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Which products are best for skin with pimples and marks?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am seeking advice regarding my combination skin, which is currently afflicted with numerous pimples and acne marks. I have recently begun using Foxtale acne face wash, but I am eager to explore additional treatments for faster and more effective results. In terms of my medical history, I have a background in PCOD and have undergone two surgeries related to this condition. Currently, I am taking homeopathic medicine. Given this context, please recommend a suitable face wash and serum to complement my current regimen.

Thank you.

Hi,

Welcome to icliniq.com.

Thank you for reaching out, and I understand your concern.

Upon reviewing your clinical images (attachments have been removed to protect the patient’s identity), you appear to be experiencing a moderate form of acne vulgaris (a common skin condition characterized by pimples, blackheads, whiteheads, and often inflammation). Acne is common in your age group, particularly prevalent in cases of polycystic ovary syndrome (PCOS). PCOS is characterized by increased hormonal secretion from enlarged follicles in the ovary, typically identifiable through pelvic ultrasound. It often presents alongside symptoms such as abnormal hair growth and menstrual irregularities, including heavy bleeding and heightened pain.

To evaluate PCOS, a comprehensive hormonal profile is recommended.

Treatment for PCOS should only commence following a thorough assessment.

Regarding the acne lesions, I recommend the following regimen:

  1. Azithromycin 250 mg: Take for three consecutive days each week on an empty stomach, once daily, for three weeks.

  2. Salicylic two percent face wash: Apply once daily at bedtime.

  3. Clindamycin gel: Apply it to the affected areas in the morning and combine it with Adapalene gel at bedtime after using the face wash.

  4. Continue this regimen for four weeks before reassessment.

  5. Avoid creams, medications containing steroids, and greasy creams, as they may exacerbate the condition.

With adherence to this regimen, improvement in the lesions is anticipated. Consult your doctor and take the medicines accordingly.

I hope this helps.

Please revert so I can assist you further.

Thank you.

The Probable causes

The probable cause is polycystic ovary syndrome (PCOS).

Investigations to be done

Investigation to be done: 1. TFT (thyroid-stimulating hormone). 2. FSH (follicle-stimulating hormone). 3. PL (progesterone level). 4. LH (luteinizing hormone). 5. Free and total Testosterone. 6. Estrogen levels. 7. USG (ultrasonography).

Probable diagnosis

The probable diagnosis is acne with polycystic ovary syndrome (PCOD).

Regarding follow up

Follow-up to be done after four weeks.

Medically reviewed byiCliniq medical review team

Published At July 2, 2024
Reviewed AtJuly 2, 2024

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