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Jobriath

Weird Cystic Acne

Hi, I've been going to a few dermatologists and haven't had much success with my acne. I'm hoping someone here could help me with some answers.

I'm a 24 year old male and have NEVER had any problems with acne until the past few months. All throughout my teenage years I had less than 10 breakouts. But about 6 months ago, I went a week with less than 4 hours of sleep/night; that's when my acne started. I still do not get a lot of acne, but the ones I do get are practically all cystic. They are big (around 1-2cm in diameter), swollen, and bleed even if I do not pick at them.

Dermatologists have recommended 5% BP cleansing soap and 2.5% BP afterwards. I've been using this regiment for about 2 months now. I get MAYBE 4 or 5 cystic acne per month. But they are red and very visible, and take a long time to heal. I try to maintain a balanced diet and stay away from dairy products. I also eat a lot of fruit.

Oh, this is pretty weird as well: all my acne are near the jawline. My cheeks and forehead are totally clear.

Because I've never really had acne prior to this, I could really use some advice.

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Hi, I've been going to a few dermatologists and haven't had much success with my acne. I'm hoping someone here could help me with some answers.

I'm a 24 year old male and have NEVER had any problems with acne until the past few months. All throughout my teenage years I had less than 10 breakouts. But about 6 months ago, I went a week with less than 4 hours of sleep/night; that's when my acne started. I still do not get a lot of acne, but the ones I do get are practically all cystic. They are big (around 1-2cm in diameter), swollen, and bleed even if I do not pick at them.

Dermatologists have recommended 5% BP cleansing soap and 2.5% BP afterwards. I've been using this regiment for about 2 months now. I get MAYBE 4 or 5 cystic acne per month. But they are red and very visible, and take a long time to heal. I try to maintain a balanced diet and stay away from dairy products. I also eat a lot of fruit.

Oh, this is pretty weird as well: all my acne are near the jawline. My cheeks and forehead are totally clear.

Because I've never really had acne prior to this, I could really use some advice.

I guess what you decide to do depends on how much this is bothering you.

It could clear up on its own or it could get worse. It sounds like these could possibly leave scars, in which case you probably shouldn't wait too long to get on prescription meds... or start pursuing other inquiries such as getting tested for allergies or getting blood work done to determine any abnormalities in metabolic functions or hormone levels. I'm in the process of doing all of these things myself.

What I don't understand is why all of these dermotologists you've gone to haven't prescribed anything more powerful than BP. It's strange. It seems like most derms I've been to have never had a blemish in their lives and have no idea what it's like to go through this. I don't understand why they don't see the urgency in getting something like this promptly under control. There is always the possibility for really bad scarring.

So anyway... what I would do if I were you is start paying attention to your body in general for symptoms of something more systemic... what else is going on with you? Get your blood work done and go see an allergy/immunology specialist and once you get your blood work back determine if you need a referral to another doctor.

Good luck...

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Hi, I've been going to a few dermatologists and haven't had much success with my acne. I'm hoping someone here could help me with some answers.

I'm a 24 year old male and have NEVER had any problems with acne until the past few months. All throughout my teenage years I had less than 10 breakouts. But about 6 months ago, I went a week with less than 4 hours of sleep/night; that's when my acne started. I still do not get a lot of acne, but the ones I do get are practically all cystic. They are big (around 1-2cm in diameter), swollen, and bleed even if I do not pick at them.

Dermatologists have recommended 5% BP cleansing soap and 2.5% BP afterwards. I've been using this regiment for about 2 months now. I get MAYBE 4 or 5 cystic acne per month. But they are red and very visible, and take a long time to heal. I try to maintain a balanced diet and stay away from dairy products. I also eat a lot of fruit.

Oh, this is pretty weird as well: all my acne are near the jawline. My cheeks and forehead are totally clear.

Because I've never really had acne prior to this, I could really use some advice.

Lack of sleep alone is perceived as stress to your body. Chances are you weren't sleeping because of other stressful conditions. Then, you became stressed about the acne. Stress can have some effect on acne. I am going through that right now. Even with the stressors gone, I'm still not in the clear. However, the large blemishes seem to be on their way out. Ask your Derm if you can get Differin. That seemed to help me with controlling the big ones. At least they clear out faster.

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Thanks for the replies.

I didn't get any new acne for awhile, but now a few new ones have popped up. Not quiet big cysts (I can see pus), but still hurt like heck. I've never considered myself a very stressful person, but you are right: I didn't sleep because of some personal problems. My dermatologists do not take this very seriously because, well, my acne is concentrated along my jawline, and I do not get more than 4 or 5. But next time I see him I would definitely mention this Differin thing.

Broccolicat: Besides my problem with acne, my body has not behaved abnormally EXCEPT for one thing. Past few weeks my body has started itching whenever my body gets hot. It could be exercise, or nervousness, or just plain hot temperature. I definitely should get my blood tested as well.

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I recommend either the skinceuticals cleanser in my signature, a prescription bp, or AHA. Although, the cleanser does have AHA and sa in it. As far as your acne being only around your jawline, that isnt weird. Thats where hormonal acne frequently is. Im pretty clear on my forehead too! Its the only place Im clear.

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Just a thought. When you were not sleeping much for that week were you propping up your head with your hand. I do that when studying and reading sometimes. I used to touch face alot then would break out at a later time. Took a while for me to link the two together. Being under extreme stress breaks me out too.

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Just a thought. When you were not sleeping much for that week were you propping up your head with your hand. I do that when studying and reading sometimes. I used to touch face alot then would break out at a later time. Took a while for me to link the two together. Being under extreme stress breaks me out too.

Absolutely. I was so depressed that I slept with my face down right on the sofa where my cats sleep. Since then, however, I have been careful in not touching my face or sleeping with my sides touching the pillow.

Quite honestly, I don't think the dermatologists know what's wrong with me. I tend to think this has nothing to do with oil production (I have dry skin). The BP seems to have limited breakouts (it's really hard to know because I don't have that many), but I don't know if it's the BP working or just my body getting better.

Now I have taken out the 5% bar cleanser out of my regiment because it's way too drying and irritating. I'm using Neutrogena Extra Gentle Face Wash, Dan's BP, and Olay moisturizer. Unfortunately, acne_battle, I am allergic to SA and anything related to Aspirin.

Thanks for the help. You guys are a lot more helpful than some doctors.

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