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Suggest Treatment For Black Scars On Face Of A Person With Hypothyroidism
Question: I am having black dots on my face and it becomes scar. And it doesn't heal months. It spreads under the skin bigger dark mark. I am a hypothyroid and I am taking designated thyroid pill for a month.
I am diagnosed hypothyroid two years ago. And I didn't take the medication. I changed all my diet (gluten free) and I changed my life style. Stress free and acupuncture. I improved alot from TSH 14 to 9 but end of the 2 years 2 months ago I am back to where I started. That is why I accepted to use medication. I used the have acnes but not like that. I was trying to see acnes as a reference of what is wrong with my body and I was able to balance. But now I am realizing that it is out of my knowledge that I can't really follow up. Will be going to doctor but my appointment is end of XXXXXXX Wanna get an idea about this. I am just worried about is it something related with skin cancer.
Only bad habit I have I am a smoker. No alcohol or any drugs habit. I am very fit. Exercises at least 1/2-1 hour daily.
I am diagnosed hypothyroid two years ago. And I didn't take the medication. I changed all my diet (gluten free) and I changed my life style. Stress free and acupuncture. I improved alot from TSH 14 to 9 but end of the 2 years 2 months ago I am back to where I started. That is why I accepted to use medication. I used the have acnes but not like that. I was trying to see acnes as a reference of what is wrong with my body and I was able to balance. But now I am realizing that it is out of my knowledge that I can't really follow up. Will be going to doctor but my appointment is end of XXXXXXX Wanna get an idea about this. I am just worried about is it something related with skin cancer.
Only bad habit I have I am a smoker. No alcohol or any drugs habit. I am very fit. Exercises at least 1/2-1 hour daily.
Brief Answer:
Hypothyroidism and acne vulgaris
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
As per your report ,you are hypothyroid and you need thyroid hormone replacement therapy and the the treatment is life-long. Please don't discontinue treatment withiut advise from your doctor.
As per your photo ,you are having acne vulgaris with comedone (black head) with darkened, oily debris.
Most disease remains mild and does not lead to scarring. A small number of patients develop large inflammatory cysts and nodules, which may drain and result in significant scarring,as in your case.
Friction and trauma (from headbands ), application of comedogenic topical agents (cosmetics or hair preparations), or chronic topical exposure to certain industrial compounds may elicit or aggravate acne. Avoid these,if these exoogenous factors are there
Areas affected with acne should be kept clean, overly vigorous scrubbing may aggravate acne due to mechanical rupture of comedones.
Topical agents such as retinoic acid, benzoyl peroxide, or salicylic acid may alter the pattern of epidermal desquamation, preventing the formation of comedones and aiding in the resolution of preexisting cysts.
Topical antibacterial agents such as azelaic acid, topical erythromycin, or clindamycin are also useful adjuncts to therapy.
Systemic therapy, such as tetracycline in doses of 250–500 mg bid or doxycycline, 100 mg bid is recommended in severe acne with a prominent inflammatory component . Minocycline is also useful. Such antibiotics appear to have anti-inflammatory effects independent of their antibacterial effects.
Female patients who do not respond to oral antibiotics may benefit from hormonal therapy.
Patients with severe nodulocystic acne unresponsive to the therapies may benefit from treatment with the synthetic retinoid isotretinoin but it may cause depression in some patients.
These are the pros and cons of acne in a nutshell.
Consult your dermatologist and he or she will be to advise suitable treatment.
Hypothyroidism is not associated with acne. Neither it is a predisposing factor for acne.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Hypothyroidism and acne vulgaris
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
As per your report ,you are hypothyroid and you need thyroid hormone replacement therapy and the the treatment is life-long. Please don't discontinue treatment withiut advise from your doctor.
As per your photo ,you are having acne vulgaris with comedone (black head) with darkened, oily debris.
Most disease remains mild and does not lead to scarring. A small number of patients develop large inflammatory cysts and nodules, which may drain and result in significant scarring,as in your case.
Friction and trauma (from headbands ), application of comedogenic topical agents (cosmetics or hair preparations), or chronic topical exposure to certain industrial compounds may elicit or aggravate acne. Avoid these,if these exoogenous factors are there
Areas affected with acne should be kept clean, overly vigorous scrubbing may aggravate acne due to mechanical rupture of comedones.
Topical agents such as retinoic acid, benzoyl peroxide, or salicylic acid may alter the pattern of epidermal desquamation, preventing the formation of comedones and aiding in the resolution of preexisting cysts.
Topical antibacterial agents such as azelaic acid, topical erythromycin, or clindamycin are also useful adjuncts to therapy.
Systemic therapy, such as tetracycline in doses of 250–500 mg bid or doxycycline, 100 mg bid is recommended in severe acne with a prominent inflammatory component . Minocycline is also useful. Such antibiotics appear to have anti-inflammatory effects independent of their antibacterial effects.
Female patients who do not respond to oral antibiotics may benefit from hormonal therapy.
Patients with severe nodulocystic acne unresponsive to the therapies may benefit from treatment with the synthetic retinoid isotretinoin but it may cause depression in some patients.
These are the pros and cons of acne in a nutshell.
Consult your dermatologist and he or she will be to advise suitable treatment.
Hypothyroidism is not associated with acne. Neither it is a predisposing factor for acne.
Regards
Dr. T.K. Biswas M.D. XXXXXXX
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Yogesh D
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