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What could be done to manage persistent body acne?

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

Patient's Query

Hello doctor,

I have been suffering from body acne since ten years. It is present on my upper arms, shoulders, back and buttocks. I have been using Benzoyl peroxide 5 % since six months. But there has been no effect at all.

Answered by Dr. Atishay Bukharia

Hi,

I am glad you chose icliniq for your medical-related queries.

I understand your concern and will try to help you with it.

Benzoyl peroxide alone is not going to work. Please send the photographs of the affected area to find out the grade of acne and to prescribe you the proper treatment.

Thank you for consulting me.

You can always reach me at icliniq.com.

Patient's Query

Hi doctor,

Thank you for the reply.

As per your instructions I have attached photographs.

Apart from Benzoyl peroxide 5 % (Benzac AC 5%), I have been using Soapex (Triclosan 0.5%) soap for bathing. I also take care to wear cotton vests and use anti dandruff shampoo regularly. I have been following this regimen for almost six to eight months. I am 22 years old. I was told that it will go away by the time I turn 21 to 22. But it is still present. My entire back till my upper thighs is covered by outbreaks. I also have it on my upper arms and shoulders. One more issue I am facing is that there are scars left behind by acne, especially at the lower back. However, miraculously I do not have a single outbreak on my face. I have been patiently dealing with acne for nearly ten years. I hope you will be able to mitigate this long-suffered curse.

Answered by Dr. Atishay Bukharia

Hi,

Welcome to icliniq.com.

I have gone through your photographs (attachments removed to protect patient identity).

  1. What you were told about acne is wrong. In most cases acne subsides by 24 to 27 years of age, and in few cases it can go even longer.
  2. Stop Triclosan as it is of no use in acne.
  3. Also stop using Benzac AC, I am giving you a good alternative.

I would suggest the following:

  1. Microbenz 3.5 cream (Benzoyl peroxide microsphere gel), once daily in day time.
  2. Deriva CMS cream (Adapalene Microspheres + Clindamycin Phosphate gel), once daily at night time.
  3. Tablet Acutret 20 mg (Isotretinoin), one tablet daily at night.
  4. It is normal to have dryness, cheilitis after using Acutret. So, you can apply any good moisturizer and lip balm of your choice.
  5. Do not apply any home remedy sort of things.

Looking forward to your response in order to help you.

Thank you.

Answered byDr. Atishay Bukharia

Medically reviewed byiCliniq medical review team

Published At January 10, 2018
Reviewed AtOctober 1, 2024

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atishay Bukharia
Dr. Atishay Bukharia

Dermatology

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