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Levittown, PA
A 20-year-old female asked:

I have very clean skin and yet i still get huge cystic pimples. i know genetics is a factor but theres gotta be something that can help me?

2 doctor answers5 doctors weighed in
Dr. J. Lawrence Dohan
Dermatology 57 years experience
See a dermatologist: Acne in adult women is related to hormones, menstrual periods, birth control. Not dirt. Even blackheads are not dirt. You may best stop acne with an anti-androgen, spironolactone. Very safe unless you are pregnant. Costs $16 for 90 days. Meanwhile you can try a small amount of benzoyl peroxide 5% (or less) applied every night on the entire area except not eyelids or lips.
Dr. Richard Roberts
Pediatrics 46 years experience
Immune problem?: Some people, like Samoans, have poor neutrophil function and tend to get boils. Suggest an immunology consult. Many suggest bleach bathes for the whole family to eradicate staph--1 cup bleach in a bathtub every week, then once a month, and bactroban (mupirocin) for the nostrils to counteract staph colonization. If it is localized to the face and back, it is likely cystic acne--see a dermatologist.
Dr. Jeffrey Juchau
Family Medicine 33 years experience
Yes, see a Dermatologist!
Jun 30, 2015

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Last updated Jun 30, 2015

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