I am looking for suggestions:
Chronic Infected Cysts (red, hard, hot, tender) for past five years. Have no idea what the trigger could be but each series lasts months at 2-3 per week. I have tracked food, activity, medicines, seasons, etc., but there is no pattern. The only thing that works is to visit my dermatologist each week to get each injected with 2-4mm of mixture (46mg xylocaine 2% without epinephrine + 4cc Kenalog 40mg)
I am currently on Ziana, Altabax on cysts, Clindamycin pads, wash face with cetaphil.
I have tried seb wash, differin, clindamycin 1%/benzoyl peroxide 5% gel, erythromycin, xolegel, epiduo, triaz. Cysts in the past have been biopsied (negative).
My antibiotic use has been Keflex mostly with varied results. Also Amoxicillian but it is difficult to know if antibiotics work because I always get injections at same time; perhaps they work by reducing new ones but I can’t live on antibiotics. In 2008, I had taken 10 days of antibiotics three times in 3 months. Not good.
I also can’t be continually fighting infections as I have a connective tissue disorder. I am allergic to doxcycline hyclate and minocyclin. I have not tried Bactrim but, like I said, living on antibiotics is not ideal.
I have been referred to an infectious disease doctor only to be told by two of them that infected cysts is a dermatological issue and not in their realm even if it is chronic. Since two different doctors said this, I stopped trying.
Any thoughts?
Thank you for your time.