I spent part of my day at the dermatologist's office. Yes, I like to go there, because for once in my life I can feel positive about something personal. I used Accutane (isotretnoin) for many months to get rid of my prepubescent, pubescent, and adult acne. Although, it is all gone, I still take a smaller dose of the drug as maintenance. It keeps my skin smooth and soft, limits oil production, and increases collagen production.
BUT...As the saying goes, "The Lord giveth and taketh away."
It would seem that a possible side-effect of using the isotretnoin is an exacerbation of an inherited skin trait (thanks Dad), called keratosis pilaris. It was one of those minor things I noticed when I took my shirt off and saw my upper arms. My arms looked as if they had a rash of hard, reddish pustules. From what I can gleen about the skin condition, my skin reproduces skin cells at an accelerated rate (sort of sounds like cancer). Then, the new skin pushes the old skin up, which forms little mounds of dead, unshed skin.
It really wasn't a problem until it started to show up on my forearms. I have noticed in recent weeks (and months) that my forearms are developing the same pustules. The same can be said for other parts of my body, such as my chest, abdomen, and the backs of my thighs. People see my forearms, if I am not wearing a long-sleeved shirt. In short sleeves, it looks like I have a rash on my arms. I've been asked if I have poison ivy. To say the least, it's embarrassing.
Before I go any further, I need to disclose another skin condition that I have, called eczema. During my previous trip to the dermatologist, I had a nasty case of eczema on my left forearm. It was red, scaly and hateful. To ease my discomfort--and increase my sympathy factor--I told people, if they asked, that I was a burn survivor. Yes, it looked that bad! The dermatologist treated that with a combination of triamcinolone acetonide cream, with Cetaphil as a vehicle, Locoid Lipocream, and Clobex. My forearm, as far as the eczema goes looks brand new. No hyperpigmentation or scarring, just fresh, smooth skin.
Today, she thought it was possible that the triamcinolone acetonide (which is a topical steroid) could have caused the keratosis pilaris outbreaks on my forearms. So no more of that for my arms. I am now using a new skin care regimen consisting of a keratolytic emollient, Hylatopic Plus Cream, Uramaxin 45% Cream, and Locoid Lipocream. (As a side note: I found out that Hylatopic is sometimes used to treat the skin of cancer patients undergoing radiation treatment.)
And, yes, I'm still taking isotretnoin, like a boss!
Showing posts with label Eczema. Show all posts
Showing posts with label Eczema. Show all posts
Tuesday, June 04, 2013
Saturday, April 02, 2011
Accutane & Acne (Days 30-51)
Old ways.
That's the only way I can describe the right side of my face. While the left side of my face has cleared up considerably, the right side of my face is intent on returning to the ways of an acne-indulged lifestyle. With that said, I have to admit that the acne is not the same cystic nor nodule acne as I had before, but it is there nonetheless, doggonnit!
My skin is very dry. I rub my fingers over my cheeks and feel the dryness of my skin. Some skin even wafts off like dust into a gentle breeze. (How's poetic is that?) I do not wash my face at night anymore, in fear of aggravating its dryness. I was using CeraVe, but now I am using Cetaphil, because I had some of it left over.
Also, the eczema/dermatitis on the back of my hands has become quite painful and obvious. The back of my hands look like lobster claws sometimes. My left hand looks like a massive red island in a white sea, while my right hand looks like an archipelago of red dots strewn in the whiteness. They are incredibly dry, as well. I am using a homemade concoction of Cetaphil moisturizer of triamcinolone acetonide that I have mixed together. I only started using it last night and my skin is less red.
The only major difference in all of this is the fact I am not taking Prednisone anymore. I only had it for one month to go along with the Accutane. I am not sure if the dermatologist forgot to prescribe it last time or she doesn't want me to take it anymore. Nevertheless, I will be requesting a refill of it the next time I am there in about a week-and-a-half. I think it went a long way in helping me combat acne flare-ups.
That's the only way I can describe the right side of my face. While the left side of my face has cleared up considerably, the right side of my face is intent on returning to the ways of an acne-indulged lifestyle. With that said, I have to admit that the acne is not the same cystic nor nodule acne as I had before, but it is there nonetheless, doggonnit!
My skin is very dry. I rub my fingers over my cheeks and feel the dryness of my skin. Some skin even wafts off like dust into a gentle breeze. (How's poetic is that?) I do not wash my face at night anymore, in fear of aggravating its dryness. I was using CeraVe, but now I am using Cetaphil, because I had some of it left over.
Also, the eczema/dermatitis on the back of my hands has become quite painful and obvious. The back of my hands look like lobster claws sometimes. My left hand looks like a massive red island in a white sea, while my right hand looks like an archipelago of red dots strewn in the whiteness. They are incredibly dry, as well. I am using a homemade concoction of Cetaphil moisturizer of triamcinolone acetonide that I have mixed together. I only started using it last night and my skin is less red.
The only major difference in all of this is the fact I am not taking Prednisone anymore. I only had it for one month to go along with the Accutane. I am not sure if the dermatologist forgot to prescribe it last time or she doesn't want me to take it anymore. Nevertheless, I will be requesting a refill of it the next time I am there in about a week-and-a-half. I think it went a long way in helping me combat acne flare-ups.
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