Oral antibiotics are used in the management of moderate- to-severe acne and acne-like disorders, such as rosacea. The tetracyclines are the usual drug of choice; of the tetracyclines, minocycline is considered the gold standard. Both the tetracyclines and the less frequently used erythromycin preparations inhibit the growth of Propionibacterium acnes, which decreases free fatty acid production and pustule formation.
Lindsay McCoy, a finance consultant from Memphis, thought the family curse of acne had passed her by, because while most of her mother's family had been blighted by the ailment, she thought she was home and dry at the age of 31. But the first dreaded acne lesions appeared in the third month of Lindsay's pregnancy, and despite her gynecologist's assurances, the outbreaks did not clear up once she had the baby. "I had hideous eruptions on my face, and though my boyfriend Reggie was extremely supportive, he began to lose patience as my depression over my condition increased," she says.
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