Greetings. Somethimes the ointment or cream base of certai medicines can trigger off acne, and if this has started after using ketoconazole cream on face then, i wuld suggest you to discontinue it; you could alternatively use miconazole in gel base and see - please do the cahnges under direct supervsion of your dermatologist. Also you may need some more treamtent for acne in the form of other topical medication. Even use of cosmetics and make up can worsen acne.
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