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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Acne

i'm a healthy 55 year old male, 5 feet 5 inches and 135 pounds...I have acne on my neck and back of my head, and it won't clear up....I use a soap without perfumes and I expholiate with a sponge and shave with a sensitive skin razor. I take 1.5 mg's of klonazepam per night for sleep - I do not take any other medications....
Wed, 30 Jul 2014
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Dermatologist,  's  Response
Hi,

Welcome to HCM,

You seem to have acne keloidalis nuche. It is a chronic folliculitis. There may be inflammatory changes in hsir follicles of nape..i.e. Back of neck and lower part of back of scalp. The lesions may be pustular initially followed by keloidal lesions and that is why its name. Exact cause is not known. There may be genetic tendecy. You consult expert dermatologist for firm diagnosis and treatment. Long term antibiotics like minocycline cap 50 mg with isotretinoin cap 10 mg might be helpful in reducing the lesions. After few months, intralesional triamcenolone 10 mg injection may be taken. And that may be repeated at few weeks interval till you get good result. I hope this would helpful to you for your treatment.

Thanks.

Dr. Ilyas atel MD
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Suggest Treatment For Acne

Hi, Welcome to HCM, You seem to have acne keloidalis nuche. It is a chronic folliculitis. There may be inflammatory changes in hsir follicles of nape..i.e. Back of neck and lower part of back of scalp. The lesions may be pustular initially followed by keloidal lesions and that is why its name. Exact cause is not known. There may be genetic tendecy. You consult expert dermatologist for firm diagnosis and treatment. Long term antibiotics like minocycline cap 50 mg with isotretinoin cap 10 mg might be helpful in reducing the lesions. After few months, intralesional triamcenolone 10 mg injection may be taken. And that may be repeated at few weeks interval till you get good result. I hope this would helpful to you for your treatment. Thanks. Dr. Ilyas atel MD