Recurrent red pimples on the chest, consider the occurrence of acne, Malassezia folliculitis, etc., which can be treated with topical medication, systemic medication or phototherapy.
1. Acne
Chest, back and other parts of the body can be in the body estrogen, androgen level imbalance or androgen level increases, sebaceous gland secretion increases, and there are hair follicles within the propagation of Propionibacterium acnes and so on will have pimples or inflammatory pimples and other lesions appeared, it is recommended to promptly remove the excess oil on the surface of the skin, bacterial compounds, etc., and need to control oil moisturizing in a timely manner, and to avoid scratching and squeezing the lesions.
Topical topical retinoic acid creams such as adapalene, benzoyl peroxide emulsion or fusidic acid or azelaic acid cream and other medications can be used, and the application of sulfur lotion or salicylic acid cream can also inhibit Propionibacterium acnes and exfoliative effects.
Antibiotics such as doxycycline and isotretinoin can be chosen for systemic medication; lesions can also be treated by photodynamic therapy, chemical peels, LED blue light or red light.
2. Malassezia folliculitis
Follicular inflammatory damage caused by Malassezia. Malassezia is a normal parasitic bacteria in human body, under the influence of promoting factors (such as long-term use of glucocorticoid or broad-spectrum antibiotics, etc.), Malassezia can reproduce in large quantities in the hair follicle, inducing folliculitis to occur.
Due to the deeper parts of the disease, should choose good permeability of the topical antifungal drugs (such as ketoconazole cream, 50% propylene glycol), can also be supplemented with 2% ketoconazole lotion or 2.5% selenium disulfide shampoo bath. For the lesions of generalized, inflammation is more serious and the effect of external drug treatment is not good, can be combined with oral antifungal drugs, such as itraconazole, terbinafine and so on.
Chest repeated acne, can go to the hospital dermatology consultation, and follow the doctor’s instructions on the cause of symptomatic treatment.