Frage: Winterhaut

Guten Morgen Herr Dr. Abeck! Ich bin in der 18. SSW und früher habe ich für meinen unreinen Rücken Cordes BPO genommen, nun entfällt das natürlich aufgrund der Schwangerschaft. BPO hat stets gut geholfen, aber gerade im Winter litt ich dadurch häufig unter trockener, geröteter Haut, die brannte. Morgens cremte ich dann mit Alfason Repair Creme. Nun vermehren sich natürlich die Pickelchen am Rücken (nicht gefüllt, nur rot) und die verschriebene Skinoren Creme, die ich schon seit 9 Wochen nehme hilft leider nicht. Haben Sie noch einen Tipp für mich, bezüglich meines Rückens? Dankeschön und viele Grüsse! Fredericke

von diedesi am 27.01.2017, 10:15



Antwort auf: Winterhaut

Es spricht nichts gegen den Einsatz von Benzyoylperoxid in der Schwangerschaft, s. aktueller Artikel!! reatment of Acne in Pregnancy. Chien AL1, Qi J2, Rainer B2, Sachs DL2, Helfrich YR2. Author information Abstract Acne vulgaris is a common disease of the pilosebaceous unit and affects adolescents and adults. Because high-quality guidelines regarding treatment of acne in pregnancy are scarce, management of this condition can be challenging. We describe the safety profile of common therapies and outline approaches based on available evidence. Topical azelaic acid or benzoyl peroxide can be recommended as baseline therapy. A combination of topical erythromycin or clindamycin with benzoyl peroxide is recommended for inflammatory acne. Oral erythromycin or cephalexin is generally considered safe for moderate to severe inflammatory acne when used for a few weeks. A short course of oral prednisolone may be useful for treating fulminant nodular cystic acne after the first trimester. In general, topical and oral antibiotics should not be used as monotherapy, but combined with topical benzoyl peroxide to decrease bacterial resistance. Oral retinoids are teratogenic and absolutely contraindicated for women who are pregnant or considering pregnancy. Although some complementary therapies including micronutrients and nonpharmacologic treatments seem to be well tolerated, limited data exist regarding their safety and efficacy, and they are not currently recommended during pregnancy. The risk-to-benefit ratio, efficacy, acceptability, and costs are considerations when choosing a treatment for acne in pregnancy. © Copyright 2016 by the American Board of Family Medicine.

von Prof. Dr. med. Dietrich Abeck am 31.01.2017