Acne is not simply a cosmetic issue — it is a chronic medical condition influenced by hormones, inflammation, diet, stress, sleep, skin-barrier health, the microbiome, and overall internal balance. Many patients are surprised to learn that not all bumps are acne . Common acne mimickers include keratosis pilaris  and pityrosporum folliculitis (“fungal acne”) , which require very different treatment strategies  and are often misdiagnosed. At Las Vegas Integrative Dermatology ,