A 17 year old male presented with one of the worst cases of cystic acne i had seen. The boy & his mother had frequented their local doctor surgery several times over the years with differing results ; at first repeated roaccutane courses seemed positive, as did recurrent antibiotic therapy, although over time his symptoms were continual and the pharmaceutical side effects were proving a problem. It had now been 4 years…

A 41 year old woman presented with a long term history of skin breakouts around the cheek , chin areas. A full case history proved of little interest, and generally she was a very vital / healthy woman. She had a massive sweet tooth which she regularly gave in to, but her weight was good.