Hi, You seem to have acne vulgaris. There may be conedonal and inflammatory acne lesions. Acne vulgaris is a multifactorial disease. There may be genetic tendency. Stress, anxiety, hormonal disturbances, seborrhoea, dandruff, sleeplessness, oily food, drugs like pills,steroids,iodine,INH..etc may be the factors which exacerbate or precipitate the acne lesions. I advise in my patients having such lesions as follow.. 1) to apply clindamycine gel in morning and adapalene gel at night on lesions. 2) to take cap minocycline 50 mg in the morning 3) to take isotretinoin 5 mg at night 4) to cleanse the face with antiseptic like cetaphil lotion 5) to do shampoo with ketoconazole containing shampoo 6) to avoid suspected factors 7) to avoid oily food You may continue treatment till good results. I hope you got my answer. Thanks. Dr. Ilyas Patel MD