This is a sign your body is overloaded with toxins in the liver thus the acne.
You are also infested with parasites if worms are getting out of the skin.
The best way is to cleanse your body with herbs that both clean the liver and get rid of parasites.
At the same time do a colon cleanse to flush them out of the body.
3 options are Enema, Colonic or colon cleansing herbs.
learn about the best parasite cleanse to use for both conditions.