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The Effect of a Stellate Ganglion Block on Acne Vulgaris: A case report

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  Came across this when researching treatments for acne and seborrheic dermatitis. Thought I would give a heads up on here with info. I am researching this myself for a possible treatment. Locally to me it is offered to reduce pain but might get a Consultant to do procedure for acne/seborrheic  dermatitis dependent on cost and how many treatments and is willing to do it.
 Here is case report for stellate ganglion block for acne vulgaris;
A stellate ganglion block is frequently used in the pain clinic. It has been known that a stellate ganglion block maintains the homeostasis of hormones by improvement of blood supply to the brain. Therefore it has a systemic effect as well as a regional effect. Androgen, the sebaceous gland, hair follicle and bacteria are involved in pathogenesis of acne. The background for the treatment of acne with a stellate ganglion block can be related to the increase of blood supply to the face and the effect on the pineal gland. We administered a stellate ganglion block for the treatment of acne and had good results. From our experience, we consider a stellate ganglion block as the one of the effective treatment of acne.

Here is extracts of case report on stellate ganglion block for seborrheic dermatitis;

According to Uchida et al. [2], stellate ganglion block (SGB) is effective in the treatment of skin disorders of the head and neck. According to the authors, this treatment mechanism maintains the homeostasis of hormones by improving the blood flow in the brain. There has been a report of successful treatment of acne vulgaris — which has a similar etiology to seborrheic dermatitis — with SGB [3]. Therefore, we predicted that SGB would also be effective in the treatment of seborrheic dermatitis. Indeed, repeated SGB trials on a patient who had previously undergone unsuccessful dermatologic treatments were effective. This was the first case of seborrheic dermatitis treatment with SGB.A previous study reported that SGBs reduce inflammatory reactions. In the same study, a skin biopsy performed on a seborrheic dermatitis patient's lesion revealed increased counts of inflammatory mediators (interleukin-1, [IL-1], IL-2, IL-4, IL-6, IL-10, IL-12, gamma interferon, TNF-a)[9]. Liu et al. [10] conducted a study on severe trauma patients and reported that the concentrations of IL-b, IL-6, and TNF-a decreased 24 to 72 hours after a SGB. Park et al. [3] successfully treated an acne vulgaris patient with over 50 trials of SGB, and Wajima et al. [11] reported that SGB decreases the levels of serum IgE and eosinophil in atopic dermatitis. These results indicate that SGB is effective in reducing hyper inflammations caused by seborrheic dermatitis, and thus in mitigating the related symptoms. According to a previous study by Wakusugi [12], SGB improves the blood flow in the brain and influences hormone secretions, effectively improving the symptoms of diseases responsive to steroids; hence, SGB can also be applied to seborrheic dermatitis.
In conclusion, seborrheic dermatitis patients are treated with antifungals and steroids. In cases in which the patients are unresponsive to these traditional treatment modalities, SGBs can be useful. SGBs can also be useful in the treatment of other cutaneous disorders with similar mechanisms.

Stellate Ganglion Block is used to treat many medical conditions;
Complex regional pain syndrome of the head and upper limbs
Peripheral vascular disease
Upper extremity embolism
Postherpetic neuralgia
Chronic post-surgical pain
Raynaud disease 
Orofacial pain
Phantom limb
Atypical chest pain
A cluster or a vascular headache 
Post-traumatic stress disorder
Meniere syndrome
Intractable angina
Refractory cardiac arrhythmias

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