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What Causes Permanent Acne Under Skin Which Constantly Leak Upon Pressure?

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Posted on Fri, 15 May 2015
Question: I get acne that forms under the skin and doesn't form into a whitehead or blackhead..been getting these bumps for years and they don't go away. I take Spironolactone which has helped keep it under control, however I've had the same small bumps for years. I got one on my cheek over a year ago and I picked and squeezed at it terribly. I squeezed out puss and tons of just clear liquid. Now I am left with a hole in the center and raised area around the hole. I can squeeze it all day and it will never stop draining. It is very inflamed and so embarrassing . I went to my dermatologist to get an injection and they said they wanted to do a biopsy as they said it could potentially be basal cell skin cancer and they want to do a punch surgery. I just really don't think I have skin cancer..I'm a 29 year od female and wear spf 15-30 every day. I've never had a bad sunburn on my face, other than my nose and forehead a couple times. I am so depressed about this and don't know what to do. They keep moving out my appointment for the biopsy because my doctor keeps changing my appointment. Any thoughts or remedies to help with this in the meantime? I've tied proactive which actually helps with the rest of my skin, but this one spot nothing seems to help.
doctor
Answered by Dr. Goswami Debopom (4 hours later)
Brief Answer:
It could be basal cell carcinoma. Do not panic.

Detailed Answer:
Welcome to Healthcare Magic. Thank you for posting your query.
I can understand your concern.

It would have been great had I examined you on my own.
If you had posted a picture of the lesion , it would have been easier.

Let me assure you that Basal cell carcinoma is not life threatening but is locally destructive. It is related more to acute episodes of sunburn rather than to cumulative dose of UVR.
There are loads of treatment available like surgery , radiotherapy , cryoptherapy , intralesional interferon and others.
The 5 -year cure rate is comparable (>90%) for most forms of treatment.

I would suggest you to to
- not worry
- keep in touch with your doctor. With early intervention it can be completely cured

Write back to us.
Regards.

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. Shanthi.E
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Answered by
Dr.
Dr. Goswami Debopom

General & Family Physician

Practicing since :2013

Answered : 484 Questions

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What Causes Permanent Acne Under Skin Which Constantly Leak Upon Pressure?

Brief Answer: It could be basal cell carcinoma. Do not panic. Detailed Answer: Welcome to Healthcare Magic. Thank you for posting your query. I can understand your concern. It would have been great had I examined you on my own. If you had posted a picture of the lesion , it would have been easier. Let me assure you that Basal cell carcinoma is not life threatening but is locally destructive. It is related more to acute episodes of sunburn rather than to cumulative dose of UVR. There are loads of treatment available like surgery , radiotherapy , cryoptherapy , intralesional interferon and others. The 5 -year cure rate is comparable (>90%) for most forms of treatment. I would suggest you to to - not worry - keep in touch with your doctor. With early intervention it can be completely cured Write back to us. Regards.