Severe cases of acne do not only cause skin deep problems a person’s life, but can also contribute to embarrassment and stress. The presence of acne may pose a threat to limiting employment opportunities and even social life. The disfiguring results of acne require longer periods of dermatologists’ treatment.
There are 4 types of severe acne:
- Acne conglobata
- Gram negative folliculitisr
- Acne fulminans
- Nodulocystic acne
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Acne conglobata (AC) is a rare severe form of acne manifested by interconnecting abscesses, burrowing and irregular atrophic and keloidal scars which causes certain disfigurements. The comedones may form in clusters of 2 or 3, and the cysts are often filled with foul-smelling seropurulent material that may recur even when drained.
Conglobata may also develop due to a sudden weakening of existing pustular or papular acne, or as a result of quiescent of recrudescence of the acne for several years. The nodules are usually anywhere in the body, may it be on the back, buttocks, chest, face, upper arms, shoulders and even on the thighs.
Acne Conglobata: Signs and Symptoms
Conglobata is severe and chronic. Its distinctive characteristics include skin inflammation and damage. This often results to deep abscesses and scarring. There also occur other few types of acne such as black heads which may be widespread. The black heads may appear in the upper arms, face, buttocks, trunk, and neck.
Inflamed nodules surround the comedones. Eventually they will break and pus is secreted. As a result, the affected skin has deep ulcers. Furthermore, crusts, and keloidal scars appear over the ulcers.
Previous occurrence of recurring or deteriorating acne cysts, pustules, or papules may precede acne conglobata. This form of acne usually springs from other previously existing acne.
Acne Conglobata: Treatment
Apart from the medical belief that fatty diet increases the probability of sebum secretion, there is only little proof to support such theory. Acnes’ basic treatment is regular washing and application of antiseptic gels in the face.
Oral antibiotics have been highly recommended for patients of severe acne. Similar to topical antibiotics, these medications minimize the further growth of acnes and resulting to lessening of inflammations. The dosage is usually descending until the acne dissolves. However, it is important to note that the bacteria may develop certain immunity against the antibiotic. If this happens, you may switch to other antibiotics at the prescription of the doctor. Common antibiotics include tetracycline, doxycline, minocycline and erythromycin.
Another potent drug for treating acne causing cyst is the Isotretinoin. It is also considered an alternative drug to other acnes which are resistant to certain medications. It is administered either once or twice a day for 16 to 20 weeks. It works best on clogged skin spores, skin inflammations, and excess oil production. |