A member asked:

I & my brother having acne at all over shoulders behind. what is the course of the acne ? explain in details ? should i meet skin specialist ? tq

3 doctors weighed in across 2 answers

Acne: Acne is different in different people and depends on many factors, like family history, gender (men usually have worse acne than women due to hormones) diet, even environment, so it is difficult to predict what the course of acne will be. Some people never break out, some only in teens, some have scarring, some have a lifelong struggle with acne. Please see a dermatologist to help with your acne.

Answered 4/18/2013

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Personal physician: Acne on the trunk seldom responds well to topical treatment. Your physician needs to see you and it's likely you'll end up first on a systemic antibiotic such as tetracycline 500 2x/day. If this fails, consider accutane; it is not cheap, pleasant, or without risks, but is likely to be very helpful.

Answered 4/25/2013

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