Topical steriod-induced long-existing acne!

[Rakotork]

Good day to everyone here!

Being a family physician, I'm not quite well experienced in certain conditions that require specialist intervention.

I need your help regarding health of one of my relatives, a young woman.

I've translated her complaints and anamnesis and converted them into more medically correct terms.

Here we go:

"While having a mild acne 3 years ago, I've tried to self-treat them by topical steroid creme. Eventually it became much worse and I haven't been able to recover even after three years of treatment, which is described below.

During last two and a half years I had been treated by local well-known soviet-educated dermatologist:

1) 1.5 years on sugar-, alcohol and wheat-free diet (that's totally awful! )
2) oral doxycycline and fluconasole treatment plan prescribed by local dermatologist (Ukraine) for 3-4 months, two or three courses;
3) antibiotic/dexamethasone-containing multicomponent topical custom solutions, prescribed by same local dermatologist and produced in the local government pharmacy."

What thoughts do you have regarding her condition, required treatment and prognosis?

I'll be very grateful for any response.

Best regards,

Me

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[qw098]

Go ask your local dermatologist. Why not?

 

[Dral]

This forum is more geared toward Dermatology education and career topics. Thus, I doubt anyone will be giving you any input. Not that we don't want to help, but it's against the ToS for us to do so. Sorry!

 

[Balderdash]

So, honest question before this gets locked...do you have reservations about referring the patient to a dermatologist? Do you have trouble finding one? How do you know anyone on here is a dermatologist? There's no way to vet posters here. We could all be a bunch of cons posing as derms giving made up advice and ostensibly, you trust us over referring to a practicing derm?

 

[asmallchild]

Do not pass go. Do not collect $200. Please go directly to your friendly neighborhood dermatologist.

Asking for medical advice is against the TOS. Locking.