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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acne On Back And Chest

I have acne on my back and chest. On a scale from 1-10 on how bad it is i would say a 6 or a 7 they itch and hurt. The acne on my chest does not hurt but itches and seems like its getting worse everyday. I have stopped wearing dresses, tank tops, low cut T-Shirts, ect. Can you help?
posted on Fri, 14 Mar 2014
Twitter Wed, 25 Jun 2014 Answered on
Twitter Wed, 25 Jun 2014 Last reviewed on
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Dermatologist,  's  Response
Hello and welcome to healthcaremagic

I have gone through your query and I have understood it

I would keep a possibility of pityrosporum folliculitis (caused by proliferation of yeast, Malasezzia furfur). Pityrosporum folliculitis is commonly seen in hot, humid weather conditions. Clinically it can be confused with acne except that Pityrosporum folliculitis ITCHES a lot unlike acne.

Pityrosporum folliculitis commonly involves trunk, chest and shoulders (all these areas are rich in sebaceous glands therefore providing an ideal environment for the yeast to feed upon). All these areas may or may not be involved simultaneously.

Oral Treatment:

I would suggest an oral antifungal e.g itraconazole 200mg once daily for a week OR oral fluconazole 150mg once every week for 4-6 weeks. Oral antifungals kill the yeast rapidly and bring about rapid relief.

Topical treatment:

You could also use a topical antifungal e.g ketoconazole cream, once daily

OR

Apply a 2% Ketoconazole shampoo over the affected area during bath, lather it well, leave on for 5 minutes, once daily

Hope this helps

Regards
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Suggest Treatment For Acne On Back And Chest

Hello and welcome to healthcaremagic I have gone through your query and I have understood it I would keep a possibility of pityrosporum folliculitis (caused by proliferation of yeast, Malasezzia furfur). Pityrosporum folliculitis is commonly seen in hot, humid weather conditions. Clinically it can be confused with acne except that Pityrosporum folliculitis ITCHES a lot unlike acne. Pityrosporum folliculitis commonly involves trunk, chest and shoulders (all these areas are rich in sebaceous glands therefore providing an ideal environment for the yeast to feed upon). All these areas may or may not be involved simultaneously. Oral Treatment: I would suggest an oral antifungal e.g itraconazole 200mg once daily for a week OR oral fluconazole 150mg once every week for 4-6 weeks. Oral antifungals kill the yeast rapidly and bring about rapid relief. Topical treatment: You could also use a topical antifungal e.g ketoconazole cream, once daily OR Apply a 2% Ketoconazole shampoo over the affected area during bath, lather it well, leave on for 5 minutes, once daily Hope this helps Regards