Re: Pustules, pustules, pustules!

[Guest guest]

good thinking on the culture. I assume you ruled out gram -,

demodex, s. aureus, etc.

the answer for you is permanent low dose accutane. you've had 4

courses of full dose, i presume, now it is time for a supressive

dose, not a cure dose.

also, check for environmental exposure to chloracne causing

chemicals.

> I am a 43 year old dentist. A life time of antibiotics, four

courses

> of accutane and I still battle pustules on a daily basis. Not a

day,

> or an event, in my life goes by that is not destroyed by my

constant

> battle with sore red pustules on my face and my scalp. Accutane

> gives resmission for several months then they are back. I often

must

> cancel trips, dinners, and even work from a severe pustule attack.

> They have been cultured and are " normal bacteria " . I have no

answers

> anymore. I woke up this morning with three large, sore pustules on

> my upper lip. What do you do with that. Can't even cover them.

> Help!

[Guest guest]

Dr. , do the initial treatments never quiet down your face

satisfactory, or is it that the maintenance therapy doesn't decrease

the number and severity of outbreaks once you go off initial

treatment?

Also, what skin care products are you putting on your face?

Finally, any chance for environmental/chemical/allergic reactions,

esp in your line of work (you use your hands a lot, and most of us

inadvertently touch our faces, which transfers substances.)

My dentist also has rosacea.

Marjorie

Marjorie Lazoff, MD

> I am a 43 year old dentist. A life time of antibiotics, four

courses

> of accutane and I still battle pustules on a daily basis. Not a

day,

> or an event, in my life goes by that is not destroyed by my

constant

> battle with sore red pustules on my face and my scalp. Accutane

> gives resmission for several months then they are back. I often

must

> cancel trips, dinners, and even work from a severe pustule attack.

> They have been cultured and are " normal bacteria " . I have no

answers

> anymore. I woke up this morning with three large, sore pustules on

> my upper lip. What do you do with that. Can't even cover them.

> Help!

[Guest guest]

Dr. , do the initial treatments never quiet down your face

satisfactory, or is it that the maintenance therapy doesn't decrease

the number and severity of outbreaks once you go off initial

treatment?

Also, what skin care products are you putting on your face?

Finally, any chance for environmental/chemical/allergic reactions,

esp in your line of work (you use your hands a lot, and most of us

inadvertently touch our faces, which transfers substances.)

My dentist also has rosacea.

Marjorie

Marjorie Lazoff, MD

> I am a 43 year old dentist. A life time of antibiotics, four

courses

> of accutane and I still battle pustules on a daily basis. Not a

day,

> or an event, in my life goes by that is not destroyed by my

constant

> battle with sore red pustules on my face and my scalp. Accutane

> gives resmission for several months then they are back. I often

must

> cancel trips, dinners, and even work from a severe pustule attack.

> They have been cultured and are " normal bacteria " . I have no

answers

> anymore. I woke up this morning with three large, sore pustules on

> my upper lip. What do you do with that. Can't even cover them.

> Help!