What is this rash that appeared one month post accutane? (Photo)

Question

I took accutane for 6 months for minor chin acne. After a month of being off the drug I developed a red bumpy rash on my chest, thighs & legs. I had minor keratosis pilaris rubra on my face & arms since I was a child and am 28, it appears to be the same kind of small red bumps as KP but I have never had it anywhere else & have had clear soft skin. I have had the rash for 6 mths now & it appears to be getting worse. I have tried AHAs & differin 1% on my chest for almost 2 mths w no improvement.

Raffy Karamanoukian, MD, FACS · Answer

Doctors often refer to the dryness that occurs with isotretinoin and retinoids like Retin-A as the retinoid reaction. Although normal, the dryness can lead to a feeling of discomfort that can ultimately compromise your compliance. Retinoid reaction includes:
DrynessRednessItchingBurningDiscomfortIn my office in Beverly Hills, I prescribe Accutane quite a bit for cystic acne and inflammatory scarring. Patients are advised to moisturize frequently with a non-oily moisturizer such as Elevase Moisture Booster, which we use in our office. Applied liberally on the face, the ceramides are soothing and relieve discomfort when possible. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Melanie Hecker, MD · Answer

This looks like an irritant contact dermatitis, or eczema, that is common around Accutane therapy because of the dryness of the skin that occurs due to Accutane therapy.  See your dermatologist for a prescribed treatment of this dermatitis.

F. Victor Rueckl, MD (in memoriam) · Answer

That appears to be contact dermatitis, probably from what you are applying to your chest which is completely irritating the skin and causing the rash. Stop using what you are using. Stick with mild soap (like Dove), lotion, and OTC hydrocortisone, and nothing else. You should be seen by a physician in person if this continues. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

What is this rash that appeared one month post accutane? (Photo)

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