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Can Accutane cause keratosis pilaris?

athina1981Apr 15, 2019
I had a 4 month course of accutane for chin acne about 18 months ago (40mg a day i weigh about 60kgs). Half way into my course i started getting small flesh coloured bumps on my cheeks where I did NOT have acne. Even after finishing the course I have tried to have them extracted, electrocautery and they won't budge. My current derm believes its osteoma cutis. An online user suggested it maybe Keratosis Pilaris. Can accutane cause KP? Do the bumps looks similar between KP and Osteoma cutis?

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From board-certified doctors and trusted medical professionals
Dr. Reuel Aspacio, MD, FAAD - Account Suspended
Board Certified Dermatologist
Answered on Apr 17, 2020
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Reuel Aspacio, MD, FAAD - Account Suspended

Thank you for your question. Accutane (isotretinoin) dosing is based on an individual's weight, which is 1 mg per kilogram for a minimum of 4 months. But for severe acne, treatment may need to be increased. I highly recommend you consult with your dermatologist regarding any questions or c...

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Amy Y. Paul, DO, FAAD

You should do very well on 50mg daily if that is what your dermatologist suggested.  I start all my patients on 40-80mg daily (the 40mg tablets tend to be cheaper than the 20 or 30mg ones), and if they are very severe, we try the 80mg right away.  Over the years, several studies have...

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Reuel Aspacio, MD, FAAD - Account Suspended

Hello and thank you for your question. When taking Accutane, your chance for scarring is higher with procedures. With elective procedures, I would recommend waiting until your body clears of the medication. I also recommend consulting with a board certified dermatologist for evaluation of your...

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