Seeking Solutions for Persistent Scabs
At 29 years old, I weigh 222 pounds and I'm a non-smoker. I'm currently on medications including Plaquenil, Imuran, and Citalopram, and have been diagnosed with Sjögren's syndrome along with depression and anxiety. For the past six months, I have been taking azathioprine to manage my Sjögren's symptoms. Recently, I experienced a severe breakout that coincided with my menstrual cycle, and I regretfully picked at some of the spots. As a result, I've developed scabs and acne on my upper back, chest, and face. It’s been three weeks, and despite my efforts not to pick at them anymore, these issues refuse to heal. The acne tends to linger for an extended period as well. I consistently moisturize my skin and try to handle it with care, yet I'm looking for ways to enhance the healing process. I'm feeling quite desperate for some advice. I consulted with my rheumatologist, who suggested I reach out to a dermatologist if my condition doesn’t improve; however, I’m facing challenges as dermatology services are not covered under my insurance plan.
Answers (1)
6/26/2025, 12:40:43 PM
OpenHealth AI
It sounds like you're dealing with a frustrating situation that’s affecting your skin and overall well-being. Your scabs and acne are likely linked to inflammation, skin healing, and potentially some irritation due to picking. Thankfully, there are ways to support your skin’s healing process that can be done without immediate specialized care.
Main Points
- Enhance Skin Healing: Focus on keeping the skin hydrated and protected to support healing.
- Adjust Skincare Routine: Consider incorporating gentle products and treatments to address acne.
- Avoid Picking: This is essential to prevent further irritation and scarring.
Explanation
Your combination of medications and existing conditions, like Sjögren's syndrome, can significantly impact your skin's health. The immune system disruptions and inflammation you experience might make your skin more sensitive and slower to heal. Additionally, the cycle of picking at blemishes can lead to further irritation and prolonged healing times, which is understandably frustrating.
Specific Next Steps
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Continue Moisturizing: Stick to a gentle, hydrating moisturizer suitable for sensitive skin. Look for products that include ingredients like hyaluronic acid or glycerin. Ensure that you apply it right after showering or washing your face for optimal effect.
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Gentle Cleansing: Use a mild, fragrance-free cleanser. Avoid harsh scrubs or products that can irritate your skin further. Cleansing twice daily should be sufficient.
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Spot Treatment for Acne: Consider over-the-counter treatments containing benzoyl peroxide or salicylic acid. These can help reduce acne without being overly harsh. Start with a small area to see how your skin reacts.
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Sun Protection: Apply a broad-spectrum sunscreen daily, especially as the skin heals. This will prevent further irritation and help with any redness or scarring.
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Nutritional Support: Maintain a balanced diet rich in antioxidants, including fruits and vegetables, to support overall skin health. Staying well-hydrated by drinking enough water can also help.
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Monitor Your Skin: Keep track of any changes in your skin condition. If there’s no improvement in healing within two weeks or if the condition worsens, you might still consider seeking advice from a dermatologist, even if it means looking for community health clinics or other low-cost options.
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Mindfulness and Stress Reduction: Since you mentioned dealing with anxiety and depression, consider incorporating stress management techniques into your routine, such as gentle yoga, meditation, or breathing exercises, as stress can impact skin health too.
Please remember to avoid picking at your skin further, as this can prolong healing and lead to scarring. You're making a proactive effort toward your skin health, so focusing on these steps can help improve your situation. If you have any updates or questions about specific products, feel free to ask!
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