What conditions can be mistaken for acne?

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

The diagnosis of acne is usually straightforward and can be made by examination of the skin. During your consultation I will establish whether your acne is mild, moderate or severe and whether it is comedomal or inflammatory. There are a few other conditions that can appear similar to acne but these are simple for a dermatologist to distinguish.

Perioral dermatitis is a common condition that causes clusters of reddish spots on the chin, around the nostrils and sometimes around the eyes. It is frequently mistaken for acne.

Rosacea is another common condition causing redness of the face. It can have different appearances one of which is papular rosacea which causes reddish spots ‘papules’ that can be mistaken for acne.

Milia appear as small white spots on the face and can be mistaken for acne whiteheads. They area caused by the build up of keratin under the skin surface.

Pseudofolliculitis barbae ‘razor bumps’ causes inflamed spots in the beard area. It is thought to result from short hairs irritating the skin and is much more common in men, particularly in those with skin of color.

Related Articles

• What is acne?
• What are the different types of acne lesions?
• What should you expect during an acne consultation with a dermatologist?

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. My NHS practice is at Guy's Hospital and is focused on Mohs micrographic surgery and the treatment of complex skin cancers. My private practice additionally focuses on laser treatments, regenerative dermatology, rosacea, acne, pigmentation and scarring. I have particular expertise in the diagnosis and treatment of skin cancer, including minimally-invasive techniques, Mohs micrographic surgery, and facial reconstructive surgery. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer and skin cancer diagnostics, and I constantly aim to translate the latest findings into better patient care. You can learn more about my Research.

In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

How I can help

I consult with private patients at several well-appointed and conveniently located sites across central London:

• London Bridge Hospital: Conveniently situated within The Shard, next to London Bridge station.
• Skin55 Ltd: Located at 55 Harley Street, this beautiful Edwardian building houses one of the largest private dermatology facilities in the UK with a comprehensive laser suite.
• OneWelbeck: Located close to Bond Street underground station. Mohs surgery, lasers, and other skin surgeries are performed in the state-of-the-art surgical suite here.

A new consultation is £250, a follow up consultation is £220. For more information on fees, please visit Prices.