Dermatology Questions? Ask an Online Dermatologist.
How long have you had this? Are you having any discharge or fevers?
Are you in good health otherwise?
Yes, this is consistent with acne pustularis. It typically requires more aggressive treatment than regular acne. I would suggest you see a dermatologist and ask about getting on antibiotics and topical tretinoin. Severe acne can be difficult to treat. When other treatments fail to clear the skin, oral isotretinoin may be an option. About 85% of patients see permanently clear skin after one course of treatment with isotretinoin.
Was the isotretinoin an oral medication?
How long did you take it?
The sebaceous glands in your skin that produce oil get plugged up and infected. This causes inflammation that leads to pustules that hurt and/or itch.
Lots of young individuals get this condition. It may in part be triggered by hormone changes. It can get worse with certain foods (e.g. oily foods) and with poor hygeine. It is important to shower and shampoo one's hair everyday and gently scrub off any scale that accumulates. It is also important to change your pillow case every day as this can be a reservoir of oil that makes matters worse.
The isotretinoin can make acne worse in the beginning, but after a couple months it typically improves tremendously.
You will need to complete the entire course as per your doctors prescription. If you do not improve you should see an acne specialist.
One course of treatment takes about 4 to 5 months. Sometimes, a course of treatment takes less time or a bit more time. Dermatologists tailor the treatment to each patient.
That would be OK if he or she is a medical doctor.
That's hard to say. Nuts have a lot of oil, so they should probably be eliminated from your diet until this improves. However, everyone is different. You should focus on those foods that YOU notice makes your condition worse. If you are not sure, this would be a good question for the trichologist.
Excessive sweating can make this condition worse, so you should try to keep your scalp cool and dry.
yes, that might help dry up the scalp and remove scale.
You might need to leave it in for 10 minutes and scrub lightly with a cotton washcloth before rinsing to get the desired effect.
That's a pretty good antiseptic. It should help to keep the scalp clean. The main thing at this point is that the isotretinoin may be making the acne worse temporarily. Give it more time according to your doctor's plan and see the specialist when you can. It sounds like you are doing everything right otherwise.
Not really. I think you are doing everything you can already. The only exception to this would be adding an antibiotic. There are some you cannot take while taking the isotretinoin, but others that are considered safe, so ask your doctor about this.
This can cut down on the bacterial load and the pus that causes the white bumps.
I think betadine is better. It is what we use in surgery to deeply clean the bacteria from our hands.
After that you can apply the sebizole, though the combination could be irritating to the scalp. Another approach would be to alternate the two.
Bactroban is a good antibiotic ointment, but you shouldn't need it if you keep your scalp really clean and disinfected. An oral antibiotic is more likely to help as it comes into the scalp from the bloodstream and reduces the bacterial load below the surface.
I would advise against that.
I would advise against that. Oils are more likely to clog up your pores even further and may make your condition worse.
You're welcome. Hope all works out for the best for you.
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