Systemic Rx: This always requires systemic treatment, either the oral contraceptive pill if you're a lady who can take it, or an antibiotic that's right for you (tetracycline or macrolide), or if it is severe enough, accutane, which only a dermatologist can prescribe. The latter is unpleasant, somewhat dangerous, extremely effective, and in my opinion worth it. Good luck.
Answered 3/26/2013
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