Acne (cont.)

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What other skin conditions can mimic acne?

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  • Rosacea: This condition is characterized by pimples but not comedones and occurs in the middle third of the face, along with redness, flushing, and superficial blood vessels. It generally affects people in their 30s and 40s and older.


  • Pseudofolliculitis: This is sometimes called "razor bumps" or "razor rash." When cut close to the skin, curly neck hairs bend under the skin and produce pimples. This is a mechanical problem, and treatment involves shaving less (growing a beard, laser hair removal). Pseudofolliculitis can, of course, occur in patients who have acne, too.


  • Folliculitis: Pimples can occur on other parts of the body, such as the abdomen, buttocks, or legs. These represent not acne but inflamed follicles. If these don't go away on their own, doctors can prescribe oral or external antibiotics, generally not the same ones used for acne.


  • Gram-negative folliculitis: Some patients who have been treated with oral antibiotics for long periods develop pustules filled with bacteria resistant to the antibiotics which have previously been used. Bacterial culture tests can identify these germs, leading the doctor to prescribe different antibiotics or other forms of treatment.

When should you start acne treatment?

Patient Comments on Acne (Pimples) - Treatments
Comment from: Betty, 55-64 Female (Patient) Published: November 17

I was finally cleared up in middle age when prescribed Retin A and an erythromycin cream. For the occasional cystic pimple, I was given a clindamycin dabber. Those cystic pimples were the bane of my teenage years! Clindamycin is like a miracle drug! I treated a budding blemish several times a day and it would go away before blooming! Awesome! For back zits, I started using a back brush in the shower. My back cleared up and back pimples were rare thereafter. I still use the back brush at least once per week, even at age 63. Hope this helps you.

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Related Medications: erythromycin

Comment from: william, 13-18 Male (Patient) Published: May 20

I am 16 and have suffered from acne since I was 13, but to me it feels like a century since it all began. Being in a mixed (boys and girls) school, I am much happier when it's vacation, because that way the girls won't see my face with black spots and inflammations on the cheekbones, right under my eyes. School reopens tomorrow, but I would like to see a dermatologist once more before I start school.

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Comment from: Stranger, 13-18 Female (Patient) Published: November 20

Try panoxyl it works. Try the 5% :) it works

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Since everyone gets acne at some time, the right time to treat it is when it bothers you or when the potential for scarring develops. This can be when severe acne flares suddenly, for mild acne that just won't go away, or even when a single pimple decides to show up the week before your prom or wedding. The decision is yours.


Patient Comments

Viewers share their comments

Acne (Pimples) - Treatments Question: At what age did you first start getting pimples? How did (do) you treat breakouts?
Acne (Pimples) - Length Symptoms Lasted Question: How long did the symptoms of your acne (pimples) last?
Acne (Pimples) - Share Your Experience Question: Please share your experience with acne (pimples).
Acne (Pimples) - Causes Question: What do you believe is the cause of your acne breakouts?
Acne (Pimples) - Similar Skin Conditions Question: Have you ever had a skin condition that mimicked acne? If so, what was the diagnosis?
Acne (Pimples) - Home Remedies Question: Please share some home remedies to treat acne. How do you treat or cover up a pimple before a special occasion?
Acne (Pimples) - Controlling Your Acne Question: What treatments or products have you used to control your acne (pimples)?
Acne - Skin Care Routine Question: Please describe your skin care routine to control breakouts.
Acne - Doctor Recommendations Question: What medications has your doctor prescribed for your acne? Would you recommend them to a friend?

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