Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes rash like acne on jawline and cheeks?

Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8036 Questions

default
Posted on Thu, 7 Aug 2014 in General Health
Question: Hey doctor I'm 28 yrs old female, I have started getting acne one year back after my miscarriage, and it is rash like acne.. Appears on the jawline, cheeks and forehead. This appears like a severe acne , small and white cystic. Most of them dry up with topical gels but leave behind marks. And this has kept recurring every other month . No amount of chemical peels I may do May help me much since it recurs every other month. since I have had no acne before i need to know what can help prevent this.
doctor
Answered by Dr. Kakkar S. 20 minutes later
Brief Answer:
Rule out PCOD

Detailed Answer:
Hello and Welcome to Healthcaremagic.

I am Dr. Kakkar and I have understood your concern. I have also looked at the Image. You seem to have Adult onset Inflammatory acne

I would like to gather some more information from you in order to be able to help you better.

--Do you have any abnormality in your menstural cycles?Are they regular or irregular?
--Do you have Coarse Facial Hair too?
--Do your acne flare up at about the same time as your menses happen?

I would suggest a few blood tests for underlying hormonal abnormality e.g Serum testosterone, Serum DHEAS, Serum LH, Serum FSH etc, Pelvic Ultrasound.

Polycystic Ovarian disease is always a possibility that has to be ruled out in females with Acne. PCOD in females classically presents with signs of hyperandrogenism e.g Acne , Hirsutism, Hair fall, Irregular menstural cycles along with Cyst on Ultrasound.

Specific Treatment for PCOD is with oral monthly hormonal pills/OCPs(Oral contraceptive pills) e.g Ethinyl estradiol and cyproterone acetate pills are available as a pack of 21 tablets. It should be begun on the first day of the menstural cycle and taken consecutively for 21 days and then stopped, when periods will follow. As soon as the periods happen it is then again started on the first day of the menstural cycle and so on for 6-12 months.

You should continue with the antiacne treatment that you have been using: i.e Clindac A gel , Benzac- AC gel. You can add a topical retinoid e.g Adapalene gel (Adaferin gel) for night time use. Retinoids are antiinflammatory, comedolytic and therefore also prevent new acne.

Besides these, for inflammatory acne I would suggest oral Antibiotics: either Azithromycin/ Doxycycline OR Minocycline. The antibiotics can be continued for 4-12 weeks depending on the response.

Use a mild cleanser like cetaphil twice daily. Harsh cleansing causes the skin to become excessively dry which in turn causes rebound oiliness.
Avoid all the regular use creams, moisturisers, sunscreens that you may be using for the time being till you are on anti-acne treatment.
Avoid taking facials.
Avoid picking your acne.
Since Acne and seborrheic dermatitis/dandruff are usually associated it is advisable to use an Anti-dandruff shampoo since acne is worsened by dandruff.

I would advice you to see a dermatologist and get a prescription out for your problem after having a discussion with him keeping all these points in mind.

I am here to help you with any clarifications you desire.

take care
regards
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication ,  

Recent questions on  Miscarriage

doctor1 MD

ive had miscarriage with out knowing it. I stop menstruating for 3 months I thought its just because of stress and exercise, I usually jog and bike at morning. two months later I started having rashes in the shoulders, and breast. Is it because of missed miscarriage? Thus the dead fetus in my womb infect my immune system that started having rashes?

doctor1 MD

I tested several years ago at 33 yrs old as having antithrombin III deficiency after testing 60% and having 1 miscarriage. I have no occurances of blood clots and was on traditional (ortho try cyclin) birth control for years prior (since early 20's). Can I not take traditional bc?

doctor1 MD

My partner has epilepsy. ..she had a miscarriage and since suffered manu seizures at hospital. ..at least 18 a day. The hospital didn t do much to help. At one point overdosed her. She suffered a stroke and had left feet has curled inwards. Will she be able to use or walk again

doctor1 MD

I took the laxative Senokot-S and colace for severe constipation. I am 16 weeks pregnant and read this could be dangerous and cause contractions and/or miscarriage. The Seonokot website says it is safe to take this as it is natural and gentle. I have a lot more cramping now then earlier today. Is this unsafe?

doctor1 MD

I m three moths pregnant last night i bleeded and i hav hypothyroidism i m taking thronorm 88mcg and after bleeding i had a mole around my nose so is it due to heat i my stomach or something else plzz help ASAP.....

doctor1 MD

I am in my 3rd month of pregnancy but i hav observed blood strains is it misscariage or anything else plz let me knw

doctor1 MD

Hello doctor, I had few conversation with you during last two months.I am in the UK and currently at 35 weeks pregnant. History: two miscarriages, one ectopic and this successful pregnancy is with IVF. I had asked you about B12 deficiency, BPD/AC...