Case Report: Successful Acne Control With Low-Dose Isotretinoin in an Adult Male
Dermatology Care in Katy & Houston, Texas
Introduction
Acne is often thought of as a teenage condition, but many adults continue to struggle with persistent or recurrent breakouts well into their 30s and beyond. At Reena Jogi, MD, we frequently see adult patients whose acne has not responded adequately to topical treatments or oral antibiotics. This case highlights the successful management of adult acne using low-dose isotretinoin, with close monitoring and excellent tolerance.
Patient Background
A 37-year-old male presented for follow-up care for acne vulgaris at our dermatology clinic serving Katy and Houston, Texas. He was initially evaluated on November 11, 2025, at which time oral isotretinoin 10 mg three times daily was initiated due to persistent inflammatory acne.
The patient returned for routine follow-up to assess treatment response, side effects, and medication tolerance.
Clinical Findings
A focused dermatologic examination of the face was performed. The patient appeared well-developed and well-nourished, was alert and oriented, and in no acute distress. A dermatoscope was utilized to assist with lesion evaluation.
At this visit:
No active inflammatory breakouts were observed
Significant improvement was noted compared to the prior visit
No new nodules, cysts, or scarring were identified
Treatment Response
The patient reported excellent tolerance of isotretinoin therapy. Aside from very mild dryness, he denied any significant side effects, including:
Mood changes
Headaches or vision issues
Joint or muscle pain
Gastrointestinal symptoms
Importantly, the patient experienced no acne flares during the past month, indicating an early positive response to therapy.
Given the favorable response, the treatment plan was to continue isotretinoin 10 mg three times daily.
Ongoing Monitoring & Safety
Because isotretinoin is a high-risk medication, appropriate monitoring is essential. As part of standard isotretinoin management at our Katy and Houston dermatology offices, the following were addressed:
Laboratory monitoring:
Hepatic Function Panel
Triglycerides
iPLEDGE compliance:
Patient confirmed and prescription authorized
Patient counseling included:
Avoiding blood donation
Not sharing medication
Awareness of potential side effects such as dryness, hair shedding, joint aches, mood changes, and lab abnormalities
Contacting the office immediately for severe headaches, vision changes, depressive symptoms, or abdominal pain
The patient was provided a lab slip and instructed to return in one month for continued evaluation.
Acne Education & Skin Care Counseling
Comprehensive acne counseling was reviewed, including realistic expectations and supportive skin care. The patient was advised that improvement typically continues over 2–3 months, with up to 60–80% clearance.
Recommended non-comedogenic products included:
Cleansers: Cetaphil Oil Control, CeraVe Foaming Cleanser, Neutrogena Oil-Free Acne Wash, SkinMedica AHA/BHA Cleanser
Moisturizers & Sunscreen: CeraVe PM, Cetaphil Oil Control, EltaMD UV Clear
Benzoyl peroxide-based moisturizers were also discussed as adjunctive therapy if needed.
Why This Case Matters
This case demonstrates that low-dose isotretinoin can be an effective and well-tolerated option for adult male acne, even at modest dosing, when monitored appropriately. Early results show excellent disease control with minimal side effects.
At Reena Jogi, MD, we customize acne treatment plans to each patient’s needs, balancing effectiveness with safety—whether you’re a teenager, adult, or dealing with long-standing acne.
Expert Acne Care in Katy & Houston, Texas
If you are struggling with persistent acne or considering isotretinoin therapy, our dermatology team offers expert acne treatment and isotretinoin monitoring in Katy and Houston, Texas. Schedule a consultation to explore personalized options for clearer, healthier skin.
