Allergens: Which Specialist to Consult for Acne Issues?

Q: Allergens: Which Specialist to Consult for Acne Issues?

Hello Shuyi： The most common allergen tests are patch testing and blood tests. <br>These two types of tests usually have only a few overlapping allergens. <br>Most large hospitals have dermatology departments that offer these tests, and some family medicine departments may also c

Allergen

Hello, Dr.
Tsai.
I have been troubled by acne for the past year and a half, primarily on my chin.
When it first occurred, I visited a dermatologist and, after using some oral medications and fruit acid products, I recovered in about a month.
However, a year later, it recurred.
I wondered if there was an underlying health issue, so I initially sought treatment from a traditional Chinese medicine practitioner.
Due to the slow effects of TCM and my fear of scarring if I didn't suppress the acne quickly, I returned to the dermatologist after a season of TCM treatment, and once again, the acne was quickly controlled.
This time, the recurrence happened even faster; six months later, I started to notice acne appearing again, but this time it was all over my face.
I was hesitant to see a Western doctor again because I know that Western medications often use antibiotics for suppression, and I am concerned about potential harm to my body.
Therefore, I have been diligently taking Chinese herbal medicine for over two months now.
My condition has improved somewhat, but the progress is still slow, and I occasionally get a few new small pimples.
Some people have suggested that I get tested for allergens to see if there are any allergic factors involved, but I'm not sure which department I should consult for this issue.
I called the hospital, but they insisted I see a dermatologist, even though dermatology does not conduct allergy testing.
So, I would like to ask you, which department should I consult for allergy testing in my situation? Thank you!

Shu Yi, 20~29 year old female. Ask Date: 2006/11/27

Dr. Cai Jueren reply Family Medicine

Hello Shuyi: The most common allergen tests are patch testing and blood tests.
These two types of tests usually have only a few overlapping allergens.
Most large hospitals have dermatology departments that offer these tests, and some family medicine departments may also conduct similar tests.
I recommend visiting a larger hospital for a more comprehensive evaluation.
Thank you for your message, and I hope you find relief from your acne soon.
Dr.
Tsai Jue-ren, Hualien Hospital.

Reply Date: 2006/11/27

More Info

When dealing with persistent acne issues, especially when they seem to be recurrent and widespread, it’s essential to approach the problem holistically. Your experience with both Western and Traditional Chinese Medicine (TCM) highlights a common struggle many face when trying to manage skin conditions like acne.
Acne can be influenced by a variety of factors, including hormonal changes, diet, stress, and even allergies. Given your situation, where you’ve seen some success with dermatological treatments but are concerned about the long-term effects of antibiotics and are currently exploring TCM, it’s understandable that you’re seeking a more comprehensive understanding of your condition.

To address your question about which specialist to consult for allergy testing related to your acne, the best course of action would be to see an Allergist or Immunologist. These specialists are trained to evaluate and diagnose allergic reactions, including skin-related issues. They can perform specific tests, such as skin prick tests or blood tests, to determine if you have any allergies that could be contributing to your acne.
While dermatologists primarily focus on skin conditions and may treat acne effectively, they typically do not conduct allergy tests. However, they can provide valuable insights into the dermatological aspects of your condition and may work in conjunction with an allergist if allergies are suspected to be a contributing factor.

In addition to consulting an allergist, consider the following points:
1. Dietary Factors: Some individuals find that certain foods can trigger acne flare-ups. Keeping a food diary to track what you eat and any corresponding skin reactions can be helpful. Common culprits include dairy products, high-glycemic foods, and certain oils.

2. Hormonal Influences: Hormonal fluctuations, particularly in women, can significantly impact acne. If you suspect this might be a factor, discussing it with a gynecologist or an endocrinologist could provide insights and potential treatment options.

3. Stress Management: Stress can exacerbate acne, so incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise may help improve your skin condition.

4. Skincare Routine: Ensure that your skincare products are non-comedogenic (won't clog pores) and suitable for your skin type. Sometimes, the products we use can contribute to breakouts.

5. Combination Approach: Since you’ve had success with both Western and TCM treatments, consider a combination approach. You might continue with TCM for overall health and balance while also addressing specific acne concerns with dermatological treatments.

6. Follow-Up: If you decide to see an allergist, make sure to follow up with your dermatologist to discuss any findings and adjust your treatment plan accordingly.

In conclusion, while it’s understandable to be cautious about the use of antibiotics and other medications, it’s crucial to find a balanced approach to managing your acne. Consulting with an allergist can provide valuable insights into potential allergic triggers, while a dermatologist can continue to help manage the skin condition effectively. Remember, skin health is often a reflection of overall health, so addressing underlying issues holistically can lead to better outcomes.

Similar Q&A

Dealing with Acne: When to Consult a Dermatologist and Costs Involved

Dear Doctor, hello. I have a skin issue I would like to ask you about. I have a lot of comedones on my nose and I don't know how to deal with them. Can I seek help from a dermatologist for this? Will the costs be high? Also, I go to bed every night before 11 PM, but I still ...

Dr. Jin Lianchun reply Dermatology
Hello, Miss: Acne can certainly be treated by a dermatologist, and there are topical medications available. Chemical peels with alpha hydroxy acids can also be performed, and the cost is reasonable. Acne is caused by multiple factors, including: 1. Excessive keratinization of hai...

Which Specialist to See for Persistent Itching and Skin Allergies?

If you frequently experience itching all over your body, you should consult a dermatologist.

Dr. Zhang Yanhong reply Family Medicine
Hello: It is recommended to schedule an appointment with a dermatologist for evaluation! Changhua Hospital cares about your health!

Understanding Food Allergies: How to Identify and Test for Allergens

Due to recent experiences of frequent allergic reactions, including redness and swelling, as well as the occurrence of hives, I have noticed that consuming certain foods can lead to itching and even the development of acne. I would like to ask the doctor which specialty I should ...

Dr. Wang Zhengzhong reply Family Medicine
Hello: Regarding your question about "recently experiencing allergic reactions with redness and swelling, as well as being prone to hives and itching after consuming certain foods, and even developing acne; I would like to know which specialty I should consult to check for a...

Understanding Dark Circles: Which Specialist Should You Consult?

I have been troubled by dark circles under my eyes for a long time, and going to bed early doesn't help. Is it due to poor metabolism or something else? I've heard that nasal allergies can cause dark circles, but I don't have any nasal allergies. Therefore, I decid...

Dr. Yang Hongzhi reply Internal Medicine
Dark circles are not a sign of a specific disease; if there are no other symptoms, it is not necessarily required to see a doctor.