instruction: hello doctor I have severe acne with the scar left on the skin I have very oily skin and the acne is a little painful and sebaceous I am currently using benzoyl peroxide
output: hi I went through your photograph and found that you are suffering from modular cystic acne with scarring it is a severe type of acne is common at a young age it occurs due to blockage and inflammation of sebaceous glands under the influence of androgen hormone they also occur due to cosmetics diet has a little role and generally they subside in mid twenties they need treatment to avoid scarring which may be permanent if you have increased hair growth and menses irregularity you have to rule out pod polycystic ovary disease you can take capsule isotretinoin 20 my once daily with meals for four weeks clindamycin gel twice daily over the pimples salicylic acid face wash once daily only for 30seconds and tablet azithromycin 500 my once daily on empty stomach for one week and three on consecutive days per week for three weeks if you want to use sunscreen review after four weeks scarring or pores left after healing can be treated surgically by needling microderma abrasion or by laser only after remission hormonal lipid profile if history of cholesterol disorder in the family acne nodulocystic for three to four months as per the response do not touch the face too often do not use oil or greasy cream over the face or scalp take ample amount of fluids if there is intolerant dryness with this use petrolatum or vaseline on lips dryness generally subside within one week