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Adult acne?

I never, ever had breakouts until I was 19. Now I'm 21 and my acne is worse than ever. Is this definitely adult acne? Am I destined to struggle with this disease for 20+ more years unless Accutane miraculously cures me? Or could this be a case of late-onset "adolescent acne" that will clear up within a few years?

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To clarify, neither of my parents ever had breakouts severe enough to seek treatment, and whatever acne they had cleared up after adolescence. My brother is 18 years old and has had mild acne for the past few years--barely noticeable, though. I'm just so afraid that I'll be forced to worry constantly about my skin for the rest of my life.

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