Can Topical A Acid and Antibiotics Cause Seborrheic Keratosis?

Q: Can Topical A Acid and Antibiotics Cause Seborrheic Keratosis?

Hello： The application of topical retinoids and antibiotic ointments does not cause seborrheic keratosis. <br>It is common to experience an increase in acne for the first 1-2 weeks after starting topical retinoids, but this will improve with continued use. <br>Thank you!

Conditions caused by A acid?

Hello doctor, I have recently been using topical retinoids and antibiotic ointments to treat my acne.
The acne has improved, but I feel like there are many skin-colored raised bumps on my face.
The doctor said it is seborrheic keratosis.
Could the use of these two ointments cause this condition?

Niming, 20~29 year old female. Ask Date: 2022/08/22

Dr. Li Yufen reply Dermatology

Hello: The application of topical retinoids and antibiotic ointments does not cause seborrheic keratosis.
It is common to experience an increase in acne for the first 1-2 weeks after starting topical retinoids, but this will improve with continued use.
Thank you!

Reply Date: 2022/08/22

More Info

Seborrheic keratosis is a common benign skin condition characterized by the appearance of raised, often pigmented lesions that can vary in color from light tan to black. These lesions are typically seen in older adults and are not caused by any specific medication, including topical retinoids (like topical A acid) or antibiotics.
Topical A acid, which is a form of retinoic acid, is primarily used for treating acne and other skin conditions. It works by promoting cell turnover, preventing the clogging of pores, and reducing inflammation. While it can cause some initial irritation, redness, or peeling of the skin, it is not known to cause seborrheic keratosis. In fact, retinoids are often used to improve the overall texture and appearance of the skin, and they can help in the treatment of various skin conditions, including acne and photoaging.

On the other hand, topical antibiotics are used to treat bacterial infections and can also be prescribed for acne. They work by reducing the number of bacteria on the skin and decreasing inflammation. Similar to A acid, topical antibiotics do not cause seborrheic keratosis.
The appearance of new skin lesions while using these treatments may be coincidental and not directly related to the medications. Seborrheic keratosis can develop independently of any topical treatment and is more likely to be influenced by genetic factors, age, and sun exposure.
If you notice new lesions on your skin, it is essential to consult with a dermatologist for a proper evaluation. They can confirm the diagnosis of seborrheic keratosis and rule out other potential skin conditions. In some cases, the lesions may require monitoring or treatment, especially if they change in appearance or cause discomfort.

In summary, while topical A acid and antibiotics are effective treatments for acne, they are not known to cause seborrheic keratosis. The development of these lesions is more likely related to other factors, and a dermatologist can provide guidance on the best course of action for your skin health. If you have concerns about the appearance of your skin or the effects of your current treatment regimen, it is always best to seek professional medical advice.

Similar Q&A

Managing Seborrheic Dermatitis: Treatment Options and Skin Care Tips

I have seborrheic dermatitis. I previously visited a dermatologist and received topical ointments and oral medications. I have applied the ointment a few times, but it still hasn't improved. My nose area is still very itchy, and there are some white patches around my lips an...

Dr. Yang Zhiya reply Dermatology
Hello, seborrheic dermatitis often recurs. It is recommended to maintain a light diet and a regular routine, which may lead to some improvement. If discomfort persists, it is best to consult a dermatologist for diagnosis and treatment. During inflammation, it is advisable to avoi...

Understanding Seborrheic Keratosis: Questions and Insights from a Dermatologist

Dear Dr. Wu, Hello. I have two pink lesions on my left shoulder that are very close together, appearing as a long, narrow protrusion, measuring approximately 0.4 x 0.1 cm. They are slightly firm, non-painful, non-itchy, and not red or swollen, having appeared over the past few y...

Dr. Wu Yuxin reply Dermatology
You should first consult a dermatologist to confirm whether it is seborrheic keratosis; otherwise, the following discussion will be meaningless. Applying potent topical corticosteroids will not be helpful.

Understanding Psoriasis and Seborrheic Dermatitis: Key Insights and Concerns

Hello Dr. Chang, I apologize for bothering you, but my skin condition has been quite poor, and I have another skin issue I would like to consult about: 1. I have seborrheic dermatitis on my face, especially around the nostrils, which tends to peel and even exude serous fluid du...

Dr. Zhang Zhibo reply Dermatology
Hello, Student Zhang: 1. Regarding the facial symptoms you mentioned, it is indeed seborrheic dermatitis; however, the presence of exudate is not characteristic of seborrheic dermatitis. It may be associated with a bacterial infection of the epidermis due to scratching from itch...

Managing Seborrheic Dermatitis: Concerns About Medication Side Effects

Hello Doctor, I visited a dermatologist the day before yesterday who prescribed me a cream for seborrheic dermatitis. After applying it, the next day around noon, my cheeks and forehead became very red, but the redness subsided before bedtime. I applied the medication before slee...

Dr. Wu Yuxin reply Dermatology
You should consult your attending physician about this issue, as they are most familiar with your condition and can help you choose the appropriate medication.