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Suggest Treatment For Acne On Face

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Posted on Fri, 16 May 2014
Question: Hello - hope you can help and further more, I hope I can describe this to where you get what I mean... I dont know what has caused this, I cant think of anything new I have added to my diet and or facial regime. A couple weeks ago, I started getting these almost welted looking "pimples" on my face. They are painful especially when I go outdoors and the sun is out/warm. There are times for some of them that they get big and the pressure is too much to take, so I will apply a warm compress to bring the "yuk of the pimple" to a head and do my best to pop it - this DOES relieve the pressure for some period of time - what comes out though is something I have not seen in a pimple... it is USUALLY a harder almost gritty like substance. I would wash and not put make up on my skin to allow it to breathe and try to heal as natural as possible. They started to go away and I was super stoked until Sunday... face almost clear, we went outside for a few hours and it was like I could actually FEEL in a cetain spot a "pimple" forming and then the warmer it got and humid as well, the more painful the burning sensation became.
What is this, what can I do to make it stop???
doctor
Answered by Dr. Dr. Rahul Kumar (2 hours later)
Brief Answer:
Acne and photo allergy

Detailed Answer:
Hello
Thanks for the query,
Your description suggests that you have nodular acne as well as photo allergy.
Can you please upload a photograph of your face showing the lesions?
This will help me in giving a closer diagnosis and a better way of management.
There is an option to upload photos on right side of query page.
Please utilize it.
Thank you

Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Please excuse my ugliness
I have messed with these after washing a while ago but have been treating them as pimples.
They hurt, burn occassionally and as mentiined before, i can literally feel them appearing on my face
This is weird
What would i be allrgic to, what can i do to make this look better and what is the recovery turn-around?

I have been in the sun and i live in XXXXXXX so we have a lot of sun and a lot of hot.

Please look at that unsightly pucture attached lemmme know what we can look forward to now and in yhe future

Thanks also for helping me! Talk to ya soon
doctor
Answered by Dr. Dr. Rahul Kumar (29 hours later)
Brief Answer:
Combined approach

Detailed Answer:
Hello
Thanks for the photograph.
It is typically acne.
Acne treatment needs a combination of approach.
Please follow this regimen.
1. Apply adapalene based cream in night keep it for an hour and wash your face.
2. Apply some moisturiser and sleep.
3. In early morning apply an antibacterial cream like clindamycin.
4. After bath apply a water based sunscreen.
Carry on with this regimen for a month you will notice improvement.
Let me know if you have any other doubts.
Thank you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Is there any explaination as to why this acne has just reared its ugly head?
I have NEVER had acne reallly before... Maybe one pimple here (white head) and one there but never all at one time all over my face.
And it BURNS when i go into the sun and not only that, and this may sound odd, but its almost like when in the sun/heat , they get worse and that is when they start to appear and i can actually feel the place where each new one will be because it is crazy painful in that spot. Then the day after being outside sunlight/heat, ill wake up looking like a hormonal high schooler. It makes no sence i go almost 40 years with out and then BAM... Acne time?

Also theyve now shown up in other places as well
Arms
Shoulder
Cleavage area

And these "pimples" are of a kind i have never seen or heard of before
They are these hard and at times almost gritty feeling and it obviously bothered me so obviously i picked around at some of them, as long as i wouldnt hurt for the most part... But there were some that looked as though they wanted to come out - and this actually freaked me out - but that white thing would (for lack of a better phrase) "get stuck" and i would literally have to get tweezers and pull it out.. Those were even harder than some of the others (obviously)... And they leave little divits and peel... When i would get the entire thing out its like the next day it scabs up and has this almost puss like stuff, more blister fluid like. Not pimple puss like at all...
But youre saying THAT all this is only acne?
I just cant fathom that being a pimple.

If i havent changed my diet, make-up, cleansers or anything in the house, what could possibly be the cause of my middle age acne issue?
Is there anything that can prevent these from coming back?
Is there any medication that can be prescribed to used with my dauly cleaning regimen to possibly a topical or even an oral item... Something to assist me in combating these awful things

What you said originally the other day, after looking online at the signs/symptoms etc.. That sounded like what i was experiencing.. The itch, the burning sensation, i mean, i walk outside and in a few mins, i just feel like my face (mostly as most my bidy is covered) is on fire and it wont stop until i am out of the sun and heat.

Please look into this for me... I really cant have tjis happening to me. It makes me super stress and i also look pretty nasty when it hits. I cant have this for life if it was mever there befoe, right?

I sincerely appreciate all the assistance thus far!
Hope to hear back from you soon again'

Thanks,
XXXX
doctor
Answered by Dr. Dr. Rahul Kumar (24 hours later)
Brief Answer:
Acne rosaceae overlap

Detailed Answer:
Hello
Please dont worry.
I will explain you in detail.
Acne is blockade of sebaceous glands.
Usually it happens at younger age but a hormonal imbalance can lead to acne even at a later age.
1.As these glands are mainly concentrated on face, upper chest, back and arm, you are getting these lesions on these areas.
2.There are four grades of acne and It is not necessary that all acne lesions will extrude out puss when pressed. However you are doing a very bad thing by pressing them. It will introduce infection from outside and also lead to scarring.
3. The photo sensitivity is due to damage to blood vessels underlying. This is called as acne Rosaceae overlap.

Topical medication I have already suggested you.
Apart from those I usually prescribe capsule doxycycline to my patients and they show great response with it.
You too can give it a trial.
Let me know if you have any other doubts.
Thank you
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
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Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6635 Questions

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Suggest Treatment For Acne On Face

Brief Answer: Acne and photo allergy Detailed Answer: Hello Thanks for the query, Your description suggests that you have nodular acne as well as photo allergy. Can you please upload a photograph of your face showing the lesions? This will help me in giving a closer diagnosis and a better way of management. There is an option to upload photos on right side of query page. Please utilize it. Thank you