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Dermatology  (Expert Forum)
 | 
cystic acne
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

cystic acne

by JAZZYCAT, Jun 21, 2008 12:43AM
hi, my daughter is 16 years old. she has cystic acne on her face. chest and back. we have tried everything. peels. accutane, birth control pills, creams. so on and so on. is there something or someone out there doing cutting edge treatments? drug trials ? please just a product name or a name of a doctor that can help beyond the norm. thanks jim

by Alan Rockoff, MD, Jun 22, 2008 05:45AM
To: JAZZYCAT
I am perlexed to hear that you have tried Accutane and that it has apparently not worked.  In my experience, that is extremely rare.  It makes me wonder whether thhis drug was given at the right dose for a long enough time.  Or perhaps the acne is indeed better but isn't entirely perfect, in which case you and your daughter may need to recalibrate your expectations.  Maybe treatments with oral and external antibiotics should be considered, since these may help in ways they didn't before Accutane was given.  I think these are the kinds of questions you should discuss with your dermatlogist.  There aren't to my knowledge special "cutting-edge" treatments (laser, for instnace) that are worth placing special hopes on.

Take care.

Dr. Rockoff
Member Comments (3)

by couscous, Jul 04, 2008 02:39PM
To: jazzycat
Hello,  just read your story and pessimism that followed.    My friend went to a guy named Dr. Neal who specializes in acne specifically.  He got completely clear after previously failing accutane.  I would say, find this guy and do place special hope in an answer.  I can't imagine anyone just sitting by and accepting a life with cystic acne.

Good luck,
-C

by terryb1, Jul 05, 2008 10:28AM
To: JAZZYCAT
hELLO I WAS JUST LOOKING OVER THIS SITE. i ALSO HAD CYSTIC ACNE FOR YEARS WHERE I WOULD GO IN AND THE DERM WOULD INJECT THEM. i DID ACUTANE TWICE I HAD TO STOP PART WAY THROUGH IT THE SECOND TIME.
nOT A GOOD DRUG TO BE ON. aNY WAY MY DERM HAS ME ON  SPIRONOLACTONE 100MG ONCE A DAY IN THE MORNING. iT IS A DIARETIC. wELL IT HAD WORKED NOT ALL DOCTORS USE THIS . Before this i was on all kinds of antibiotics they would work for a while and then it would stop working. The diaretic works by getting rid of excess fluid so your glands dont get filled up and infected where cystic acne comes from. Talk to your Derm it has been a god sent. I have been on it for over a year now. So far so good, If i can be of help ***@****
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