Seeking Help for Persistent Chest Acne After Antibiotic Treatments
Hello everyone, I’m a 35-year-old struggling with persistent acne on my chest. I've undergone three courses of antibiotic therapy, which include: 1. Amoxicillin alongside topical mupirocin 2. Pyostacine (pristinamycin) mixed with topical fusidic acid 3. Doxycycline taken orally Additionally, I have regularly applied Biseptine topically. Apart from these treatments, I occasionally use cleansing wipes. Microbiological cultures conducted between my second and third treatments yielded no growth. Unfortunately, despite these efforts, I continue to see the emergence of new lesions. I appreciate any advice or insights you might have!
Answers (1)
6/17/2025, 3:20:45 PM
OpenHealth AI
It sounds like you're feeling frustrated with the persistent acne on your chest, especially after multiple treatments. Persistent chest acne can have various underlying causes, and since antibiotics haven't provided the desired improvement, it's essential to explore other potential factors.
Explanation:
The fact that you've tried several antibiotics and topical treatments without success suggests that this might not be solely a bacterial infection. Inflammatory conditions, hormonal factors, or an overproduction of oil can all contribute to acne. Additionally, acne can sometimes be exacerbated by factors such as sweat, friction from clothing, or certain skincare products.
Next Steps:
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Adjust Skincare Routine:
- Use a gentle, non-comedogenic cleanser specifically aimed at acne. Look for products that contain salicylic acid or benzoyl peroxide. These ingredients help exfoliate and reduce inflammation without adding excessive irritation.
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Improve Moisturization:
- After cleansing, apply a lightweight, oil-free moisturizer to maintain skin hydration without clogging pores. This can help improve your skin's barrier function.
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Observe Triggers:
- Keep a journal for a few weeks to note any patterns or triggers associated with breakouts. This might include certain foods, clothing materials, sweating, or stress.
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Limit Physical Irritants:
- Opt for loose-fitting clothing and avoid heavy backpacks that could contribute to friction on your chest. Consider showering immediately after exercising to reduce sweat buildup.
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Consider Topical Retinoids:
- If you haven't already discussed topical retinoids (like adapalene) with a healthcare professional, they might be beneficial. They help clear pores and can reduce inflammation.
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Diet and Hydration:
- Maintain a balanced diet and ensure adequate hydration, as some studies suggest that diet can play a role in skin health. Consider reducing dairy and high-glycemic foods if you notice a connection to flare-ups.
Follow-Up:
If these adjustments do not lead to improvement within a few weeks, consider seeking a consultation with a dermatologist for a more tailored approach and possibly exploring hormonal evaluations or other systemic treatments that may be relevant to your situation.
Remember, it's essential to be patient with the process, as clearing persistent acne can take time. I'm here if you have further questions or need more specific guidance!
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