A maybe not so wild thought, p.acnes never left post Accutane. The body just quit responding to it, no longer treating it as a threat.
Is Propionibacterium Acnes Associated with Hair Casts and Alopecia?
P. acnes / C. acnes is also found in other tissues such as intestine, stomach, lungs, mouth, conjunctiva, prostate and urinary tract .
Severe Acne in Female Patients Treated with Isotretinoin is associated with
Dysbiosis and its Consequences
A facilitating role of Propionibacterium acnes cannot be excluded.