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Forum Name: Dermatology Topics

Question: Adult whitehead+ blackhead (non inflamatory) acne


 fionabaron - Wed Nov 04, 2009 10:39 pm

Hello,
I am a 26 years old female, suffering from white and black head acne for 13 years. I have slightly oily combination skin, and the skin on my jaw has turned noticably darker with the progression of my acne suffering years. I have a medium complexion (middle eastern), enlarged (and mostly clogged by black heads) pores on and around my nose. I also have noticed black heads on my chest and back. My paternal side of family are known to have skin problems including excessive oily skin (my dad, 65y), eczema, skin reaction to ingestion of nuts and dry flaky skin.
I'm looking for any treatment recommendation for my condition.

So far I have used:
Monophasic birth control pill
benzoyl peroxide topical cream ( 2.5-5%)
Oral and topical antibiotic treatment (not effective at all!)
Retinol
Adapalene (the only effective treatment so far but dries and burns my skin no matter how little I use)
Sulfur soap
Salicylic Acid (In forms of cleanser, toner, and cream)

Thank you so much
 Dr.M.jagesh kamath - Tue Nov 10, 2009 11:02 am

User avatar Hello,Apart from medications some procedures may be of help.Comedo extractors used after a steam bath may give good results.Lasers can help here too.Also combination treatments of oral antibiotic with external application of adapelene could be good.But it is worthwhile to remember that acne is chronic and is related to emotions too.Stress control may be a useful tool.While oral retinoids have revolutionised acne therapy they are to be used with caution due to side effects and foetal malformations due to teratogenicity reserving them to severe acne types resistant to other treatments.Bestwishes.

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