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Diseases & conditions
Skin

Acne

Acne is a common skin condition that causes spots, blackheads and sometimes painful lumps on the face, chest and back. It mostly affects teenagers and young adults but can continue into adulthood. Acne is not caused by dirt or by eating oily food alone. It can be treated, and early treatment helps prevent scars.

Symptoms

  • Blackheads and whiteheads
  • Red spots and pus-filled pimples
  • Painful deep lumps (nodules or cysts) in severe acne
  • Oily skin
  • Dark marks or scars after spots heal

When to see a doctor

Get medical help quickly if you notice any of these:

  • Painful deep lumps or cysts
  • Acne leaving scars or dark marks
  • Acne not improving after 2 to 3 months of self-care
  • Acne with irregular periods or excess facial hair in women
  • Acne causing strong distress or low mood

In an emergency, go to the nearest hospital or clinic straight away.

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Causes

  • Hormone changes during puberty, before periods or with PCOS
  • Too much oil blocking the skin pores
  • Bacteria on the skin causing inflammation
  • Family history of acne
  • Oily creams or cosmetics, and some medicines such as steroids

Prevention

  • Wash the face gently twice a day with mild soap and water
  • Do not squeeze or pick spots, as this causes scars
  • Use oil-free, non-greasy creams and cosmetics
  • Keep hair clean and away from the face
  • Eat a balanced diet and drink enough water

Treatment

  • Creams or gels such as benzoyl peroxide or retinoids for mild acne
  • Antibiotic tablets or creams prescribed by a doctor for moderate acne
  • Hormonal treatment for some women
  • Isotretinoin tablets for severe acne only under a specialist; they must never be taken in pregnancy
  • Treatment usually takes 6 to 8 weeks to show results
  • Do not start antibiotic or isotretinoin tablets without a doctor

Common questions

Does eating oily food or chocolate cause acne?

Food is not the main cause. In some people, sugary foods and lots of milk may make acne a little worse. A balanced diet is good for the skin, but treatment is what clears acne.

Should I squeeze my pimples?

No. Squeezing pushes infection deeper and can leave dark marks and permanent scars.

General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.