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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.
Acne affects the areas of the skin where sebaceous follicles are in abundance. Therefore, acne lesions are mostly found on the face, neck, upper chest and the back. In severe acne cases, nodules can extend all the way to the upper arms, thighs and buttocks.Different factors can cause acne. However, the most important causes of acne are hormones and infections.apules: Papules are one of the first groups of inflammatory acne lesions to appear on the skin. In a way, they are the precursors of nodules. Papules are red, tender, inflamed bumps with no heads that appear on the skin. When squeezed, they may traumatize the skin enough to give rise to nodules and cause scarring.