Crutchfield Dermatology Case-of-the-month header image

Case of the Month

Acne and Hyperpigmentation
Before and After Treatment

What happened to this woman’s face?


Diagnosis: This woman had nodulocystic acne with post-inflammatory hyperpigmentation.

It is especially important to address dyschromia/hyperpigmentation, in addition to treating active inflammatory acne, when treating patients of color. In this particular case, I used a low-dose isotretinoin course and a compounded skin-lightening agent consisting of: Hydroquinone 7.25%, Retinoic Acid 0.025% and Fluocinalone Acetonide 0.01% in a hydrating cream base. In addition to the lightening agent, I limit its use to 3 months alternating it with a kojic acid 4.0% cream (3 months HQ containing cream:1 month od Kojic Acid cream) to prevent the occurrence of exogenous ochronosis that can occur if hydroquinone products are used too long. In addition to participating in the I-Pledge program for isotretinoin, the patients are counseled on meticulous sun protection and heat avoidance to assist in the treatment of hyperpigmentation. At Crutchfield Dermatology, we specialize in treating skin-of-color and challenging acne.

 


Charles Crutchfield III M.D. Eagan Dermatologist

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Crutchfield Dermatology

1185 Town Centre Drive, Suite 101
Eagan, MN 55123 USA

Phone: (651) 209-3600 Fax: (651) 209-3601

Hours: Monday-Friday 8am-5pm

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