Very severe(4th) comedonal acne vulgaris, A sand paper comedos, that was complicated by Staphylococcus epidermidis And Pityrosporum ovale folliculities in 16th years old atopy girl, that was treated by 4x of TCA 10% chemical peeling A Case Report Author : Lely Nurjanti, Dermatoveneologist, Samarinda city, Indonesia Biography : Graduated as dermatoveneorologist from Airlangga university dr soetomo general hospital surabaya indonesia in September, 2005. Worked as dermatoveneorologist at dermatoveneorologist department of abdul wahab syahranie general hospital samarinda indonesia since 2006. Worked as practising dermatoveneorologist at provit clinic in samarinda since 2006. Ever been the coordinator of dermatoveneorologist medical faculty programme at dermatoveneorologist department of AWS general hospital mulawarman university samarinda indonesia in 2007. Ever been the secretary of dermatoveneorologist continuing education organization for east kalimantan indonesia in 2008. Published some national and international case reports as free paper and poster in dermatoveneorology concern in 2002-2005,2017,2018.