Acne mechanica differs from other types of acne and isn’t related to a hormonal cause.
It varies in appearance from small, inconspicuous comedones to inflamedpapulesandpustules.
With continued rubbing, the pores become irritated and those tiny blemishes morph into larger, red pimples.
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Athletic equipment is a prime culprit, especially for teen boys.
They can exert a lot of friction against the skin, and are often worn when sweating.
This is a perfect recipe for acne mechanica.
Soldiers are another group that commonly get this form of acne.
Packing heavy gear for long periods of time puts pressure on the skin, causing irritation and breakouts.
It’s especially common in young soldiers stationed in hot and humid areas.
Tight-fitting clothes and undergarments are among other offenders.
Breakouts can develop under snug bra straps.
It’s not just clothing and gear that can cause acne mechanica.
Violinists may notice an area of breakouts on the chin where their instrument rests.
Talking on the phone for long periods of time regularly might cause breakouts on the side of the face.
Acne Mechanica vs. Common Acne
Acne mechanica and common acne look nearly identical.
This isn’t always practical though.
There are other ways to treat acne mechanica.
Acne Mechanica Treatment
Most cases of acne mechanica respond well to over-the-countersalicylic acidorbenzoyl peroxide treatments.
Try a facial cleanser or body wash containing one of these ingredients, and use it daily.
At-Home Remedies
Thoroughly cleanse the affected areas, but don’t scrub.
The added friction because of scrubbing away at the skin can actually worsen breakouts.
It’s best to use a soft washcloth or simply your bare hands.
Benzoyl peroxide lotions are effective treatments for acne mechanica.
Begin by applying just a few times per week, and gradually work up to twice a day.
Allowing your skin to acclimate to the benzoyl peroxide will help minimize dryness, flaking, and peeling.
Be aware that benzoyl peroxide will bleach fabric.
Using white linens can also help minimizebenzoyl peroxide staining.
Plus, your dermatologist will have additional suggestions to help clear your skin.
Prescription Medications
Acne mechanica may need to be treated with a prescription medication.
Your dermatologist may want to try a drug that’s commonly used to treat other types of acne.
In rare cases, a specialist procedure like a chemical peel or blue light therapy may be needed.
Whenever possible wear natural fabrics, like breathable cotton.
Since most sports uniforms are made from synthetic fabrics, try wearing a cotton T-shirt underneath.
This is especially important under athletic pads, to help reduce the amount of friction on the skin.
Try a handheld bag instead of a backpack.
Don’t wear hats, tight-fitting caps, or headbands for long periods of time.
Prevention includes keeping masks clean, and careful masking choices when it comes to fit and fabric.
A Word From Verywell
Acne can be a frustrating problem.
Always shower as soon as possible after sweating, and use your acne treatments consistently.
Acne mechanica in athletes.
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American Academy of Dermatologists.Is Sports Equipment Causing Your Acne?
2021 Jul;60(7):799-809. doi: 10.1111/ijd.15425.
