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Suggest Treatment For Persistent Acne On Face And Scalp

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Posted on Tue, 25 Aug 2015
Question: 27 year old white male. 1.75cm, 80kg. Issue persistent for several months.
First of all, I have always been acne prone and had sensitive skin. Some years ago I was prescribed Isotretinoin, mainly for back acne. Afterwards my skin was in very good shape and I was happy. The back acne never returned, but facial acne did.
I have been getting these spots on the sides/back of my neck http://i.iYYYYr.com/0000.jpg. They do no itch, some of them are pus filled. They occasionally occour on my scalp as well. I wash my face, scalp and neck every day with SebaMed cleansing bar and moisturize with Kiehls ultra facial cream. When I scratch my scalp I can feel tiny plugs coming off sometimes, like little corn. It is very unsightly and it's ruining my self esteem, especially since I wear my hair very short buzzed (due to hair loss).
I do not take any medication.
I can supply more pictures if needed. Thank you
doctor
Answered by Dr. Klarida Papaqako (2 hours later)
Brief Answer:
Some advises, gradual increasing treatment.

Detailed Answer:
Hello,

Thank you for using HCM to post your concern.

I read carefully your query and I saw your pictures.

They look like acne, and seems like you have tried some options of treating them, but trying again is better then feeling bad of not having tried.

I can tell that your skin its sensitive, because the acne is in the area where you may get sweat, or get irritated while you cut your hair. It is a common area to get irritated in men.

--Start by noticing what makes the acne worse and try to avoid those causes.
-- Eat a healthy diet, low in fat and with plenty of fruits and vegetables.
-- Use something topical, like Benzoyl peroxide, topical antibiotics or azelaic acid. Use them twice/day for one month, and then you will need to go to oral treatment.

Hope this is helpful
Let me know if you need more clarification. I would be happy to answer.

Take care,
Dr. Papaqako
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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Suggest Treatment For Persistent Acne On Face And Scalp

Brief Answer: Some advises, gradual increasing treatment. Detailed Answer: Hello, Thank you for using HCM to post your concern. I read carefully your query and I saw your pictures. They look like acne, and seems like you have tried some options of treating them, but trying again is better then feeling bad of not having tried. I can tell that your skin its sensitive, because the acne is in the area where you may get sweat, or get irritated while you cut your hair. It is a common area to get irritated in men. --Start by noticing what makes the acne worse and try to avoid those causes. -- Eat a healthy diet, low in fat and with plenty of fruits and vegetables. -- Use something topical, like Benzoyl peroxide, topical antibiotics or azelaic acid. Use them twice/day for one month, and then you will need to go to oral treatment. Hope this is helpful Let me know if you need more clarification. I would be happy to answer. Take care, Dr. Papaqako