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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Acne Started After Having Sores In Mouth And Swollen Neck. Medication ?

I am suffering fom severe acne , which started after I experienced sores in my mouth , and lumpy , swollen neck area. I have had swells in neck area for almost my whole life...Severe acne comes and goes every 2- 3 years. but never this severe and never this painful. This is my first time starting acutune ( in second month) there is no response Additionally, my doctor(s) intially prescribed steroids, antibiotics , benedril with no success...which led him to the current acutane along with birth control pills..I wonder if I have a THYROID PROBLEM, OR if I have been exposed to poisining of some sort as I still experience a metallic taste in my mouth although the sores are gone.. I have rid myself of plants and the aquarium from my job site as I suspected a seafood alergy...I now feel that the seafood may have aggravated it but certainly not the cause. My recent exams reveal normal: no diabetes, thyroids, blood pressure, etc.. satisfactory. However,my heart rate was elevated( 7.-) far beyond the normal rate ( 2.--3.5)for the first time in my life. I am indeed working in an extremely stressful environment and has faced some tragic/ chaotic situations related to my job and also in my personal life. I do not drink or smoke. I was previously taking multi vitimins, Fish oil( for my cholestral problem) weight lost pills & anti stress pills as well as a anti - seizure pill, prescribed due to my constant complaints of fluttering/spasms and insomnia .. Obviously ,since the severe vulgar breakout ..I had thedoctor wean me off all of these.I am only taking the acutane and hormone treatment . I am a woman of color... my ethnic skin is normally as smooth& flawless as a model...although I am 54 years old. ( Yes I have used cosmetics and even bleaching creams,to enhance that look --- however there has never been a problem)This severe acne is not only shocking but it is disgusting as the various size pimples/bumps /scars on my face contain a red substance within as well sprinkles of black & white blackheads. I also have extreme itching and burning.attacks. Some of the face looks like bruises & sores . Please help. This medical crisis is destroying m y career, self worth and peace .
Thu, 21 Nov 2013
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Dermatologist 's  Response
Hi i do not think severe acne is related to sores of mouth and stiffness of neck.severe acne can be treated with isotretinion 20mg alternate day for three to four months.go for lipid profile and chest x ray and platelet count before starting treatment.use of nmf lip care ointment to the lips is a must as cheliosis is commonest side effect of isotretinion
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Severe Acne Started After Having Sores In Mouth And Swollen Neck. Medication ?

Hi i do not think severe acne is related to sores of mouth and stiffness of neck.severe acne can be treated with isotretinion 20mg alternate day for three to four months.go for lipid profile and chest x ray and platelet count before starting treatment.use of nmf lip care ointment to the lips is a must as cheliosis is commonest side effect of isotretinion