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Case #341

      Many people believe that a certain topical treatment for the skin is a very effective weapon against acne. A derivative of vitamin A (retinoic acid), commonly called "Retinae" in medicine form, is often prescribed for use in cases of severe acne. Donovan was one of those cases. He had had acne since he was 11 years old. His face was cratered like the moon, with large landmarks, and new, fresh gashes. Before I met him, he popped all of his pimples and left horrible scars. When I saw him, I knew he must get help soon. I prescribed Retinae for him, and it seemed to be working a little bit, but he still had many pimples left. One day, he came to ask a few questions of me. He asked me how ingestion of vitamins differs from the topical treatment. It did not occur to me what he meant at that time. I answered the question honestly. I told him that the pimples are part of his bloodstream, and the vitamin A would reach the pimples regardless of how it was put into the system. The topical treatment is, however, absorbed more rapidly. He thanked me, changed the subject and left. I thought nothing of his questions and went on with my life. A couple weeks later, I recieved the alarming report that Donovan was being taken to the hospital because of toxins in his blood. I learned that Donovan bought vitamin A supplements over the counter and ate them in unbelievable amounts. He went through one jar in a couple of days, I was told. Donovan eventually recovered, but he did stay in critical care for over a week. Ingesting that much Vitamin A is very hazardous to your health.

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