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Hello everyone! I was grateful to happen upon this site while surfacing for solutions for my adult acne. My story sounds similar to some of yours, but I've also experienced some new obstacles since entering a new phase in my life.
To begin with, I would get the occasional, annoying pimple as a teenager but considered myself fortunate that I didn't have more severe acne like some of my friends and schoolmates. However, my acne became more troublesome in my 20's--tried everything: OTC meds, dermatoligist visits, etc. Definitely more psychologically bothersome in adulthood for me. I stayed fairly clear in my 30's, spending some of that decade pregnant and nursing (2 sons)
. When I began to break out again in my late 30's & early 40's my ob/gyn prescribed birth control pills. They were a Godsend! I had a hysterectomy at 44 leaving one active ovary, but still stayed fairly clear until now. I am now almost 51 years old, and my chin began breaking out right around the holidays--figures huh:-( I saw my regular doc who thought it might be perimenopausal acne, possibly rosacea, and prescribed Metrogel. It helped clear some areas, but I had to stop it because the crease of my chin (where I had some pimples) is now cracked and very sore. It will crust and bleed as well.
I went back to the doc's, and he's taken me off the Metrogel for now, and has now prescribed an oral antibiotic, not just for acne, but because I may have another type of infection. He won't let me put anything else on it for now which is killing me! I thought it may be a kind of dermatitis or eczema, but he said "no hydrocortisone" either.
Here's the kicker--I was also diagnosed with rheumatoid arthritis a few years ago, so now I'm being tested for lupus--in case the "rash" is a symptom of that.
Well, the long and the short of my story is I get all kinds of acne, whiteheads, red pimples, and embedded, cystic acne. The acne cysts, for me, are the worse. They usually break and the pus finds it's way out eventually despite not picking or squeezing, and then my skin ultimately becomes rough, sore, cracked, and will bleed. The aftermath looks like mini volcanoes that take forever to heal. The skin after it heals reminds me of an elephant's elbows! It will also flake and peel forever, even when I use Cetaphil on it. Does anyone have a similar experience? And, has anyone found any relief for it. My skin stings and itches something awful. I've had to take some time from work to deal with it. So, it's still emotionally draining. Thank God my husband and sons are empathetic, but I still want to hide from the world!
I"m sorry . this did not help u at all. i have heard that chin acne is primarily hormonal tho. ..
I have to gather myself together and try to center. I remind myself I've been here before and this, too, shall pass. I wish it would pass and that be the end of it. 
