Combination of oral lymecycline and (adapalene and benzyl peroxide) gel with salicylic peel in treatment of nodulocystic acne in a female in fertile period: Case study
Joint Event on International Conference on Plastic and Cosmetic Surgery & International Conference on Biomarkers
March 11-12, 2019 | London, UK
Manal Elsabae Gamil Sedrak
Posters & Accepted Abstracts : Case Rep Surg Invasive Proced
Background: Clearance of nodulocystic acne lesions in a female
in fertile period where oral Isotretinoin cannot be given with
safety. Nodulocystic acne is a severe form of inflammatory
acne characterised by the presence of nodules and cysts that
are painful and often leave scarring. Because of this severe
type of acne can cause scarring, it’s best to start treating it as
quickly as possible. Oral antibiotics or isotretinoin is usually
prescribed; sometimes corticosteroid injections can be used for
immediate relief or to avoid scarring. One 24 years old newly
married female presented to the clinic with severe distressful
nodulocystic acne, oral Isotretinoin was totally unaccepted by
both the patient and her husband. Salicylic acid peel was done
after gentle evacuation of the lesions every 2 weeks interval,
together with Oral administration of lymecycline and topical
application of (adapalene Benzyl peroxide gel) evening time,
leaving a gap of 2 days interval before and after the peels.
Results: Good improvement is seen after one month with complete clearance of lesions within 3 months of treatment. No scars are left behind, only post inflammatory hyperpigmentations, with minimal macular scars that can be handled by micro needling and laser combination.
Conclusion: Safety and efficacy of combination treatment with oral lymecycline and Adapalene perioxide gel with Salicylic peels in patients in fertile period without taking the precautions and risks oral Isotretinoin therapy.