Hi. Patients with HIV/AIDS often get skin problems because their immune system cannot attack the bacteria which leads to acne. However, acne rarely has an underlying cause such as HIV/AIDS.
Androgens (male hormones made by male and female bodies) stimulate the sebaceous glands and the hairs which grow from them. If you have high levels of androgen or are particularly sensitive to their effect, your sebaceous glands may produce too much oil. The glands then become blocked with excess oil and bacteria which feeds off this oil. Acne effects virtually all young people at some time and 40% of adults between 25 and 40 also have acne.
There are many helpful treatments to help you manage acne. You may require repeat courses of treatment for as long as your tendancy for acne persists.
See your doctor for a topical retinoid such as Differin and a course of oral antibiotics such as Lymecycline. If you have put yourself at risk sexually get tested and abstain from sexual contact until you get the all clear. But in the absence of other symptoms it is unlikely your acne is caused by an underlying condition.
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