Should I See a Doctor for My Back and Forehead Acne? - Dermatology

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Consult a physician?


I would like to ask the doctor if I should see a physician.
Recently, I have developed many pimples on my back, and I have a few large pimples on my forehead.
What could be the cause of this? Sometimes my back itches.
Thank you, doctor!

zero zero, 20~29 year old female. Ask Date: 2009/06/09

Dr. Zhang Zhibo reply Dermatology


Hello: Of course, you can consult a physician for treatment.
There are many causes of acne, including hormonal factors, sleep disturbances, stress, pore keratinization, and infections.

Reply Date: 2009/06/09

More Info


When it comes to acne, particularly on the back and forehead, it's essential to understand the underlying causes and the potential benefits of consulting a healthcare professional. Acne can arise from various factors, including hormonal changes, excess oil production, bacteria, and even certain medications. In your case, the presence of numerous pimples on your back and a few large ones on your forehead, along with occasional itching, suggests that it may be time to seek medical advice.

Firstly, let's discuss the potential causes of your acne. Hormonal fluctuations, especially during puberty, menstruation, or due to conditions like polycystic ovary syndrome (PCOS), can lead to increased oil production in the skin, which can clog pores and result in acne. Additionally, back acne, often referred to as "bacne," is common and can be exacerbated by factors such as sweating, tight clothing, and friction from backpacks or sports equipment.

The itching you mentioned could indicate an inflammatory response or irritation, which might be related to the acne itself or could suggest a separate skin condition, such as folliculitis or eczema. It's crucial to differentiate between these possibilities, as they may require different treatment approaches.

Now, regarding whether you should see a doctor, I would strongly recommend it for several reasons:
1. Diagnosis: A healthcare professional can provide a proper diagnosis. They can determine whether your acne is purely hormonal, related to lifestyle factors, or indicative of another skin condition.

2. Treatment Options: Depending on the diagnosis, a doctor can recommend appropriate treatments. Over-the-counter products may not be effective for everyone, especially if the acne is severe or persistent. Prescription medications, such as topical retinoids, antibiotics, or hormonal treatments, may be necessary.

3. Preventing Scarring: Severe acne can lead to scarring if not treated properly. A dermatologist can help you manage your acne effectively to minimize the risk of long-term skin damage.

4. Skin Care Guidance: A doctor can provide personalized skincare advice tailored to your skin type and condition. This may include recommendations on cleansers, moisturizers, and other products that can help manage your acne without causing further irritation.

5. Addressing Underlying Conditions: If your acne is linked to hormonal imbalances or other medical issues, a doctor can help identify and treat these underlying conditions, leading to more effective acne management.

In summary, while it may be tempting to try over-the-counter treatments or home remedies, seeing a doctor is a prudent choice, especially given the symptoms you've described. A healthcare professional can provide a comprehensive evaluation and develop a treatment plan that addresses both your acne and any associated symptoms, such as itching. Taking this step can lead to clearer skin and improved overall confidence. Don't hesitate to reach out to a dermatologist or your primary care physician to discuss your concerns and explore your treatment options.

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