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What causes pus-filled pimples on the chin?

Sep 30, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In most cases, pustular acne refers to common acne. The development of common acne on the chin may be caused by hormonal changes, improper diet, inadequate facial cleansing, folliculitis, or seborrheic dermatitis. During puberty, menstruation, or pregnancy, fluctuations in hormone levels can lead to the occurrence of common acne, particularly in the chin area.

Pustular acne typically refers to common acne (acne vulgaris). The development of acne on the chin may be caused by hormonal changes, improper diet, inadequate facial cleansing, folliculitis, or seborrheic dermatitis. It is recommended to seek medical advice promptly, identify the underlying cause, and receive appropriate treatment under the guidance of a qualified healthcare provider. Specific causes are analyzed as follows:

1. Hormonal Changes

During puberty, menstruation, or pregnancy, fluctuations in hormone levels may lead to the occurrence of acne vulgaris, particularly in the chin area. Maintaining good facial hygiene and using gentle skincare products can effectively improve acne symptoms.

2. Improper Diet

Poor dietary habits, such as consuming high-sugar and high-fat foods, can disrupt endocrine balance and increase the risk of developing acne on the chin. Adjusting eating habits in daily life—reducing sugar and fat intake and maintaining proper hydration—can help manage acne.

3. Inadequate Facial Cleansing

Areas such as the hairline on the forehead and the junction between the chin and neck are often overlooked during facial cleansing. Insufficient cleaning in these areas is one of the main contributing factors to chin acne. During washing, these acne-prone areas should be gently massaged and cleansed thoroughly to help prevent acne formation.

4. Folliculitis

Folliculitis may result from bacterial infection or skin damage. When bacteria invade hair follicles, an inflammatory response occurs, causing redness, swelling, and pain around the follicle, ultimately leading to acne-like lesions on the chin. This condition is often accompanied by localized pain, itching, and tenderness. Treatment may include medications such as mupirocin ointment, fusidic acid cream, or roxithromycin capsules, as prescribed by a physician.

5. Seborrheic Dermatitis

Seborrheic dermatitis is usually caused by excessive sebum production, which disrupts the skin's microbial balance and promotes overgrowth of Malassezia fungi, potentially leading to acne-like breakouts on the chin. Symptoms may also include oily skin and increased dandruff. Patients may use antifungal agents such as ketoconazole shampoo, hydrocortisone tablets, or vitamin B2 supplements under medical supervision.

Maintaining healthy lifestyle habits is important. Avoid spicy and irritating foods such as Sichuan pepper, chili peppers, and garlic to help prevent acne outbreaks on the chin.

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