Acne is a common skin condition that affects most people. It occurs during adolescence and is also known as “pimples”, causing red spots and sometimes burning or painful skin. Acne is most common on the face and includes almost all types of acne, some of which can also occur on the back and chest. There are six main types of acne: Blackheads – small black or yellowish projections on the skin White pimples – similar in appearance to blackheads, but may be harder Papules – small red swellings that may feel tender or painful Pustules – similar to papules, but with a white spike in the center, caused by a buildup of pus Nodules -Large hard lumps that accumulate under the skin’s surface and may be painful Abscesses -The most serious condition caused by acne, filled with large pus, may cause permanent scarring Caution: Frequent washing can irritate the skin and worsen symptoms, too hot or too cold water irritation can worsen acne, do not randomly clean blackheads or squeeze spots, may cause permanent scars. Avoid using too much makeup and remove your foundation thoroughly before going to bed. If your skin is too dry, use a fragrance-free, water-based emollient. Regular exercise does not improve acne, but it can improve mood. Shower as soon as possible after exercise, as sweating can irritate acne. Although acne cannot be cured, it can be controlled with treatment. Why do I get acne? Acne is usually associated with changes in hormone levels during puberty, but it can occur at any age. This abnormal oil changes the activity of the normally harmless Propionibacterium acnes bacteria, which becomes more aggressive and causes inflammation and pus. Hormones also thicken the inner layer of the hair follicle, leading to clogged pores. Cleansing the skin does not help to eliminate this blockage. In some cases, if both your mother and father have acne, you may also have acne. Hormonal changes, such as during the menstrual cycle or pregnancy, can also cause acne in women. Most young people with acne start to get better as they get older, but about 3% of adults over the age of 35 still have acne.