Get E-Book on COVID-19

Q. Please recommend a treatment to get rid of severe acne.

Answered by
Dr. Chaitra Prakash
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 26, 2016

Hello doctor,

For the last seven years, I have very hard round white balls type lesions on my skin. They spread and the area will not heal until the ball is extracted. It has ruined my face. I used to get regular acne whole of my life till about seven years ago. There used to be some cystic acne, but they were soft with pus. Initially, a white ball like cyst came out and after that, it has never been the same. Sometimes, a very thin hair will also come out of it. I have used every acne medication available, including Accutane. Currently, I am using Rituxan, Trazodone, Lexapro and Modafinil.

#

Hi,

Welcome to icliniq.com.

  • You seem to have a nodulocystic type of acne.
  • Kindly provide more details of your treatment taken previously, especially of Accutane (Isotretinoin) and the duration.

Revert back with the details to a dermatologist online -->https://www.icliniq.com/ask-a-doctor-online/dermatologist


Was this answer helpful?

 | 

Thank you doctor,

I took Accutane for three months about six years back. The side effects were too harsh to continue and I had just been diagnosed with MS and put on other drugs to fight that. After Accutane, my skin got worse and continued to scar my skin. The balls were very hard and seemed to have no pore, somewhat like milia. I have tried everything including retinoids, laser, light therapy, dermabrasion and chemical peels. I have not been going out in public much as this is very emotionally difficult for me. I usually cover up these embedded cysts. Some of the things on my skin are like hardened or crystallized peach fuzz hair. They can come out long and hard just like slivers and they hurt like slivers. I just need someone to help me. I will try anything. I have attached a picture from last year when I was able to cover it up. In the last few months, it has become unmanageable and gets extremely inflamed or infected. That is about the time I started Rituxan for MS, but the problem was there long before. The hormones are fine too.

#

Hi,

Welcome back to icliniq.com.

I went through your treatment history and the pictures (attachment removed to protect patient identity).

  • Accutane is presently the most effective treatment for such difficult acne. Other antibiotics may not be of much help in your case.
  • However, Accutane has a few side effects and most of the side effects are usually manageable.
  • In your case, I would advise you to restart the Accutane treatment and for a longer time, say about six months at least. You may take lower doses or even intermittently to minimize side effects and improve compliance.
  • If you have those hard cysts, there are injections available to resolve them. Please consult your dermatologist for an appropriate prescription.
  • Apart from Accutane, you may also benefit from low-sugar and low-fat diet. Use a gentle cleanser and moisturizer like Cetaphil. You could also do an abdominal sonogram to see if you have PCOD (polycystic ovarian syndrome).

For further information consult a dermatologist online --> https://www.icliniq.com/ask-a-doctor-online/dermatologist


Was this answer helpful?

 | 

Related Questions:
Whenever my wife took Ambien and Accutane together, she had alcohol-like breath. Why?
What is the best treatment for Burkitt's lymphoma?
I have acne marks due to pimples during periods. What has to be done?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


What is the treatment for penis pain due to balanoposthitis?

Query: Hello doctor, I had mild penis pain below the glans. The doctor checked and informed minimal balanoposthitis. I took Microdox 100 for 15 days, Zocon for seven days, Gabapentin for 15 days. There was a relief. He asked me to apply Onabet cream for 15 days. When I apply Onabet cream it relieves me but...  Read Full »

Can you suggest an alternative to Accutane for acne?

Query: Hi doctor, I am on Isotretinoin for around 50 days. My face is now clear and it really improved my skin as I have oily skin. But, I have noticed clay colored stools. I am also having high fever and facing weakness. Now, my veins on hand started to swell. I am also having difficulty in breathing. But...  Read Full »

How to treat my mother's vasculitis?

Query: Hi doctor, My mother has been suffering from vasculitis. She is facing difficulty in walking. She also has thyroid, diabetes and sarcoidosis. Currently, she is on Covance 50, Gabantin 100, Dilzem 30, Raricap, Sympta 20 and Modlip 10. For vasculitis, she was prescribed to have Wysolone 7.5 mg and Mmf...  Read Full »

Also Read


Can naked body to body massage spread HIV?
Hello doctor, I recently had some business trip during which I had some naked body to body massage wherein massager vag...  Read more»
Are COVID-19 Patients Infectious for up to 90 Days After Recovery?
There have been reports of recovered COVID-19 patients getting reinfected and testing positive for almost 3 months. Read...  Read more»
Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»

Ask your health query to a doctor online?

Ask a Dermatologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.