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Hello Dr I Have Suddenly Developed Nodular Acne Which Are

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Posted on Wed, 10 Mar 2021
Question: Hello Dr

I have suddenly developed nodular acne which are red with swelling and very painful on the right cheek. This has been for past 6 months. I have been treated by dermetologist with topical ointments and antibiotics from time to time. Even injections on the boils were given to subside them but they keep coming back. It's also with some kind of allergy as it's itchy and now small boil has starting coming even on eyelids. I am 42 yrs of age could be hormonal changes too as during menses they flare up. Kindly advise

Regards,
Mansi
doctor
Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Regarding acne

Detailed Answer:
Hello and welcome to ask a doctor service. I have gone through your query and noted your concern.

Nodular acne require treatment with both oral and topical antiacne medications. You can consider taking isotretinoin if your acne keep coming back or is resistant to conventional antuacne treatment provided there is no hormonal imbalance. However, underlying hormonal imbalance if any first need to be confirmed with lab tests to rule out PCOD. In that case treatment is around correcting hormonal imbalance with oral contraceptive pills in addition to topical antiacne treatment.

Hope I have answered your query. Let me know if you need any more assistance.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Kakkar (15 minutes later)
For the pain and swelling during acne what can be taken? Also for dryness or itchy skin around acne breakouts? . And isotretinoin dosage would be? Also there
doctor
Answered by Dr. Dr. Kakkar (38 hours later)
Brief Answer:
Regarding inflammatory acne

Detailed Answer:
Hi.
Pain and swelling indicates inflammation. So you need to take oral antibiotics like either doxycycline or minocycline which are commonly prescribed antiacne antibiotics. Dryness and itching could be due to irritation to topical sntiacnr preparations that you may be using. You may rakd a oral antihistamine e.g Cetrizine 10mg once daily for symptomatic relief from itching. Isotretinoin is usually started in a dose of 0.3-0.5mg/kg/day however it may go upto 1mg/kg/day. It is a prescription drug that requires monitoring by lab tests and needs to be taken for many weeks or months.
Take care
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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Hello Dr I Have Suddenly Developed Nodular Acne Which Are

Brief Answer: Regarding acne Detailed Answer: Hello and welcome to ask a doctor service. I have gone through your query and noted your concern. Nodular acne require treatment with both oral and topical antiacne medications. You can consider taking isotretinoin if your acne keep coming back or is resistant to conventional antuacne treatment provided there is no hormonal imbalance. However, underlying hormonal imbalance if any first need to be confirmed with lab tests to rule out PCOD. In that case treatment is around correcting hormonal imbalance with oral contraceptive pills in addition to topical antiacne treatment. Hope I have answered your query. Let me know if you need any more assistance.