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Oily skin, heavy dandruff, persisting pus-filled acne on cleavage, acne scars, uses benzyl peroxide wash, healthy diet. Remedy?

I am 16 and I have really oily skin and a lot of dandruff too. I get pimples before my periods on my face. However two years ago I got pimples around my cleavage and the marks haven t gone. Recently, almost two weeks ago, another pimple formed. It was puss filled. The pimple hasn t gone and its worrying me. Puss still comes out and sometimes blood too. I wash the area everyday with benzoyl peroxide wash. I eat a lot of fruits and vegetables and drink plenty water. Please tell me what I can do to get rid of the marks and to get rid of this pimple. It s been there since two weeks now and its not drying. :( Could you also tell me the reasons for this.
Asked On : Thu, 31 May 2012
Answers:  2 Views:  516
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General & Family Physician 's  Response
Hi Amaya,

Welcome to HCM.

Acne( pimples) is a common problem in people who have oily skin and especially at your age. They often turn in to pustules due to secondary bacterial infection due to pricking or pressing. Benzoyl peroxide is useful in treating acne. But if it does not give any response then preparations containing Retinoids have to be taken. Using antibiotics like Doxycycline will help in treating infected acne. Do not squeeze the acne as it might leave a scar.

Based on the details provided you seem to be having Seborrhoeic dermatitis. The reason for the pimples on the anterior chest wall ( cleavage) is dandruff of scalp.

Anterior chestwall, nape of neck , interscapular area, forehead and the v area of chest ( cleavage) are the areas where the dandruff flakes tend to fall resulting in an inflammatory reaction there by leading to nodules or pustules and may end up leaving marks.

Treating the primary cause ( dandruff in your case) is essential. Using shampoos that contain Ketoconazole ( Nizoral shampoo manufactured by Johnson and Johnson) twice a week should help you. Apply the shampoo thoroughly to the scalp . This would definitely help you to get rid of this problem.

Even the marks would disappear slowly. In case if the marks are big and embarassing then using creams that contain allantoin or hydroquinone ( hydroquinone cream should be taken only after consulting a doctor) should help you.

Hope you got the solution you were looking for.

Wish you a healthy life.

Take Care

Answered: Fri, 1 Jun 2012
I find this answer helpful
Dermatologist Dr. Puvvula Kishore Kumar's  Response
Hi...dear amaya...,
Thanks for choosing HCM..,
U have IInd grade of ACNE VULGARIS..,
Here U are suffering from Pustules and comedones..,
For medical therapy it may delay the respond..,
It will give immediaterespond..,
1) Repeated washes with SALICYLIC ACID LEQUID..,
2) Tab Isotretinoin 20 mg morning daily for 2months.,
3) Topical application of 1% Clindamycin cream...ZYCLINE -NANO...(gsk)..,
will give good result....thanQ
Answered: Fri, 1 Jun 2012
I find this answer helpful
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