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Dermatology (Expert Forum)
Help with sever infection in sebaceous and keratinous cysts of the face
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
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Help with sever infection in sebaceous and keratinous cysts of the face
by sunfish, Sep 05, 2002 12:00AM
My son is a healthy 34 yr. old caucasian male, swarthy complexion, dark hair, heavy beard. For the past several years he has been plagued by ingrown hairs from his beard around his mouth and cheek area causing painful, boil-like ulcerations. Scar tissue from old wounds causes ongoing problems.
He has grown a beard, quite his job as an excellent chef to avoid grease and taken many rounds of antibiotics including two rounds of Acutane (sp?) to clear this painful and unsightly condition. Presently, he has several open ulcers on his face the size of quarters. He is currently taking Cipro for 2 weeks and is under the care of a Dermotology group in Aspen CO. His condition did improve during the courses of Acutane but the symptoms seems to return with renewed strengh following treatment. I would like to receive information about where he can seek treatment for this condition and what courses of treatment are avialable.
He has grown a beard, quite his job as an excellent chef to avoid grease and taken many rounds of antibiotics including two rounds of Acutane (sp?) to clear this painful and unsightly condition. Presently, he has several open ulcers on his face the size of quarters. He is currently taking Cipro for 2 weeks and is under the care of a Dermotology group in Aspen CO. His condition did improve during the courses of Acutane but the symptoms seems to return with renewed strengh following treatment. I would like to receive information about where he can seek treatment for this condition and what courses of treatment are avialable.
Doctor's Answer
by Alan Rockoff, MD, Sep 06, 2002 12:00AM
, Sep 06, 2002 12:00AM
Open ulcers don't come from acne or ingrown hairs unless the sores are picked and scratched. If your son is traumatizing the lesions, he must stop. If he can't stop, he needs help to do so.
Accutane is the strongest medical treatment available. It is possible that laser hair removal, or thinning, might be worth considering. Some men with ingrown hairs get excellent results.
I think your son should discuss this with his dermatologists, in addition to the considerations in my first paragraph.
Best.
Dr. Rockoff
Accutane is the strongest medical treatment available. It is possible that laser hair removal, or thinning, might be worth considering. Some men with ingrown hairs get excellent results.
I think your son should discuss this with his dermatologists, in addition to the considerations in my first paragraph.
Best.
Dr. Rockoff
