Here's the bit I'm not so knowledgeable about: it's my understanding that there's is a microbial aspect to acne (p. acnes?) as well as the clogged-pore part, which is why topical/oral antibiotics can work as treatment. I would be extremely hesitant to use hydrocostisone in this situation, given it might affect my ability to keep the bugs in check. (Presumably for this reason) my hydrocortisone cream explicitly says not to use it on acne. (You can check out this for a real-life example (and excuse my similar response there))
One hundred fifty-nine operative procedures for postburn contractures of interdigital webs (96), the axilla (46), or the neck (17) were prospectively randomized to be treated postoperatively for four months with a topical steroid (Aristocort A), topical vitamin e, or the base cream carrier for these drugs. The nature of the medication was blinded both to the patient and to the evaluator. Patients were followed for one year. Observations were made for range of motion, scar thickness, change in graft size, and ultimate cosmetic appearance. No beneficial effect of either vitamin E or topical steroid could be demonstrated. However, adverse reactions occurred on % of patients receiving active drug, compared to % treated with only base cream. Interestingly, the grafts initially contracted and subsequently grew to be a larger size (about 20%) than the original graft by one year. It is concluded that neither topical steroid nor topical vitamin E is effective in reducing scar formation for postburn contractures.
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