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Hi there, am hoping you can help me. I am 23yrs old and only get acne on my chin, they arent your typical top of the skin white heads they are the neasty painful BIG under the skin types that take forever to surface and just as long to go away once they appear, its like I am constantly having one on my chin, they never seem to go away. I have an oily complexion but I cleanse, tone and moisturise twice a day (exfoliate every other day and use a mud musk twice a week) and the rest of my skin looks great! its just my chin :( i take other precautions such as cleaning my phone from makeup left behind (bacterial) and dont touch my skin in order to reduce the spread of bacteria from my hands to my face - what can I do?? your response is appreciated.

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replied February 7th, 2010
Acne and Skin Disorders Answer A9827
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned about the acne vulgaris which is usually a self limiting disorder primarily of teenagers and young adults but in 10 to 20% cases ,it may persist into late adulthood. You seem to be having inflammatory lesions of acne along with blackheads or open comedones. Vigorous rubbing of the skin should be avoided for the fear of mechanical rupture of comedones and scarring of inflammatory lesions.
Mild disease may respond to topical therapy with retinoic acid, benzoyl peroxide or salicylic acid. Topical antibacterial agents such as azelaic acid, erythromycin or clindamycin are useful in decreasing inflammation. Severe acne with prominent inflammatory component may require systemic therapy with tetracycline or erythromycin. Hormonal therapy (with oral contraceptives containing ethinyl estradiol and norgestimate) is also useful in females who do not respond to oral antibiotics. If severe inflammatory acne do not respond to above therapies, isotretinoin may be useful though side effects like risk of fetal malformations if used in pregnancy, depression, dry skin etc. should be kept in mind and toxicity monitored. In females who present with hirsutism and menstrual irregularities, PCOS shall be ruled out as the cause of acne.
You can discuss all the treatment options with your dermatologist who will suggest the best treatment for you as same cannot be done online and no treatment suggested above shall be taken without consultation with your dermatologist.
I sincerely hope that helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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