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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Folliculitis On Chest. Taking Antibiotics, Anti Fungal Cream, No Result. Remedy?

Hello,

I've been battling some strange form of folliculitis on my chest and now my arms. I get these very reddish, somewhat raised (but not all are like this) spots on my skin that appear to resemble acne. I've tried both oral and topical antibiotics, over-the-counter anti-fungal cream, and washing the affected area with antibacterial soap. Nothing seems to help. This has been going on for about 3 months now. I've been to countless doctors and Dermatologists and no one has an answer for me. I'm tired of wasting tons of money and still looking like this. Any thoughts on treatment? I have not taken any anti-fungal oral medications and was thinking about requesting some to see if that worked. Topical ointments and creams typically irritate my sensitive skin and I opt out of those since they tend to add insult to injury.
Wed, 24 Apr 2013
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Dermatologist 's  Response
hi
Welcome to HCM
Seems like you have developed Acne Corporis lesions..Sometimes acne lesions can occur only over the body.
Acne vulgaris is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring. Acne affects mostly skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back.
In your case, you seem to develop acne lesions only over chest and upper arms,..This is a common condition especially in adults,...Some general advise :
Avoid using any kind of moisturising creams/ lotions or oils over the affected area.
Wear cotton clothes as much as possible
Do not use any liquids like dettol/savlon over the affected area
You can however continue to use antibacterial soaps
You might need to apply some antiacne medications like Clindamycin gel over the affected area..( This gel usually does not cause any irritation and is safe to use on sensitive skin,,,)

But if inspite of the above measures, you continue to develop the lesions, then you might need a course of oral antibiotics,,,,So i would recommend that you visit a dermatologist in that case for proper examination and treatment

Hope it helps

Dr Geetika Paul

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Folliculitis On Chest. Taking Antibiotics, Anti Fungal Cream, No Result. Remedy?

hi Welcome to HCM Seems like you have developed Acne Corporis lesions..Sometimes acne lesions can occur only over the body. Acne vulgaris is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), pustules (pimples), nodules (large papules) and possibly scarring. Acne affects mostly skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. In your case, you seem to develop acne lesions only over chest and upper arms,..This is a common condition especially in adults,...Some general advise : Avoid using any kind of moisturising creams/ lotions or oils over the affected area. Wear cotton clothes as much as possible Do not use any liquids like dettol/savlon over the affected area You can however continue to use antibacterial soaps You might need to apply some antiacne medications like Clindamycin gel over the affected area..( This gel usually does not cause any irritation and is safe to use on sensitive skin,,,) But if inspite of the above measures, you continue to develop the lesions, then you might need a course of oral antibiotics,,,,So i would recommend that you visit a dermatologist in that case for proper examination and treatment Hope it helps Dr Geetika Paul