Acne mechanica typically presents as small, red bumps, pustules, and sometimes nodules in areas subjected to repeated friction and pressure, such as the forehead, chin, back, shoulders, and buttocks. The lesions may be painful and can worsen with continued mechanical stress. Diagnosis is primarily based on the clinical presentation and a thorough patient history, focusing on activities and habits that may contribute to the condition. Dermatologists may also rule out other types of acne to confirm the diagnosis. Early recognition and diagnosis are crucial for effective management and prevention of scarring.