Is that stubborn acne really acne? (2024)

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Is that stubborn acne really acne? (12) Find a Dermatologist

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Is that stubborn acne really acne? (14)
If you have acne that just won’t go away, you may want to take a closer look at your skin. It’s possible that you don’t have acne. Other skin conditions can look a lot like acne.

Stubborn acne can also be a sign of something serious going on inside your body. To see clearer skin, you’ll need to get that serious condition under control first.

You’ll find pictures along with descriptions of such skin conditions below. If your acne resembles any of these pictures, seeing a dermatologist can help you get the right diagnosis and treatment.

Six skin conditions that can look like acne

Polycystic ovary syndrome (PCOS)

Clues you have more than acne:Women who have PCOS often have acne. They usually have other signs of a hormone problem, such as hair loss on their head, noticeable hair growth on their face, or an area of skin that starts to darken and sometimes thicken. PCOS can also cause irregular periods, sleep apnea, diabetes, heart disease, and other health problems.

Is that stubborn acne really acne? (15)
Treatable:Yes. Women who suspect they may have PCOS should see their dermatologist or primary care doctor immediately.

If you’re diagnosed with PCOS, you should also be under the care of a doctor who can treat the cysts in your ovaries. You may also need to see other doctors to get treatment for conditions like diabetes or heart disease.

A dermatologist can treat your acne, hair loss, and noticeable hair growth. The darkening skin usually goes away when the disease causing it is treated. The medical name for this darkening skin is acanthosis nigricans.

Related AAD resource

Acanthosis nigricans

Rosacea

Is that stubborn acne really acne? (16)
Clues you’re not dealing with acne:The acne-like breakouts usually appear where you have redness on your face. The redness may come and go or be permanent. The skin on your face tends to be very sensitive. It may sting or burn. Your eyes may feel gritty.

Treatable:Yes. Treatment can clear the acne-like breakouts and help your skin feel better. Rosacea cannot be cured, so you may need ongoing treatment.

Related AAD resource

Rosacea

Keratosis pilaris

Is that stubborn acne really acne? (17)
Clues you’re not dealing with acne:Unlike pimples, these bumps feel rough and usually appear on dry skin. You’ll usually see them on your upper arms and on the front of your thighs. You may notice that family members also have these bumps.

Treatable:These bumps are harmless, so you don’t need to treat them. If the itch, dryness, or appearance bothers you, treatment can help.

Related AAD resource

Keratosis pilaris

Hidradenitis suppurativa (HS)

Is that stubborn acne really acne? (18)
Clues you’re not dealing with acne:You have pimple-like bumps or deep acne-like cysts in places where skin touches skin, such as the underarm, groin, buttocks, or upper thighs. Women can also get these underneath their breasts.

Treatable:Yes. Treatment is important because it can prevent HS from worsening. If HS worsens, the acne-like eruptions can grow deep into the skin and become painful. They can rupture, leaking bloodstained pus onto your clothing. This fluid often has a foul odor.

As the deep bumps heal, scars can form. With repeat outbreaks, the skin often begins to look spongy as tunnel-like tracts form deep in the skin.

Related AAD resource

Hidradenitis suppurativa

Perioral dermatitis

Is that stubborn acne really acne? (19)
Clues you’re not dealing with acne:You have a breakout that looks like many small pimples, but it develops only around the mouth. Sometimes, the breakout develops only around the eyes (periorbital dermatitis) or nose (perinasal dermatitis) instead of the mouth. The skin may burn or itch.

Treatable:Yes. Dermatologists recommend treatment. Without it, the dermatitis may last for months or years.

Related AAD resource

Perioral dermatitis

Chloracne

Is that stubborn acne really acne? (20)
Clues you’re not dealing with acne:Chloracne is very rare. If it develops, you’ll likely see blackheads. These can form on the temples, cheekbones, and elsewhere on the body. You may see whiteheads, nodules, or straw-colored cysts on the face and elsewhere. Patches of gray-colored skin are common. Some people have blisters. Most people with chloracne feel very sick.

The signs and symptoms usually develop 2-4 weeks after you’ve come into contact with toxic chemicals found in insecticides, herbicides, or wood preservatives. Agent Orange was a known cause of chloracne during the Vietnam War.

Treatable:The skin will clear when you stop coming into contact with the chemical that caused the chloracne. The clearing usually happens within 6 months to 3 years.

The skin can also be treated with antibiotics, isotretinoin (a medicine used to treat severe acne), or procedures that dermatologists use to treat other skin conditions.

Dermatologists can help you see clearer skin

If your stubborn acne looks like any of these conditions, seeing a dermatologist can be helpful. A dermatologist can tell you whether it’s stubborn acne or another condition. Your dermatologist can also create a treatment plan for you, whether you have one of these skin conditions that looks like acne or stubborn acne.

Yes, even stubborn acne can be treated successfully. Thanks to advances in acne treatment, virtually everyone can see clearer skin.

Images
Images 1, 4, 5, and 7: Used with permission of the Journal of the American Academy of Dermatology.

  • (J Am Acad Dermatol 2007;56:S100-2.)

  • (J Am Acad Dermatol 2010;62:637-45.)

  • (J Am Acad Dermatol 2015;73:672-90.)

  • (J Am Acad Dermatol 2016;74:143-70.)

Images 2, 3, 6: Used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides.

References
Alikhan A, Lynch PJ,et al. "Hidradenitis suppurativa: A comprehensive review."J Am Acad Dermatol2009;60(4):539-61.

Chamlin SL and Lawley LP. “Perioral dermatitis.” In:Fitzpatrick’s Dermatology in General Medicine(seventh edition). McGraw Hill Medical, New York, 2008: 709-12.

Crawford GH, Crawford GH,et al. “Rosacea: I. Etiology, pathogenesis, and subtype classification.”J Am Acad Dermatol. 2004;51(3):327-41.

Nedorost ST. “Medical Pearl: The evaluation of perioral dermatitis: Use of an extended patch test series.”J Am Acad Dermatol. 2007;56(5 Suppl):S100-2.

Patterson AT, Kaffenberger BH,et al. “Skin diseases associated with Agent Orange and other organochlorine exposures.”J Am Acad Dermatol. 2016;74:143-70.

Schmitt JV, Lima BZ. “Keratosis pilaris and prevalence of acne vulgaris: a cross-sectional study.”An Bras Dermatol. 2014 Jan-Feb; 89(1):91–5.

Sood A and Taylor JS, “Occupational noneczematous skin disease due to biologic, physical, and chemical agents.” In:Fitzpatrick’s Dermatology in General Medicine(seventh edition). McGraw Hill Medical, New York, 2008: 702.

Is that stubborn acne really acne? (2024)

FAQs

Is that stubborn acne really acne? ›

If you have acne that just won't go away, you may want to take a closer look at your skin. It's possible that you don't have acne. Other skin conditions can look a lot like acne. Stubborn acne can also be a sign of something serious going on inside your body.

What is considered stubborn acne? ›

While it can be common for teens to experience acne due to oily skin and hormonal fluctuations, breakouts sometimes continue into adulthood. But stubborn acne is more than just noticing a pimple or two on occasion – it's when stubborn pimples and inflammation last longer than 6 to 8 weeks at a time.

How long does stubborn acne last? ›

Types of pimple

Pustules may last for a few weeks, but if they last longer than 6–8 weeks and do not respond to treatment, it might be a good idea to see a doctor or dermatologist. Cystic acne causes swollen, red bumps to form. These also tend to develop on the upper body, particularly the face.

What is the hardest acne to get rid of? ›

Acne conglobata is one of the most severe forms of acne. It involves many inflamed nodules that are connected under the skin to other nodules. It can affect the neck, chest, arms, and buttocks. It often leaves scars.

How to clear stubborn acne? ›

Try over-the-counter acne products to dry excess oil and promote peeling. Look for products containing benzoyl peroxide and adapalene as the active ingredients. You might also try products containing salicylic acid, glycolic acid or alpha hydroxy acids.

What type of acne never goes away? ›

Boils. Sometimes, a big pimple that won't go away is actually a boil—an infected hair follicle that looks exactly like a giant pimple. It starts as a red, painful bump under the skin and as it progresses it develops a white head. Some boils heal on their own with at-home treatment, but others need medical attention.

At what age does acne hit the hardest? ›

Acne is a common issue for many people, especially for teenagers and young adults in their 20s. Some have mild symptoms, while others can have very severe issues. Acne effects around 90% of adolescents with the prime age across all genders being the teenage years of 14-19 years old.

What is the rarest type of acne? ›

Acne conglobata is a rare but severe form of nodulocystic acne. It usually presents with tender, disfiguring, double or triple interconnecting comedones, cysts, inflammatory nodules, and deep burrowing abscesses on the face, shoulders, back, chest, upper arms, buttocks, and thighs.

Is severe acne unattractive? ›

Many respondents viewed people with dark skin and severe acne as unattractive, unintelligent, untrustworthy, or suffering from lack of hygiene.

What kills acne bacteria? ›

Benzoyl peroxide.

This ingredient kills bacteria that cause acne, helps remove excess oil from the skin and removes dead skin cells, which can clog pores. Benzoyl peroxide products that you can buy without a prescription are available in strengths from 2.5% to 10%.

What makes acne not go away? ›

Using only some of the acne treatment that your dermatologist prescribes could be the reason you still have acne. Wash your face twice a day and after sweating. Acne-prone skin is sensitive. Washing more than twice a day can irritate your skin, making acne worse.

How do you pop stubborn acne? ›

Use a hot compress to draw the pus to the surface before applying pressure. As with a whitehead, you may need to use a sterilized needle to open an exit. Stop the process if your popping attempt isn't immediately successful. “If nothing comes out, wait a while,” says Dr.

Why is my skin not clearing up? ›

Eating poorly and keeping an irregular sleep schedule can boost the production of stress hormones. This can damage your skin, resulting in inflammation and acne breakouts. If you're struggling to figure out why your skin keeps acting out unexpectedly, you may want to evaluate your diet and sleep patterns.

What is considered really bad acne? ›

Cystic acne — the most severe form of acne — occurs when oil and dead skin cells build up deep within hair follicles. The resulting rupture within your skin may form boil-like inflammation.

At what point is acne severe? ›

mild – mostly whiteheads and blackheads, with a few papules and pustules. moderate – more widespread whiteheads and blackheads, with many papules and pustules. severe – lots of large, painful papules, pustules, nodules or cysts; you might also have some scarring.

Which type of acne is most difficult to treat? ›

Whiteheads (closed comedones)

Whiteheads are more difficult to treat because the pores are already closed. Products containing salicylic acid can be helpful. Topical retinoids give the best results for comedonal acne. Currently, adapalene (Differin) is available over the counter as a retinoid.

What is the highest grade of acne? ›

The total score ranges from 0 (no impact of skin disease in quality of life) to 30 (maximum implications for quality of life). The grades are 0–1 no effect at all on patient's life, 2–5 small effect, 6–10 moderate, 11–20 very large, 21–30 extremely large impact on patient's life.

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