
What Is The Cause And Treatment For Acne Vulgaris?

Mostly Acne Vulgaris.
Detailed Answer:
Hi Madam,
I have carefully read your query, drug history and understand your concern.
You seem to have Severe/resistant form of Acne Vulgaris-Acne fulminans which is due to combination of hormonal factors and certainly unproven autoimmune factor.
Addition of topical ointments containing Benzoyl peroxide and Adaplene will help to work effectively.
Systemic therapy with Retinoic acid and Oral contraceptive pills(which can reduce the excess androgen secretion) should be the main stay in treating your resistant form of acne. Discuss about this your treating doctor.
These drugs should be taken under strict medical supervision.
An autoimmune screen mandate in your case to rule out any underlying autoimmune diseases.
This systemic therapy can offer excellent resolution of symptoms.
I hope this info is helpful to you,
Thank you


Review with culture sensitivity reports
Detailed Answer:
Hi,Madam
i understood your concern,swab for culture will be a safe option.
You have the option of uploading the photos on this forum.
A swab for culture can be ordered even by your dermatologist.
Yes certainly a GP would have been a better option first.
Lets await the reports of the culture to find out the exact antibiotic as needed to treat these crusted lesions.
Take care till then,
Thank you


Non contagious
Detailed Answer:
HI,
welcome back.
You might have acquired this infection from the state of relative suppression of your immune system from the use steroidal drugs oral/inhalational.
This infection is not really contagious .
It can colonize the skin of healthy people,but will not cause infection.
Infection resolves once the course of antibiotics are finished.
You need not confine to isolation if you are on antibiotics.
Coming to the chest discomfort and breathlessness ,a noncontrast helical CT scan is needed to rule out interstitial lung disease in view of underlying autoimmunity.
In such case steroid sparing immunosuppresants are needed.
I hope this info is helpful to you
Thank you

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