Types of Severe Acne
There are many types of Acne. Some classified as mild and some as severe. Severe acne is usually divided into four main types and can affect a persons life greatly bringing a great deal of embarrassment and frustration.
Besides social problems it can often be very painful and hurting. Overcoming problems associated with severe acne takes time and requires complete treatment by a specialist or dermatologist. Following are four different types of severe Acne:
- 1.Acne conglobata
3.Gram negative folliculitis
Acne conglobata is a severe form of inflammatory acne, which contains painful deep sores and swelling which often give rise to irregular acne scars. These are cysts; papules or pustules filled with smelly pus and are usually found on the face, neck, arms and buttocks of a person. The cysts keep on increasing in size and gradually break down discharging the pus inside it. This type of acne is not at all associated with genetic disorder and damages the skin severely. The treatment for this type of acne should be started at an early stage to prevent scarring. Sometimes it takes many years for the problem to get completely cured depending on the severity of the Acne. The dermatologists often recommend a number of antibiotics and oral steroids for the treatment of acne conglobata but these should only be taken after discussing the prospective side effects. For women usually hormonal therapy is advised. Once the acne conglobata has been cured there is a risk that it might return back. Therefore regular checkups are advised in order to avoid it from coming back. Acne conglobata is more common among males than females and usually affects a person between the age of 18 and 30.
Acne fulminans also known as acne maligna is a severe inflammatory acne that is caused by sudden rise of sebum and bacteria level due to high concentrations of testosterone and anabolic steroids. Acne fulminans is also considered as an autoimmune complex disease and it is linked to genetic factors as well. It consists of a number of inflammatory nodules, which keeps on increasing in size and become more painful. Common symptoms of this disease include severe lesions, fever, arthritis, and failure to respond to antibacterial therapy. Acne fulminans usually affects people who have not been successfully treated for other types of acne and is associated with bone lesions, constitutional symptoms, and laboratory abnormalities. Like acne conglobata Acne fulminans is also more common among male than females. But unlike acne conglobata it may cause systemic illness and often does not respond well to medicines used for treating acne conglobata. Dermatologists usually recommend a combination of oral steroids and Isotretinoin but these often leave adverse side effects when used for prolonged periods. Once the treatment is over a person should have regular checkups by a dermatologist in order to prevent Acne fulminans from coming back.
Nodulocystic acne is another severe type of acne that consists of cysts but these are not considered as true cysts but rather an abnormal dilation of normal skin structure. These cysts either appear singly or are spread throughout the surface of face, neck, scalp, back, chest, and shoulders. These are inflammatory cysts that are painful and infected and occur as a result of lesion or cuts that develop in the outer layers of the skin. The cysts are usually filled with a thick, yellow, pus-like fluid that spread out once it increases in size and burst out. If not treated at the right time this type of acne often give rise to scars. The cysts that are patched together result in patches of inflammation and cell destruction. Like all other types of severe acne, Nodulocystic also needs to be treated with antibiotics or corticosteroids, which melt the cyst within few days. Often surgery is also carried out to treat cysts that are not cured with medicines. The main aim of the surgery is to drain out all the fluid from the cysts under sterile conditions.
Gram-negative folliculitis occurs as a result of bacterial infection in the follicles that looks like a pustule rash. It contains very few papules, blackheads and white heads. Gram-negative folliculitis usually occurs as a result of complex and long-term antibiotic treatment of Acne Vulgaris. This type of severe acne can affect both men and women. Although dermatologists recommend treating this acne with antibiotics but there are many bacteria that are resistant to antibiotics.
Acne either mild or severe needs a careful treatment. Mild acne is often prevented by following a skin care regimen or by using suitable cleanser but in order to treat severe acne a dermatologist needs to be consulted. Unlike mild types of acne, severe acne often takes years to get completely cured and the treatment may vary from one person to another.
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