Hi doctor,
I am 21 years old. I have pimples with some sort of rash and redness on my back. I am having these for more than two months now. When I use anti-fungal powder, they will dry but comes again. They are present only on the back, not anywhere else. I have attached my photos with this. Please suggest some medicine. Thank you.
Hi,
Welcome to icliniq.com.
- I have seen the attached photographs (attachment removed to protect patient identity).You are having truncal acne.
- You should start with tablet Azithromycin 500 mg once daily for three consecutive days in a week for three weeks. Along with this take capsule Isotretinoin 20 mg once daily and apply Benzoyl peroxide 10% gel on the pimples twice daily for six weeks.
- You should use Ketoconazole soap for bathing. Besides this keep your back dry. Follow some skin care tips such as avoid applying cream and moisturizer, avoid wearing tight clothes and reduce the intake of sugary foods.
- Before starting the oral medication get the following tests done. Liver function tests and lipid profile. If these come normal you can start with capsule Isotretinoin and revert back after six weeks as acne is a chronic disease and will take time to resolve.
The Probable causes:
Hormonal imbalance and seborrhea.
Investigations to be done:1. Lipid profile.
2. Liver function tests.
Pityrosporum folliculitis.
Probable diagnosis:Truncal acne.
Regarding follow up:Revert back after six weeks to a dermatologist online.---> https://www.icliniq.com/ask-a-doctor-online/dermatologist
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