Dear sir, I had mild to moderate acne since the past two yrs. Recently I developed a nodulo-custic patch on my right cheek and was prescribed 20mg isotretinoin. Since then, all my problems have begun. 7 days after starting, i developed a combination of severe acne fulminans and conglobat. I had high fever, severe myalgia, lymphedema around eyes and many other symptoms. Isotetinoin was stopped. I was on antibiotics for 2 months. In between i was given short course of steroids(prednisolone40mg) for 5 days. Acne responded miraculously. After the course it returned. After cailure of treatment isotrwtinoin was again started on 15th march with steroid coverage ( prednisolone for 10 days in the begining followex by a shot of triamcinolone 40 IM ). Acne was resolving but of late has started to increase again. I am left with deep nodules and red scars all over my face. Please advise. I am a 18 yr old male, height 6 ft , wt. 80 kgs. Also, can I use cosmelite cream on the red patches on my forehead to clear the marks? That area is acne free.