteria infect the comedones. The underlying causes are not fully understood but may be associated with excess sebum production, viral infection, immunosuppression, stress, or poor grooming. Treatment options are available and often involve improved hygiene.