Mom's been to dermatologists many times, they all claim it is acne and have directed her to keep hands away and to moisturize her very dry skin. Her OCD tendencies are contributing to the problem, which have been addressed. We tried Paxil to little effect. She also thinks she's 100% right, that it is not acne and can be cured. She has delusions that she has to get at "the core" and pull it out, that there are "varmints" inside that need to be removed for it to heal. I am at wit's end with Mom, tried everything. She complains to me several times a day.