Question:
Hello

I would like help from a dermatologist please preferably dr kakka if available


I have lesion on face since Sunday. I think singular nodular acne

It's a reoccuraNce of something I had 4-5 weeks ago that took ages to resolve and scarred a bit. (See picture)

It is more under the surface. I can also feel lump of flat pea size quick is very tender. It's a bit red (see pictures) but there isn't much else to see colour wise , it's not angry red but face is a bit puffy & Tender for about 3cm diameter. Tender to wash
Area of face feels numb, swollen very tingly all the time and tender


I spoke to a GP last time and she said to leave or take Antibiotics but to leave initially and I did and It went down alot within a week but took a long time to resolve,

But I think this time is worse . I think now it is probably a form of nodular acne. I think this because of the tenderness, not visible inflammation around the area, the fact a lot is clearly going on under the skin and the fact is tingling, face feel s like being eaten which I assume is nerves being affected.

But It does not visually match how it feels so I'm not sure how bad it will be considered.
I enclose pictures which show the scaring from its previous time and also these pictures show the area after its been washed today ie at its worst

. Treatment wise, i have been applying differin daily and zindaclin gel most days to the area it now feels irritated.


NB I have a history of singular bad acne lesion , usually connected to my period.

I scar easily which is my concern here.

I am bedridden with CFS so can not visit a dermatologist in person.
My GP can not prescribe hormonal meds like the contraception pill because of my immobily.
He has refused to try spironolactone because of my severe ill health.

I self manage my acne prone skin with topical differin daily , that is all.

My question is should I be asking for antibiotics for it? Is it a bad enough nodule for this and as it is a singular lesion is it appropriately action? I live in uk where drs do not do steroid injections into the site

Please could you advise

Thanks for your time.
XXXXXXX Newnham

Hello Dr Kakka,

Thanks for your advice.

I have been taking ibuprofen regularly.

Unfortunately over past days the lesion has continued to grow and is much more noticeable and a solid lump in skin, i have uploaded 3 pictures to show this. Can i just check your opinion is still topical treatment and that it isnt a more serious nodule in your opinion?. Im afraid its going to turn into one of my scarring nasties.

Thanks for your help
XXXXXXX Newnham