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Marco&Co

Acne/Folliculitis on Forearms. PLEASE HELP!!!

Hello all! I’ve been breaking out on my back/shoulders for good 10 years but recently I’ve been having weird breakouts on my forearms (please see attached pictures). I went to 9 different dermatologists but they weren’t of much help and I exhausted all treatments with the except of accutane that I’ll be on soon. If you or anybody you know suffer from this, please tell me if you know what it is? I’m very fit and I workout everyday but I’m not on steroids and I do not consume dairy at all. Dealing with this is taking such a mental toll on me, and I’d very much appreciate the help if anybody knows what this is/how to deal with it!

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Edited by Marco&Co

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¿Dermatitis?, Prueba hidrocortisona cada 12 horas en la zona por 5 días y miras si se te quita, no uses la hidrocortisona por más de 5 días ya que adelgaza y daña la piel.

 

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Marco & Co,

The mental toll is so challenging. Rest assured, whatever it is appearing on your arms, Isotretinoin will clear it up, but it will get worse before it gets better, so you may see all sorts of stuff coming out during the first 1-2 months.

I would really recommend low dose- 20 mg/day. Only some doctors believe low dose will give a complete cure, but it just takes longer. The side effects at full dose are an even bigger mental challenge!

I never had any acne until developing Nodular acne 3- years ago- dermatologists (3) told me I was scratching my skin in my sleep.

All acne comes from too much sebum. Sebum ( oil) combines with dead skin cells and blocks the hair follicle. If the blockage bursts, it will spread around, and try to find a way out. That is what is on your forearms. These will get inflamed sometimes and be red, or painful. They do not heal, or only temporarily, because more sebum is produced all the time, and they will just fill up again.

So, Isotretinoin (Accutane) is the only way to clear all of your skin, and for good. The drug shrinks the sebaceous glands ( that are over producing your natural oil) and dramatically increases skin cell turnover. You will, after some months, wonder if it will work, and then be amazed one day as the lesions act differently, your skin gets very soft ( but fragile for a while.) I went from despair ( had to lower my dose as I was so stiff,) to a certainty that things were going just as they were supposed to. I am much older, so your results may come more quickly. 

Get a huge supply of Dr. Dan's Cortibaum- you will use it every 30 minutes. Eye drops, Saline nose spray, and some pain cream with lidocaine- just in case. Accutanee has a 97% full clearance record-. But some days when your joints and muscles ache, you won't be able to work out, and you will keep questioning if it is worth it. It is.

Edited by Musicgal
Wrong word

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It is not true about Roaccutane. Only 40% are permanently cured other 60% suffer with coming back acne. I had roa for 5 courses and after 6 years of remission I have it back( but the roa is the only drug which helps even only temporary. 

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@Musicgal Thanks a lot for the detailed response! I have an appointment with my derm in March (waiting time is 5 months which is ridiculous). I believe accutane is the only solution like you mentioned and I want to do the 20 mg strategy, though I don't know if my derm would approve! Let's hope. 

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On 1/3/2020 at 7:34 PM, Sibel said:

It is not true about Roaccutane. Only 40% are permanently cured other 60% suffer with coming back acne. I had roa for 5 courses and after 6 years of remission I have it back( but the roa is the only drug which helps even only temporary. 

The current cure rate at 1 mg/kg, up to a specific total dosage, has a 97% cure rate after including those who took two courses.

It is important to source data. This data comes from the latest position paper from American Academy of Dermatologists on Isotretinoin, and has been adopted by the European Association as well.

Yes, it can come back, but SO many variables can contribute- right dosage to reach total dosage within 6 months; whether the medication is taken with 50 mg fat and 800-1000 calories. Many don't reach either of these levels, and severe acne, caused by overactive sebaceous glands, will return because the oil returns. The exact daily and total dosing is required to shrink the sebaceous unit, and to change the DNA of the millions of microscopic sebaceous glands in our skin. These glands are attached to every hair follicle on your body.

I am actually failing at low dose, but the factors are very different- a massive amount of excess sebum and ruptured pores, age (58! With NO history of acne,) and handicapped by health history of breast cancer, treatment of which caused the sebaceous glands into overdrive over a ten year period. However, I see real progress too; much less sebum, skin drying and peeling. ( And so soft.) But I still have nodules coming up to the surface every day, and in the same places. I believe that if my  next cholesterol test goes down a bit ( diet change), I can continue for the full eleven months to reach total dosage, but most importantly, my overall situation will be a whole lot better than the misery and pain of the four years since I finished the standard ten years of estrogen blockers following surgery, chemo and radiation for breast cancer. I am not looking for perfect skin at my age!!

Edited by Musicgal
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