Hello Everyone,

I am new to this forum and I really could use some help. Although some of my questions you may have already answered for other people I would really appreciate any answers.

My name is Jay Sulivan, I am a male 26  and I have a severe disability called Spinal Muscular Atrophy Type 2 (SMA TYPE 2 for short). This consequently makes me electric wheelchair bound/unable to walk.

I have a good diet and I am relatively healthy for someone that cannot walk. 

However for the past two-three years I have been suffering from acne flare ups that happen pretty much every month.

I have it in two areas. 

The first area is in my head towards the back of my head and behind the ears in the hair. It usually starts off as one or two spots that are soft and have a white/yellow colour and sometimes raised red bumps.

Before you know it they spread allover the back of my head towards the sides like wildfire. They are very painful.

After 3-4 days some of the spots then dry out to become hard yellow crusty scabs surrounded by red skin.

My hair routine : I use head and shoulders daily as I have greasy hair. I do not put any conditioner in my hair. My hair length is short to medium in a slicked back style and I rarely use any hair product.

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The second acne flair up happens around my mouth. It stars off as one spot like a white head and quickly spreads to my top lip and chin within a day or two. 

I do get the odd couple on the side of my jaw line but nowhere as painful or severe as the acne around my mouth. 

Shaving is sometimes impossible and generally I end up looking like a murder scene with cut spots and everything else. 

My face routine : I wash my face with hot water from the shower and then apply a plain non scented soap and scrub my face with a soft facial brush. I then moisturise with Seba-medal or cocoa-butter as I get dry skin.

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Generally my skin is extremely oily allover my body. 

I never get an acne flare up on my forehead, body, arms, legs, privates or on top of my head.

Due to my disability, I have to take antibiotics every month. Cefalexin seems to help a little but the main antibiotic that clears them up is Co-amoxiclav. When I stop the anti-biotic all my acne comes back.

 I am on further medications for my disability but according to my GP they shouldn't create acne.

Any suggestions, advice, routine, blood tests, would be appreciated. 

I have included some photos for better reference.

Really appreciate everyone's help.

J.Sullivan