Doctor insights on:
Pregnancy And Cystic Acne
I'm pregnant and faced with an onslaught of cystic acne. By the end of pregnancy my face will be destroyed. Is there really nothing I can do now?!?
Treatable.: Hello, you can fix cystic acne while pregnant. It requires a highly strategic topical approach and a good patient practitioner relationship. The idea that "cystic" acne can only be treated internally is a misconception. This video shows what is possible using an advanced topical approach: https://www.youtube.com/watch?v=ru99pt5uQkc Bottom line, there is hope for you! -Dr. Neal Schwartz ...Read moreSee 1 more doctor answer
Acne is one of the most common skin conditions. It affects about 80% of adolescents. Acne starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the face back and chest. The hallmarks of the condition are blackheads, whiteheads (closed comedones), papules, pustules, cysts, nodules, and sometimes scarring. There are numerous treatments available, both topical and systemic. The most commonly used are benzoyl peroxide, retinoids, and antibiotics ...Read more
Hx cystic acne on face. Well controlled with birth control pills, but comes back if i go off/switch types. Any other tx options if planning pregnancy?
Why are some doctors telling me it's safe to get cortisone injections for cystic acne while trying to conceive and in pregnancy and some say it is not?
May not be safe: Adequate studies are not done. However, cortisone crosses the placenta and there may be an association between cleft palate in infants and first trimester use of systemic corticosteroid. Also, there may be fetal growth retardation. Given, the short duration of pregnancy, I would refrain from using Cortisone injections until after pregnancy. ...Read more
Wish it were easy...: Even in dermatology, we struggle with cystic acne. Genetics, hormones and bacteria all seem to play a role. Eating a healthy diet, low in sugary, processed foods and eliminating dairy can help some, but may not cure it. Topical and oral antibiotics are often necessary, and Isotretinoin may be needed as well. Sometimes hormonal therapies like spironolactone work wonders. ...Read more
No: Forgive my frankness. You'll need a physician's prescription-strength treatment, probably isotretinoin. Acne is a serious, non-lifestyle-related disease that's a grave personal and social problem. Junior needs effective, evidence-based treatment, not a pricey trip to a glitzy spa. If you are responsible for a teen's physical and emotional health, it's your duty to provide it. ...Read more
Possibly: If your acne is severe enough to cause larger abscesses or get into your blood stream (very rare), then it could easily raise your WBC to those levels. If you are having fever, chills, and this elevated WBC I do recommend you see a physician to repeat the lab testing or find out if there is a different source/get treatment. www.bmednyc.com ...Read more
Yes: Isotretinoin in various forms is by far your best remedy. Adjuncts for disease this severe may include spironolactone and sometimes other supportive medicines during the flareup when treatment is initiated. It's not for the faint-hearted but it's remarkably effective in keeping the disease at bay for a year or two. Cystic acne is a terrible personal & professional liability. ...Read more
When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more
Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more