Options of treatment include removal, with sac. Is there any medication to alter the course of occurrence of these lesions after removal.
I dont think so. Since it is an inherited keratinisation disorder due to mutation in keratin ,only gene therapy may offer permanent solution.Isotretinoin may offer temporary solution by decreasing the sebum secretion.
Roaccutane can be tried but it would be unlicensed use and the effect is variable, on average marginal in my experience.
Obviously, it's a genetic disease, so on that front, no. Would wonder about isotretinoin helping prevent it given its mechanism of action.
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DMA
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Dermatologically used scales to assess the grade of erythema.
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