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from Singapore asked a question

How can I prevent pimples on my back?

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Acne & Scars

I’ve never had this issue, but lately, I realized that I have some pimples on my back – I haven’t really had any change in diet / bed sheets / etc. so was wondering if acne cream for face works as well for those at the back, any causes / how to prevent?

Thanks!

DOCTOR’S ANSWER (2)

Hi,

Thank you for your question. Acne on the back or trunk is not uncommon.  Some people get  acne more on their back with little involvement of the face. The cause of acne on trunk is similar to acne on the face, as the trunk also contains a lot of sebaceous glands. Hormonal factors do play an important part.

I do not think that changes in bedsheets will lead to truncal acne. It is difficult to say what has triggered your acne.

The treatment of truncal acne is quite similar to treatment of acne on the face. Topical medications like benzoyl peroxide, anitbiotic lotion or gels, topical tretnoin creams can be used to treat both acne on the face and trunk. In more severe cases, oral antibiotics like doxycyline or isotretinoin can be used.

In general, I do find that truncal acne  responds more slowly than facial acne  to treatment and can be more difficult to treat.

If persistent despite the above treatments, other causes of acne-like rashes like pityrosporom folliculitis ( a type of fungal folliculitis) has to considered, and a visit to doctor/dermatolgist should be considered.

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0 363 views 0 Doctors agree 24 Jan 2018

Dear Grapefruit

Dr Theng has answered you wonderfully. And yes hormonal acne can be a common cause of back acne. You may need to advise us further on whether  you might be on any meds that throw your hormones out of whack.

You can treat it like face acne, and I have used a combination of acne topicals and chemical peels/laser treatments for my patients with back acne conditions.

Consult Doctor
0 363 views 0 Doctors agree 24 Jan 2018
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