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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Management For Persistent Acne

I have been getting acne right along the sides of my mouth down to my jaw for about 4 years now. I have tried literally everything topical you can image from over-the-counter prescriptions to natural solutions like apple cider vinegar. I have even tried multiple oral treatments as well, but neither of these have worked long term, only short term. It isn't small, manageable acne either, it usually hurts quite a bit, and every once in a while I will get a cystic pimple that will last a good long time. I drool a lot when I sleep, and I have always wondered if this could cause it. What do you think? and what would you recommend I do?
posted on Fri, 14 Mar 2014
Twitter Tue, 23 Sep 2014 Answered on
Twitter Tue, 23 Sep 2014 Last reviewed on
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Dermatologist,  's  Response
Hello,

Welcome to healthcare magic.

From your history and descrption, I would want to rule out hormonal acne. You have not mentioned your age or sex. Considering you are a female, I would suggest you to tule out underlying hormonal disorder called as " Ploycyctic ovarian syndrome". You need to do a blood test to assess the levels of hormones called as FSH, LH, serum. Testosterone and Prolactin.You also need to do a pelvic scan to look ate the ovaries. Please consult a dermatologist/ gynaecologist with these reports. Hormonal imbalance could lead to persistent acne.

Drooling of saliva could also lead to persistent acne.

You can use a gel containing 1 % clindamycin in the morning and acombination gel with 2.5% Benzoyl peroxide/ 0.1% Adpelene at bedtime. Continue the bedtime gel application even after the pimples have completely cleared as this maintenance treatment prevents recurrences. You could get salicylic acid based peels done by a dermatologist.

Have a healthy diet with lots of fruits and vegetables and have 2 liters of water everyday.

Hope this helps you.

Take care.
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Suggest Management For Persistent Acne

Hello, Welcome to healthcare magic. From your history and descrption, I would want to rule out hormonal acne. You have not mentioned your age or sex. Considering you are a female, I would suggest you to tule out underlying hormonal disorder called as Ploycyctic ovarian syndrome . You need to do a blood test to assess the levels of hormones called as FSH, LH, serum. Testosterone and Prolactin.You also need to do a pelvic scan to look ate the ovaries. Please consult a dermatologist/ gynaecologist with these reports. Hormonal imbalance could lead to persistent acne. Drooling of saliva could also lead to persistent acne. You can use a gel containing 1 % clindamycin in the morning and acombination gel with 2.5% Benzoyl peroxide/ 0.1% Adpelene at bedtime. Continue the bedtime gel application even after the pimples have completely cleared as this maintenance treatment prevents recurrences. You could get salicylic acid based peels done by a dermatologist. Have a healthy diet with lots of fruits and vegetables and have 2 liters of water everyday. Hope this helps you. Take care.