What can cause acne relapse around the nose?

Question

Hello doctor,

I am having facial acne. I have used Isotretinoin capsules for the last six months, but after that, the same condition sometimes develops again, although it is a little milder. The most affected area is near the nose or on the nose.

Is there any kind of hypersensitivity or infection? The onset was four years ago and was mild at that time. As time passed, it became more severe. I consulted a dermatologist approximately a year ago.

According to my dermatologist, I was prescribed Isotretinoin capsule and Acne X (Benzoyl Peroxide) cream. According to the doctor, this is some kind of allergy.

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

Based on your description, this is either an acne relapse that occurs after a long-standing acne condition and returns after stopping treatment, especially around the nose and nearby areas.

The fact that the pimples improve when Isotretinoin capsules are taken and then reappear after a break strongly suggests relapsing acne, which happens when the full course or maintenance treatment is not completed.

Another possibility is perioral dermatitis, in which pimples around the nose are formed due to irritating creams or steroid-containing products. These can temporarily reduce redness but later make the condition worse.

In order to give you an exact diagnosis, I need to ask a few questions.

Do you feel burning or itching?
Are there any acne bumps in the area?
Do you feel sensitive to light?

If possible, please share clear pictures of the affected area with good flash lighting. Please also attach a picture of Acnex (Benzoyl Peroxide) cream, as I searched for it and could not find clear details. I need to check whether it contains any kind of steroid. Also, have you ever used any whitening or fairness creams in the past?

Topical and oral Isotretinoin can make your skin sensitive, but it does not cause rash or infection. Meanwhile, I suggest you wear sunblock and apply 1% Clindamycin gel on the affected area at bedtime for seven days to manage rosacea.

I hope that this answers your query.

Kindly follow up if you have more doubts.

Thank you.