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!