What treatment is best for open pores and flaky, itchy skin?

Question

Hello doctor,

I am a 21-year-old female, 5’1” tall, and my current weight is 109.3 pounds. For more than a week, I have had multiple small patchy red spots and visible open pores on my cheeks, along with mild redness, itchiness, and an uneven oily texture on my forehead. At times, the skin becomes flaky, but most of the time it remains red. I am not sure if this is eczema or psoriasis. My current medication is only an antihistamine.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

I am very sorry about your medical condition, and I am glad that you are paying attention to changes in your body system. But do not worry, I am here to take care of you. Thanks for sharing that. I believe your acneiform eruption is due to atopic dermatitis. Here is a breakdown of what might be happening and how to approach it beyond temporary fixes:

Hormonal imbalance – Especially if acne worsens around your period, on your jawline or chin, or during stress.
Oily skin and clogged pores – If your skin is naturally oily, topical creams alone may not fully manage it.
Diet or gut health – High sugar, dairy, or processed foods can trigger inflammation in sensitive people.
Incorrect skincare – Using harsh products or over-washing can damage your skin barrier.

So the long-term treatment options are as follows:

Medical options (stronger but effective): Topical 0.2 percent Tacrolimus cream or topical ointment 0.05 percent Clobetasol once a day or 0.2 percent Hydrocortisone cream two times a day for one month.
Tablet Minocycline 500 mg orally thrice daily for one week.
Apply Topical 2 percent Resorcinol once a day, or topical 0.1 percent Tretinoin twice daily. 20 percent Azelaic acid once a day or 5 percent Dapsone gel once daily for one month.

I hope this helps.

Kindly follow up if you have more concerns.

Thank you.