Treatment is based on the type of skin lesion and the severity. Traditional treatment options include; oral antibiotic such as Doxycycline because of its excellent skin penetration, topical retinoid, and the use of hormones either alone or in combination. Hormone therapy include; Spironolactone, Flutemide, Cyproterene acetate and Combined oral contraceptive pills. They decreases free Testosterone and also increases Sex Hormone Bing Globulin which attaches to the testosterone preventing their action on tissues.
With all the information and treatments available, there are still things you must know in regards to what's accurate and what is not.
Skin lesion cultures to rule out gram-negative folliculitis are warranted when no response to treatment occurs or when improvement is not maintained. Skin irritation with peeling and redness may be associated with the use of topical retinoids. Skin pores contain the sebaceous glands that produces sebum, a natural way to lubricate the skin and hair. Skin cells are not being shed normally, and these sticky cells block the skin's hair follicles, trapping the sebum.
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