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Main areas affected by nodular acne are the face and back, but it can also occur on other parts of the body such as the neck, chest, upper arms, shoulders, and buttocks, ranging from just a few breakouts to more widespread blemishes.
People with acne frequently have a variety of lesions, some of which are shown in the illustrations below. The basic acne lesion, called the comedo (KOM-e-do), is simply an enlarged and plugged hair follicle. If the comedo stays beneath the skin, it is called a closed comedo and produces a white bump called a whitehead.ther troublesome acne lesions can develop, including the following: 1  Papules. 2  Inflamed lesions that usually appear as small, pink bumps on the skin and can be tender to the touch. 3  Pustules (pimples). 4  Papules topped by white or yellow pus-filled lesions that may be red at the base. 5  Nodules.