Cystic acne is one of the most severe forms of acne and is an inflammation of the sebaceous glands. Ulcerative-cystic eruptions, filled with pus, are localized on the face and body. After being gone, they usually leave scars and dark spots on the skin. Dermatological disease is characteristic of the teenage category, but it can also occur in adults. Cystic acne requires complex treatment with the use of general and local antibiotic therapy.
Causes of cystic acne
The cause of the development of cystic acne is the hyperactive work of the sebaceous glands. The sebum produced by them clogs the ducts and leads to the development of the inflammatory process against the background of active multiplication of pathogenic bacteria. The following factors contribute to the increase in production of sebaceous secret by glands:
- seborrheic dermatitis
- hormonal rearrangement
- alcohol abuse
- reception of hormonal preparations.
Clinical picture of cystic acne
The hyperactive work of the sebaceous glands, in which a dense secret forms, becomes a cause of difficulty in outflow through the outflow ducts. Skin fat accumulated in the ducts of the glands is a favorable environment for the development and reproduction of pathogenic microorganisms. The place of localization of cystic acne is most often the skin of the face, chest, and back. On the affected areas, there is:
- expansion of pores
- severe redness
- fibrotic nodular growths.
As the skin formations mature, cysts are formed, which are subsequently filled with pus. Affected areas acquire a dark red color with a bluish tinge. Fibrously purulent growth brings not only aesthetic discomfort, but also causes painful sensations.
Differential diagnosis of skin disease
In addition to examining by the dermatologist, the diagnosis of cystic acne includes the following:
- bacteriological culture.
Dermatoscopy is a hardware method of differential diagnosis, with which you can make a visual assessment of the pathological processes taking place in the dermis. The results of this analysis help identify the type of bacteria and their resistance to certain antibiotics.
Methods of treatment of nodular and cystic acne
The cystic form of acne includes the following therapeutic measures:
- taking antibiotics and retinoids
- topical preparations
- hardware method of treatment
- correction of diet.
Treatment of dermatological disease begins with the identification and elimination of the cause of cystic acne. The duration of therapy can range from several months to a year or more, depending on the severity of acne.
With acne of severe form, systemic antibiotics are prescribed. When nodular cystic acne cannot be treated with systemic antibiotics, the patient is prescribed retinoids. The most commonly used drug is Accutane. Useful action of Accutane has been repeatedly proven in practice. Treatment with retinoids is carried out from 4 months to 6 months. As a rule, cystic acne completely disappears after the first course. In rare cases, you may need a second course of admission. The dosage of Accutane is selected by the doctor strictly individually, depending on the particular course of acne. Take drugs of this group only with the appointment of a dermatologist, otherwise retinoids can cause side effects. Also, medicines against cystic acne have a large list of contraindications.
Correctly designed treatment regimen and a selected dosage of medications will reduce the risk of complications in the background of cystic acne, and increase the effectiveness of therapy in several times.