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Acne vs cold sores

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Can there be confusion between bumps around my mouth or nose and cold sores? I sometimes get bumps on my temple on both sides of my face also. The bumps seem to occur symmetric at times. That is, if I get a bump near (not on) my upper lip on the right side of my face, maybe a week (or less) later I'll see a similar bump on the right side of my face, opposite the first bump. A couple of times I ended up looking like Frankenstein (bolts on either side of his head)

I'm just trying to determine what the difference is between cold sores and cystic acne around my mouth, nose and face. I've never had a break out on my lips. But I always hear that cold sores can be anywere on your face. Is this true? And can it be mistaken for acne?

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