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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Taken Minocycline For Confluent And Reticulated Papillomatosis. Have Reaction To Medicine. Alternative?

Hi my name is Rico and I have been dealing with the rare skin disorder Confluent and reticulated papillomatosis since the age of 11, I tried using Minocycline for treatment but i had a very bad allergic reaction to the medication , I use tazorac a topical treatment, but that does so much. Is there anything that I can do that will cure or at least effectively treat my condition?
Fri, 12 Jul 2013
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Dermatologist 's  Response
Hi,

YoUare are having confluent and reticulated papillomatosis...as you said.

you are taking minocycline, but causes allergy, ok .. I will suggest some other medicines.

Confluent and reticulated papillomatosis is a rare disease typically affecting young persons.

Confluent and reticulated papillomatosis is characterized by grayish blue hyperkeratotic papules, usually located on the trunk.

The lesions coalesce to form confluent plaques centrally and a reticular pattern peripherally.

The eruption is chronic with exacerbations and remissions.

Confluent and reticulated papillomatosis is responsive to treatment but frequently recurs after discontinuation of therapy.

You should try oral retinoids in low dose...like cap isotretinoin 10 mg daily.

Antifungal tablets and cream can reduce the lesions.

Local calcipotriol cream may give good result.

Other antibiotics may be tried.

All these treatment should be taken under observation of dermatologist.

I hope you got my answer.

Thanks.

Dr. Ilyas Patel MD

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Taken Minocycline For Confluent And Reticulated Papillomatosis. Have Reaction To Medicine. Alternative?

Hi, YoUare are having confluent and reticulated papillomatosis...as you said. you are taking minocycline, but causes allergy, ok .. I will suggest some other medicines. Confluent and reticulated papillomatosis is a rare disease typically affecting young persons. Confluent and reticulated papillomatosis is characterized by grayish blue hyperkeratotic papules, usually located on the trunk. The lesions coalesce to form confluent plaques centrally and a reticular pattern peripherally. The eruption is chronic with exacerbations and remissions. Confluent and reticulated papillomatosis is responsive to treatment but frequently recurs after discontinuation of therapy. You should try oral retinoids in low dose...like cap isotretinoin 10 mg daily. Antifungal tablets and cream can reduce the lesions. Local calcipotriol cream may give good result. Other antibiotics may be tried. All these treatment should be taken under observation of dermatologist. I hope you got my answer. Thanks. Dr. Ilyas Patel MD