What causes pimples on the back of the neck?

Nov 15, 2024 Source: Cainiu Health
Dr. Liu Wenmin
Introduction
In general, acne on the back of the neck is usually caused by puberty, excessive stress, clothing friction and pressure, folliculitis, polycystic ovary syndrome (PCOS), and other factors. Treatment options include general management and medication. It is important to keep the neck area clean, avoid friction from clothing, maintain a balanced diet with reduced intake of oily and spicy foods, and ensure regular sleep patterns.

In general, pimples usually refer to acne. Acne on the back of the neck may be caused by puberty, excessive stress, clothing friction and pressure, folliculitis, or polycystic ovary syndrome (PCOS). It is recommended to seek medical attention promptly and receive symptomatic treatment under a doctor's guidance. Specific causes are analyzed as follows:

1. Puberty

Hormonal changes during puberty may increase sebaceous gland activity on the back of the neck, leading to acne. Maintaining good personal hygiene and using gentle cleansing products is advised.

2. Excessive Stress

Chronic mental stress can cause hormonal imbalances in the body, promoting the development of acne on the back of the neck. Relaxation techniques such as deep breathing, yoga, and meditation, along with lifestyle improvements, may help.

3. Clothing Friction and Pressure

Clothing with high collars, tight fits, or rough materials can repeatedly rub against the skin at the back of the neck, causing minor injuries that facilitate microbial growth and lead to acne. It is advisable to choose soft, breathable fabrics to minimize friction.

4. Folliculitis

Folliculitis occurs when hair follicles become infected with bacteria, resulting in inflammatory lesions resembling acne on the back of the neck. Symptoms may include redness, swelling, and pain around the follicles. Under medical guidance, topical treatments such as erythromycin ointment, fusidic acid cream, or mupirocin ointment may be used.

5. Polycystic Ovary Syndrome (PCOS)

PCOS is often associated with endocrine disorders, genetic factors, and abnormal androgen levels, which may trigger acne on the back of the neck. Other symptoms may include irregular menstruation and weight gain. Under a doctor’s supervision, medications such as clomiphene citrate tablets, metformin hydrochloride tablets, or dydrogesterone tablets may be prescribed for treatment.

To prevent acne on the back of the neck, maintain neck cleanliness, avoid clothing friction, eat a balanced diet, reduce intake of oily and spicy foods, and maintain regular sleep patterns.

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