Sunday, May 5, 2019

Effective treatment of cystic acne

What is cystic acne?

Cystic acne [which happens to be a nodular cystic acne] is an acute or severe form of acne whose name comes from a cyst that is associated with this acne condition. These cysts are actually inflammatory nodules caused by abnormal expansion of normal skin structures.

Cysts usually develop from papular or nodular acne lesions, and when it penetrates deep into the skin, a local immune response occurs. The cyst may only appear on the face, or most of it on the face. However, they can happen quickly in other areas such as the neck, shoulders, back, chest, arms and even the scalp. When the cysts become inflamed, they may be painful and appear to be full of thick yellow pus.

Cystic acne is a form of disfigurement of severe acne because it causes cell destruction and leads to persistent skin scarring. Sometimes cysts are even a few centimeters in diameter, leading to deep scar scars. Cystic acne is most vulnerable to this scar formation, which can last for ten years or more and can have serious consequences. In today's seemingly conscious society, cystic acne can undermine the prospects of individuals and professions, mentally consuming and destroying people.

The combined nodular cysts can unite, causing substantial cell destruction and inflammation, and lead to another form of severe acne, acne Conglobata.

Approved treatment for cystic acne

Approved treatment for cystic acne includes:

  1. Oral medications [mainly antibiotics and birth control pills]
  2. Isotretinoin
  3. Intralesional corticosteroid injection and
  4. Surgery

For the initial or mild cases of cystic acne, topical antibiotics and warm water dressings are prescribed.

Oral drugs

Oral antibiotics have been the mainstay of acne treatment for many years. Treatment begins with a high dose of antibiotics that decreases as the condition of the acne improves. Antibiotics such as doxycycline, erythromycin, minocycline and tetracycline are known to be effective against cystic acne. A strong response to antibiotic treatment is that acne bacteria can develop resistance to the antibiotics used to treat it. In this case, another antibiotic must be used.

Similarly, oral contraceptives are effective in treating acne in women. The contraceptive pill works by inhibiting the overactive sebaceous glands.

Isotretinoin

Isotretinoin is a retinoid associated with vitamin A and is an effective oral treatment for patients with severe cystic acne. Isotretinoin acts by reducing sebum secretion, thereby clearing the pores of the skin and preventing the formation of new acne. The opening of the hair follicles simultaneously inhibits the growth of anaerobic bacteria that cause inflammation. When used from an early stage, isotretinoin produces the best results [ineffective for pre-existing scars]. Isotretinoin drugs usually last for 15 to 20 weeks.

Intralesional corticosteroid [CS] injection

Intralesional corticosteroids have been successfully used to treat a variety of skin and non-dermatological conditions, including cystic acne. Intralesional or intralesional injection means that the drug is injected directly into the skin lesion. This results in a higher concentration of the drug at the disease site, allowing it to function faster and produce better results.

When the acne cyst is severely inflamed, a corticosteroid injection in the lesion is used. Injections diluted with corticosteroids not only reduce pain and inflammation, but also help prevent skin scarring by preventing cyst breakdown. After treatment of the lesion with any steroid, sometimes triamcinolone acetonide [TA] or triamcinolone acetonide, hydrocortisone acetate, methylprednisolone, cysts melt [3 to 5 days] and regeneration and healing The process begins.

All of the above treatments have advantages and disadvantages; therefore, you must consult your dermatologist [detail your health].

Surgery

When the cyst does not respond to the drug, hemorrhoid surgery, or surgical removal and removal of hemorrhoids. Treatment involves manual extraction of blackheads and whiteheads with the help of a pointed instrument [such as a ring extractor] that removes blackheads or whiteheads from the cyst. This form of surgery can only be performed by a trained dermatologist under completely sterile conditions. Extraction by unacceptable persons may cause skin tissue to rupture, which may cause infection of skin bacteria, resulting in greater inflammation.

Like all acne conditions, cystic acne is curable; it requires immediate attention and proper treatment.



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