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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, medically known as Acne Vulgaris, is a skin disease that involves the oil glands at the base of hair follicles. It commonly occurs during puberty when the sebaceous (oil) glands come to life-the glands are stimulated by male hormones produced by the adrenal glands of both males and females. Types of pimples include whiteheads, blackheads, papules, pustules, nobules, cysts. 2  Approximately three-quarters of 11 to 30 year-olds will get acne at some time. 3  Acne can affect people of all races and all ages. 4  Experts believe the primary cause is a rise in androgen levels (hormone).