Hello,

I'm wondering anyone can clarify or identify with the following?

I have lived with mild to moderate facial acne for 40 years. For at least 15 years I have also put up with bacne - typical larger more painful inflamed spots of which only a minority end up producing a whitehead. Both of these I treat with the acne.org 2.5% gel, with 10% glycolic acid cream, when I am especially annoyedI use a 30% glycolic peel or a months worth of doxycycline, which usually has a big impact. The most effective bacne treatmnent that I have ever tried, for reasons I do not understand, seems to be exposure to the sun, which invariably makes the inflamed, blind bumps on my back disappear within two or three days. I have been to a very successful and charismatic dermatologist who has prescribed all manner of novel treatments over the years. I've said I woudl try everything with th esole exception of accutane. Thus far none has been as effective as the 2.5% cream with glycolic acid but I am open-minded and patient.

Over the last two years my symptoms have been joined with a couple more gifts:
1. Bumps/spots/pimples on my scalp that are itchy, don't end up with whiteheads but feel, subjectively as if they are about to burst in the way that some facial acne does. It doesn't help my professional image to be picking at a bleeding scalp when in corporate situations. These swell, ooze, and crust in way that sound ssimililar to descriptions of atopic dematitis. Anti-dandruff shampoo, benzol proxide washes or cream, gluycolic acid products dont seem to help this.
2. pimples on my upper chest that don't resemble the ones on my face, back, or scalp. They are small, painful, often with flaky skin, and whilst they are "productive" if squeezed they don't appear to consist of clogged sebum. The glycolic peels do seem to have positive effect on these, which suprised me.
Next to one of these I see the round mark typical of school-kid's ringworm.

So, can something begin as acne and then transition into ringworm/tinea? Or can acne, tinea and atopic dermatitis co-exist on the same body?