Acn Rosacea, Folliculitis, or something else? IS accutane the answer?
I never have had a bad acne problem.I have occasionally had some clogged pores and cysts, but it was not an every day or even monthly occurance.When I was 34 years old an area on my left cheek began to have small pustules which i could clearly see a hair in. It wasnt the classic ingrown hair, rather a hair that almost broke the skin surface, but never did.Sometimes the hair would just stay there below the surface. The area has continued to grow over the past 2 years and I have seen 6 different dermatologists looking for answers.They all say acne and maybe rosacea or follicultis.The treatments I have been given include Evoclin, Tazorac, Ziana, Duac, and many antib. 9months ago, a PA suggested that I try laser hair removal in the area. I had 4 treatments and two of them produced some bad follicilitis.Teh first went away within 2 weeks.The second January has yet to heal.This area of my face is still red and inflamed.The PA suggested that I see the MD.He said that I should try cutivate to help the inflammation and to help the skin push the ashy particles out. the hairs are coming out gradually in 4 months.It is producing bumps similar to acne and scarring is taking place from the lesions it is leaving.The skin in that area of my cheek is more wrinkled and sort of lumpy underneath. Also, the skin is really red in places and I can see a lot of blood vessels.Some of the hairs are really deep nd do not surface.Others are right at the surface yet grow underneath the skin without breaking through. I have asked about fungus, mites, and just about everything. I tried some over the counter antifungal. After a month straight of Cutivate then two weeks a month, he thinks we should try Accutane (20mg). The skin on the rest of my face is clear with an ingrown hair or deep ingrown hair causing a pimple every once in a while. My skin isnt overly oily, however and dries out while using many topicals. What does this sound like and should I suggest a test. If so, what test?
If 6 dermatologists in person haven't been able to offer a clear answer, I'm afraid I can't either. I will say that in my experience some patients who are convinced they have ingrown hairs attempt to squeeze them out, which never works and always makes the skin look worse. If this applies to you, then I advise you to discontinue this practice for a minimum of 3 months. Only then should oral treatment be considered, because otherwise it is certain to fail.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.