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Cystic acne symptoms. Cystic Acne: Symptoms, Causes, and Treatment for a Flawless Complexion

What is cystic acne? How does it differ from other types of acne? What are the symptoms and causes of this severe skin condition? Discover the best treatment options to clear up cystic acne and prevent scarring.

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Understanding Cystic Acne

Cystic acne is a severe and inflammatory type of acne that occurs when oil, dead skin cells, and bacteria become trapped deep within the skin’s pores, leading to the formation of painful, pus-filled cysts. Unlike other types of acne, such as blackheads or whiteheads, cystic acne lesions develop beneath the skin’s surface, making them more difficult to treat and more likely to cause scarring.

Symptoms of Cystic Acne

Cystic acne can present in a variety of ways, but some of the most common symptoms include:

  • Red, swollen lumps under the skin that are painful to the touch
  • Pus-filled cysts that can range in size from a pea to a dime
  • Crusty or oozing lesions
  • Breakouts that cover a large area of the face, back, chest, or other areas with high concentrations of oil glands

Cystic acne lesions can be particularly frustrating because they are often more resistant to treatment and more likely to result in scarring compared to other types of acne.

Causes of Cystic Acne

The primary causes of cystic acne include:

  1. Age: Teenagers are more prone to cystic acne due to hormonal changes during puberty.
  2. Genetics: Individuals with a family history of cystic acne are more likely to develop the condition.
  3. Hormonal changes: Fluctuations in hormone levels, such as during the teenage years or menopause, can trigger cystic acne breakouts.
  4. Stress: High levels of stress can increase the production of oil in the skin, leading to clogged pores and bacterial overgrowth.

It’s important to note that cystic acne is not caused by poor hygiene or dietary choices, as was once commonly believed. While certain lifestyle factors can exacerbate acne, they are not the root cause of this skin condition.

Diagnosing Cystic Acne

Cystic acne is typically diagnosed by a dermatologist, a medical professional who specializes in the diagnosis and treatment of skin conditions. During the examination, the dermatologist will assess the appearance and characteristics of the lesions, as well as gather information about the patient’s medical history and potential contributing factors.

In some cases, the dermatologist may also order additional tests, such as bloodwork or a skin biopsy, to rule out other underlying conditions that could be contributing to the acne.

Treating Cystic Acne

Treating cystic acne can be challenging, as the deep-seated nature of the lesions makes them resistant to many over-the-counter acne treatments. As such, most cases of cystic acne require the intervention of a dermatologist and a combination of prescription-strength medications and therapies, including:

  • Topical medications: Antibiotic creams, gels, and solutions to kill bacteria and reduce inflammation; retinoids to help remove dead skin cells; and benzoyl peroxide to decrease bacterial growth.
  • Oral medications: Antibiotics to combat bacterial infections; hormonal therapies, such as birth control pills or spironolactone, to regulate hormones in women; and isotretinoin (Accutane), a powerful oral retinoid.
  • Corticosteroid injections: Used to quickly shrink large, painful cysts.
  • Incision and drainage: A procedure to open up and drain the pus from a cyst.

Depending on the severity of the cystic acne, it may take several months to see a significant improvement in the condition. Patience and adherence to the prescribed treatment plan are crucial for achieving the best possible outcomes.

Preventing Cystic Acne

While cystic acne can be difficult to prevent entirely, there are several steps individuals can take to reduce their risk of developing severe breakouts and minimize the potential for scarring:

  1. Cleansing: Use a gentle, foaming facial cleanser and lukewarm water to wash the face twice daily, avoiding harsh scrubbing or the use of washcloths or sponges.
  2. Moisturizing: Apply an oil-free moisturizer to keep the skin hydrated and prevent excessive oil production.
  3. Avoiding irritants: Steer clear of comedogenic (pore-clogging) makeup, hair products, and other facial products, and remove all makeup before bedtime.
  4. Hands off: Resist the urge to pick, pop, or squeeze pimples, as this can worsen the condition and increase the risk of scarring.
  5. Lifestyle factors: Maintain a healthy diet, manage stress levels, and avoid contact with excessively oily environments, as these factors can contribute to cystic acne flare-ups.

By taking a proactive approach to skin care and addressing the underlying causes of cystic acne, individuals can significantly improve their chances of achieving and maintaining a clear, healthy complexion.

Outlook and Prognosis

The prognosis for individuals with cystic acne is generally positive, as most people can effectively manage their condition and prevent severe breakouts or scarring with the right treatment approach.

While cystic acne can be a challenging and frustrating condition, it’s important to remember that it is a common and treatable skin disorder. With the guidance of a dermatologist and a commitment to a consistent skin care routine, most individuals with cystic acne can achieve clear, healthy skin and regain their confidence.

That being said, it’s crucial to seek professional medical treatment for cystic acne, as attempting to manage it on one’s own or using over-the-counter products can lead to worsening of the condition and an increased risk of scarring. By working closely with a dermatologist, individuals with cystic acne can develop a personalized treatment plan that addresses the root causes of their condition and helps them achieve their desired skin health goals.

What Is It, Symptoms, Causes and Treatment

Overview

A cystic acne breakout on the face, which has a lot of oil glands.

What is cystic acne?

Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.

With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.

What’s the difference between an acne cyst and an acne nodule?

Nodular acne and cystic acne are very similar. Both cause deep, painful bumps under the skin. And both can scar. Differences include:

  • Acne cysts are filled with pus, a fluid.
  • Acne nodules are more solid and harder than acne cysts because they don’t contain fluid.

Symptoms and Causes

What causes cystic acne?

Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin’s middle layer (the dermis). This infected, red, swollen lump is an acne cyst.

Cystic acne causes include:

  • Age (teenagers are more prone to cystic acne).
  • Family history of cystic acne.
  • Hormone changes during the teenage years and sometimes during menopause, and stress.

What does cystic acne look like?

Acne cysts resemble boils, a type of skin infection. An acne cyst may be:

  • A red lump under the skin.
  • Painful or tender to touch.
  • Small as a pea or big as a dime.
  • Oozing pus from a whitish-yellow head.
  • Crusty.

Where do acne cysts develop?

A cystic acne breakout may cover a large area of skin. Cystic acne tends to appear on the face, which has a lot of oil glands. But you can also get acne cysts on your:

  • Back.
  • Butt.
  • Chest.
  • Neck.
  • Shoulders.
  • Upper arms.

Diagnosis and Tests

How is cystic acne diagnosed?

A dermatologist, a doctor who specializes in skin conditions, can examine your skin and make a cystic acne diagnosis.

Management and Treatment

How is cystic acne managed or treated?

Acne cysts can be difficult to treat. Because they can scar, you should seek help from a dermatologist instead of trying over-the-counter acne products. A dermatologist can teach you how to treat cystic acne.

It can take three months or more to clear up acne cysts. Treatment often involves taking oral antibiotics and applying prescription-strength topical gels or creams to the skin.

Cystic acne treatments include:

  • Antibiotic creams, gels solutions and lotions to kill bacteria and decrease inflammation.
  • Azelaic acid (Azelex®, Finacea®) or salicylic acid to kill bacteria and get rid of excess dead skin cells.
  • Benzoyl peroxide to reduce the number of bacteria on the skin.
  • Retinoids (adapalene, tretinoin, tazarotene among others), vitamin A derivatives that help slough dead skin cells.

What are other cystic acne treatments?

Other treatments for cystic acne include:

  • Corticosteroid injections: Used to quickly shrink large, painful acne cysts.
  • Incision and draining: Helps to open up an acne cyst and drain the pus.
  • Birth control pill or spironolactone: Used by women to lower hormone levels that cause cystic acne.
  • Isotretinoin: An oral retinoid (most commonly called Accutane).

What are the complications of cystic acne?

Opening up acne cysts — by popping or picking them — increases the risk of scarring and bacterial skin infections like cellulitis.

Some people develop pigment changes (light or dark) spots at the site of the acne cyst after the skin clears up. These spots may be pink, purple, red, black or brown. They eventually fade away, but it may take more than a year.

Prevention

How can I prevent cystic acne?

You can lower your risk of getting acne by taking these steps:

  • Use a mild foaming facial cleanser, lukewarm water and your fingers (not a washcloth or sponge) to wash your face after you wake up, before going to bed and after exercising or sweating.
  • Apply oil-free moisturizer if you feel dry.
  • Use noncomedogenic (water-based) makeup and facial products.
  • Don’t sleep in makeup.
  • Keep your hands away from your face during the day.
  • Don’t pick at or pop pimples or scabs.
  • Wash your hair regularly and keep hair (which can be oily) away from your face.
  • Occasionally oily environments, such as working at a fast food restaurant, can contribute to acne flares.
  • Diets high in simple sugars and dairy, also called a high glycemic index diet, may contribute to flares as well.

Outlook / Prognosis

What is the prognosis (outlook) for people who have cystic acne?

Most people with cystic acne can prevent severe breakouts or quickly treat acne cysts to prevent scarring. Often, but not always, cystic acne clears up or diminishes with age, as hormones settle down.

Severe or untreated cystic acne can affect how you feel about your appearance, making you anxious or depressed. If cystic acne bothers you, talk with your healthcare provider about getting help with fostering a positive self-image.

Living With

When should I call the doctor?

You should call your healthcare provider if you experience:

  • Swollen, red, painful pimples.
  • Acne or scarring that makes you feel self-conscious.
  • Signs of a skin infection.

What questions should I ask my doctor?

You may want to ask your healthcare provider:

  • What causes cystic acne?
  • What is the best cystic acne treatment?
  • What are the treatment side effects?
  • How can I lower my chances of getting acne cysts?
  • How can I prevent scarring or other complications?

A note from Cleveland Clinic

It’s tempting to want to touch or pick at painful, swollen acne cysts. But cystic acne is more likely than other zits to scar or develop infections. A dermatologist can offer suggestions to prevent cystic acne. This doctor can also treat painful acne cysts, lowering the chances of scarring. Antibiotics and topical (skin) creams are effective cystic acne treatments.

What Is It, Symptoms, Causes and Treatment

Overview

A cystic acne breakout on the face, which has a lot of oil glands.

What is cystic acne?

Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.

With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.

What’s the difference between an acne cyst and an acne nodule?

Nodular acne and cystic acne are very similar. Both cause deep, painful bumps under the skin. And both can scar. Differences include:

  • Acne cysts are filled with pus, a fluid.
  • Acne nodules are more solid and harder than acne cysts because they don’t contain fluid.

Symptoms and Causes

What causes cystic acne?

Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin’s middle layer (the dermis). This infected, red, swollen lump is an acne cyst.

Cystic acne causes include:

  • Age (teenagers are more prone to cystic acne).
  • Family history of cystic acne.
  • Hormone changes during the teenage years and sometimes during menopause, and stress.

What does cystic acne look like?

Acne cysts resemble boils, a type of skin infection. An acne cyst may be:

  • A red lump under the skin.
  • Painful or tender to touch.
  • Small as a pea or big as a dime.
  • Oozing pus from a whitish-yellow head.
  • Crusty.

Where do acne cysts develop?

A cystic acne breakout may cover a large area of skin. Cystic acne tends to appear on the face, which has a lot of oil glands. But you can also get acne cysts on your:

  • Back.
  • Butt.
  • Chest.
  • Neck.
  • Shoulders.
  • Upper arms.

Diagnosis and Tests

How is cystic acne diagnosed?

A dermatologist, a doctor who specializes in skin conditions, can examine your skin and make a cystic acne diagnosis.

Management and Treatment

How is cystic acne managed or treated?

Acne cysts can be difficult to treat. Because they can scar, you should seek help from a dermatologist instead of trying over-the-counter acne products. A dermatologist can teach you how to treat cystic acne.

It can take three months or more to clear up acne cysts. Treatment often involves taking oral antibiotics and applying prescription-strength topical gels or creams to the skin.

Cystic acne treatments include:

  • Antibiotic creams, gels solutions and lotions to kill bacteria and decrease inflammation.
  • Azelaic acid (Azelex®, Finacea®) or salicylic acid to kill bacteria and get rid of excess dead skin cells.
  • Benzoyl peroxide to reduce the number of bacteria on the skin.
  • Retinoids (adapalene, tretinoin, tazarotene among others), vitamin A derivatives that help slough dead skin cells.

What are other cystic acne treatments?

Other treatments for cystic acne include:

  • Corticosteroid injections: Used to quickly shrink large, painful acne cysts.
  • Incision and draining: Helps to open up an acne cyst and drain the pus.
  • Birth control pill or spironolactone: Used by women to lower hormone levels that cause cystic acne.
  • Isotretinoin: An oral retinoid (most commonly called Accutane).

What are the complications of cystic acne?

Opening up acne cysts — by popping or picking them — increases the risk of scarring and bacterial skin infections like cellulitis.

Some people develop pigment changes (light or dark) spots at the site of the acne cyst after the skin clears up. These spots may be pink, purple, red, black or brown. They eventually fade away, but it may take more than a year.

Prevention

How can I prevent cystic acne?

You can lower your risk of getting acne by taking these steps:

  • Use a mild foaming facial cleanser, lukewarm water and your fingers (not a washcloth or sponge) to wash your face after you wake up, before going to bed and after exercising or sweating.
  • Apply oil-free moisturizer if you feel dry.
  • Use noncomedogenic (water-based) makeup and facial products.
  • Don’t sleep in makeup.
  • Keep your hands away from your face during the day.
  • Don’t pick at or pop pimples or scabs.
  • Wash your hair regularly and keep hair (which can be oily) away from your face.
  • Occasionally oily environments, such as working at a fast food restaurant, can contribute to acne flares.
  • Diets high in simple sugars and dairy, also called a high glycemic index diet, may contribute to flares as well.

Outlook / Prognosis

What is the prognosis (outlook) for people who have cystic acne?

Most people with cystic acne can prevent severe breakouts or quickly treat acne cysts to prevent scarring. Often, but not always, cystic acne clears up or diminishes with age, as hormones settle down.

Severe or untreated cystic acne can affect how you feel about your appearance, making you anxious or depressed. If cystic acne bothers you, talk with your healthcare provider about getting help with fostering a positive self-image.

Living With

When should I call the doctor?

You should call your healthcare provider if you experience:

  • Swollen, red, painful pimples.
  • Acne or scarring that makes you feel self-conscious.
  • Signs of a skin infection.

What questions should I ask my doctor?

You may want to ask your healthcare provider:

  • What causes cystic acne?
  • What is the best cystic acne treatment?
  • What are the treatment side effects?
  • How can I lower my chances of getting acne cysts?
  • How can I prevent scarring or other complications?

A note from Cleveland Clinic

It’s tempting to want to touch or pick at painful, swollen acne cysts. But cystic acne is more likely than other zits to scar or develop infections. A dermatologist can offer suggestions to prevent cystic acne. This doctor can also treat painful acne cysts, lowering the chances of scarring. Antibiotics and topical (skin) creams are effective cystic acne treatments.

What Is It, Symptoms, Causes and Treatment

Overview

A cystic acne breakout on the face, which has a lot of oil glands.

What is cystic acne?

Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.

With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.

What’s the difference between an acne cyst and an acne nodule?

Nodular acne and cystic acne are very similar. Both cause deep, painful bumps under the skin. And both can scar. Differences include:

  • Acne cysts are filled with pus, a fluid.
  • Acne nodules are more solid and harder than acne cysts because they don’t contain fluid.

Symptoms and Causes

What causes cystic acne?

Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin’s middle layer (the dermis). This infected, red, swollen lump is an acne cyst.

Cystic acne causes include:

  • Age (teenagers are more prone to cystic acne).
  • Family history of cystic acne.
  • Hormone changes during the teenage years and sometimes during menopause, and stress.

What does cystic acne look like?

Acne cysts resemble boils, a type of skin infection. An acne cyst may be:

  • A red lump under the skin.
  • Painful or tender to touch.
  • Small as a pea or big as a dime.
  • Oozing pus from a whitish-yellow head.
  • Crusty.

Where do acne cysts develop?

A cystic acne breakout may cover a large area of skin. Cystic acne tends to appear on the face, which has a lot of oil glands. But you can also get acne cysts on your:

  • Back.
  • Butt.
  • Chest.
  • Neck.
  • Shoulders.
  • Upper arms.

Diagnosis and Tests

How is cystic acne diagnosed?

A dermatologist, a doctor who specializes in skin conditions, can examine your skin and make a cystic acne diagnosis.

Management and Treatment

How is cystic acne managed or treated?

Acne cysts can be difficult to treat. Because they can scar, you should seek help from a dermatologist instead of trying over-the-counter acne products. A dermatologist can teach you how to treat cystic acne.

It can take three months or more to clear up acne cysts. Treatment often involves taking oral antibiotics and applying prescription-strength topical gels or creams to the skin.

Cystic acne treatments include:

  • Antibiotic creams, gels solutions and lotions to kill bacteria and decrease inflammation.
  • Azelaic acid (Azelex®, Finacea®) or salicylic acid to kill bacteria and get rid of excess dead skin cells.
  • Benzoyl peroxide to reduce the number of bacteria on the skin.
  • Retinoids (adapalene, tretinoin, tazarotene among others), vitamin A derivatives that help slough dead skin cells.

What are other cystic acne treatments?

Other treatments for cystic acne include:

  • Corticosteroid injections: Used to quickly shrink large, painful acne cysts.
  • Incision and draining: Helps to open up an acne cyst and drain the pus.
  • Birth control pill or spironolactone: Used by women to lower hormone levels that cause cystic acne.
  • Isotretinoin: An oral retinoid (most commonly called Accutane).

What are the complications of cystic acne?

Opening up acne cysts — by popping or picking them — increases the risk of scarring and bacterial skin infections like cellulitis.

Some people develop pigment changes (light or dark) spots at the site of the acne cyst after the skin clears up. These spots may be pink, purple, red, black or brown. They eventually fade away, but it may take more than a year.

Prevention

How can I prevent cystic acne?

You can lower your risk of getting acne by taking these steps:

  • Use a mild foaming facial cleanser, lukewarm water and your fingers (not a washcloth or sponge) to wash your face after you wake up, before going to bed and after exercising or sweating.
  • Apply oil-free moisturizer if you feel dry.
  • Use noncomedogenic (water-based) makeup and facial products.
  • Don’t sleep in makeup.
  • Keep your hands away from your face during the day.
  • Don’t pick at or pop pimples or scabs.
  • Wash your hair regularly and keep hair (which can be oily) away from your face.
  • Occasionally oily environments, such as working at a fast food restaurant, can contribute to acne flares.
  • Diets high in simple sugars and dairy, also called a high glycemic index diet, may contribute to flares as well.

Outlook / Prognosis

What is the prognosis (outlook) for people who have cystic acne?

Most people with cystic acne can prevent severe breakouts or quickly treat acne cysts to prevent scarring. Often, but not always, cystic acne clears up or diminishes with age, as hormones settle down.

Severe or untreated cystic acne can affect how you feel about your appearance, making you anxious or depressed. If cystic acne bothers you, talk with your healthcare provider about getting help with fostering a positive self-image.

Living With

When should I call the doctor?

You should call your healthcare provider if you experience:

  • Swollen, red, painful pimples.
  • Acne or scarring that makes you feel self-conscious.
  • Signs of a skin infection.

What questions should I ask my doctor?

You may want to ask your healthcare provider:

  • What causes cystic acne?
  • What is the best cystic acne treatment?
  • What are the treatment side effects?
  • How can I lower my chances of getting acne cysts?
  • How can I prevent scarring or other complications?

A note from Cleveland Clinic

It’s tempting to want to touch or pick at painful, swollen acne cysts. But cystic acne is more likely than other zits to scar or develop infections. A dermatologist can offer suggestions to prevent cystic acne. This doctor can also treat painful acne cysts, lowering the chances of scarring. Antibiotics and topical (skin) creams are effective cystic acne treatments.

What Is It, Symptoms, Causes and Treatment

Overview

A cystic acne breakout on the face, which has a lot of oil glands.

What is cystic acne?

Cystic acne is a type of inflammatory acne that causes painful, pus-filled pimples to form deep under the skin. Acne occurs when oil and dead skin cells clog skin pores.

With cystic acne, bacteria also gets into the pores, causing swelling or inflammation. Cystic acne is the most severe type of acne. Acne cysts are often painful and more likely to cause scarring.

What’s the difference between an acne cyst and an acne nodule?

Nodular acne and cystic acne are very similar. Both cause deep, painful bumps under the skin. And both can scar. Differences include:

  • Acne cysts are filled with pus, a fluid.
  • Acne nodules are more solid and harder than acne cysts because they don’t contain fluid.

Symptoms and Causes

What causes cystic acne?

Pores in the skin can clog with excess oil and dead skin cells, causing pimples. Bacteria can enter the skin pores and get trapped along with the oil and skin cells. The skin reaction causes swelling deep in the skin’s middle layer (the dermis). This infected, red, swollen lump is an acne cyst.

Cystic acne causes include:

  • Age (teenagers are more prone to cystic acne).
  • Family history of cystic acne.
  • Hormone changes during the teenage years and sometimes during menopause, and stress.

What does cystic acne look like?

Acne cysts resemble boils, a type of skin infection. An acne cyst may be:

  • A red lump under the skin.
  • Painful or tender to touch.
  • Small as a pea or big as a dime.
  • Oozing pus from a whitish-yellow head.
  • Crusty.

Where do acne cysts develop?

A cystic acne breakout may cover a large area of skin. Cystic acne tends to appear on the face, which has a lot of oil glands. But you can also get acne cysts on your:

  • Back.
  • Butt.
  • Chest.
  • Neck.
  • Shoulders.
  • Upper arms.

Diagnosis and Tests

How is cystic acne diagnosed?

A dermatologist, a doctor who specializes in skin conditions, can examine your skin and make a cystic acne diagnosis.

Management and Treatment

How is cystic acne managed or treated?

Acne cysts can be difficult to treat. Because they can scar, you should seek help from a dermatologist instead of trying over-the-counter acne products. A dermatologist can teach you how to treat cystic acne.

It can take three months or more to clear up acne cysts. Treatment often involves taking oral antibiotics and applying prescription-strength topical gels or creams to the skin.

Cystic acne treatments include:

  • Antibiotic creams, gels solutions and lotions to kill bacteria and decrease inflammation.
  • Azelaic acid (Azelex®, Finacea®) or salicylic acid to kill bacteria and get rid of excess dead skin cells.
  • Benzoyl peroxide to reduce the number of bacteria on the skin.
  • Retinoids (adapalene, tretinoin, tazarotene among others), vitamin A derivatives that help slough dead skin cells.

What are other cystic acne treatments?

Other treatments for cystic acne include:

  • Corticosteroid injections: Used to quickly shrink large, painful acne cysts.
  • Incision and draining: Helps to open up an acne cyst and drain the pus.
  • Birth control pill or spironolactone: Used by women to lower hormone levels that cause cystic acne.
  • Isotretinoin: An oral retinoid (most commonly called Accutane).

What are the complications of cystic acne?

Opening up acne cysts — by popping or picking them — increases the risk of scarring and bacterial skin infections like cellulitis.

Some people develop pigment changes (light or dark) spots at the site of the acne cyst after the skin clears up. These spots may be pink, purple, red, black or brown. They eventually fade away, but it may take more than a year.

Prevention

How can I prevent cystic acne?

You can lower your risk of getting acne by taking these steps:

  • Use a mild foaming facial cleanser, lukewarm water and your fingers (not a washcloth or sponge) to wash your face after you wake up, before going to bed and after exercising or sweating.
  • Apply oil-free moisturizer if you feel dry.
  • Use noncomedogenic (water-based) makeup and facial products.
  • Don’t sleep in makeup.
  • Keep your hands away from your face during the day.
  • Don’t pick at or pop pimples or scabs.
  • Wash your hair regularly and keep hair (which can be oily) away from your face.
  • Occasionally oily environments, such as working at a fast food restaurant, can contribute to acne flares.
  • Diets high in simple sugars and dairy, also called a high glycemic index diet, may contribute to flares as well.

Outlook / Prognosis

What is the prognosis (outlook) for people who have cystic acne?

Most people with cystic acne can prevent severe breakouts or quickly treat acne cysts to prevent scarring. Often, but not always, cystic acne clears up or diminishes with age, as hormones settle down.

Severe or untreated cystic acne can affect how you feel about your appearance, making you anxious or depressed. If cystic acne bothers you, talk with your healthcare provider about getting help with fostering a positive self-image.

Living With

When should I call the doctor?

You should call your healthcare provider if you experience:

  • Swollen, red, painful pimples.
  • Acne or scarring that makes you feel self-conscious.
  • Signs of a skin infection.

What questions should I ask my doctor?

You may want to ask your healthcare provider:

  • What causes cystic acne?
  • What is the best cystic acne treatment?
  • What are the treatment side effects?
  • How can I lower my chances of getting acne cysts?
  • How can I prevent scarring or other complications?

A note from Cleveland Clinic

It’s tempting to want to touch or pick at painful, swollen acne cysts. But cystic acne is more likely than other zits to scar or develop infections. A dermatologist can offer suggestions to prevent cystic acne. This doctor can also treat painful acne cysts, lowering the chances of scarring. Antibiotics and topical (skin) creams are effective cystic acne treatments.

Definition, Causes, Treatment, and Prevention

What Is Cystic Acne?

Cystic acne is when you have large, red, painful breakouts deep in your skin.

Pimples start when a pore in your skin gets clogged, usually with dead skin cells. Bacteria can also get trapped, causing the area to become red and swollen.

Cystic acne happens when this infection goes deep into your skin, creating a bump that’s full of pus. It may hurt or itch. If a cyst bursts, the infection can spread, causing more breakouts.

You can treat these breakouts. Don’t try to wait them out. Cystic acne can last for years. It can affect large areas of your skin and leave scars. A dermatologist can help you with a treatment plan.

Cystic Acne Causes

Doctors aren’t sure exactly what causes cystic acne.

Hormones called androgens play a role. When you’re a teenager, your androgen levels go up. This leads to changes in your skin that can result in clogged pores and acne.

Other things that can cause acne include:

Despite what you might have heard, these things don’t cause acne:

Cystic Acne Risk Factors

You’re most likely to get cystic acne in your teens or early 20s. But it can happen to children as young as 8 or adults as old as 50. Your face, chest, back, upper arms, or shoulders can be affected.

If one of your parents had severe cystic acne, you have a higher chance of getting it.

Severe cystic acne is more common in men. Women who get it often have cysts on the lower half of their face.

Cystic Acne Complications

The cysts can leave permanent marks on your skin, including:

  • Deep, tiny holes (icepick scars)
  • Wider pits
  • Large, uneven indents

Cystic Acne Treatment

Over-the-counter medicines that treat mild acne don’t usually work on cystic acne. Your doctor will probably recommend one or more of these treatments:

  • Oral antibiotics to help control bacteria and lower inflammation
  • Birth control pills to regulate a woman’s hormones
  • Benzoyl peroxideto kill bacteria on your skin and fight inflammation
  • Retinoid, a form of vitamin A, in a cream, lotion, foam, or gel. It can unplug your pores and help antibiotics do their job.
  • Isotretinoin (formerly Accutane, now Absorica, Amnesteem, Claravis, Myorisan, Sotret) attacks all causes of acne. Women should not get pregnant while taking this drug.
  • Spironolactone to reduce excess oil. Doctors don’t prescribe it to men because of side effects such as breast growth.
  • Steroids injected into cysts at your doctor’s office

 

Cystic Acne Home Remedies

You can take some steps to help prevent acne or keep it from getting worse:

  • Wash your skin twice a day and after you sweat. Use your fingertips and a gentle cleanser. Rinse with lukewarm water.
  • Don’t scrub your skin or use irritating products like exfoliants.
  • Don’t touch cysts or pick at blemishes. You might push the infection deeper and make it spread. Let blemishes heal on their own, instead of popping or squeezing them, to lower your risk of scars.
  • Stay out of the sun and away from tanning beds, which can damage your skin.
  • Try to relax. Stress can make your body release more hormones, which can make acne worse.
  • Keep a healthy lifestyle. Get plenty of sleep and exercise. Some research suggests that a low-glycemic diet, which limits sugar, can help ease symptoms.

What is Cystic Acne? Learn the Symptoms & Treatment Options |

Acne

What is Cystic Acne? Learn the Symptoms & Treatment Options

Cystic Acne 101

What is Cystic Acne?

Cystic Acne is considered to be the most serious form of acne. It occurs when you experience large and painful breakouts that form deep within the skin. Cystic acne occurs when a pimple that occurs on your skin becomes trapped and infected beneath the surface of the skin.

 

What Causes Cystic Acne?

There can be different causes for cystic acne, including hormone changes, oily skin, pregnancy, and genetics. The most common groups of people that suffer from cystic acne are teenagers and women going through hormonal changes: pregnancy, menopause, or starting their menstrual cycles. The reason that these two groups are most at risk is because these phases of life are when levels of the hormone androgen are changing in the body. When androgen hormones become too high, there is an increase in sebum production (sebum is the oil in your skin that causes acne). So, when your body starts to develop more oil in the skin it can result in breakouts and cysts. In addition to this, if you have parents who suffered from cystic acne, you are at a higher risk of developing it as well.

What Are the Symptoms of Cystic Acne?

Severe acne cysts are the largest and most painful version of acne and they often leave a scar. The cysts develop underneath the skin and appear to look like boils on the face. They are painful to the touch and can sometimes appear as large pus-filled cysts, large white bumps, or large red bumps. Cystic acne usually develops on the face, but can also appear on the chest, neck, back, and arms.

Cystic Acne Treatment Options

Due to the fact that cystic acne is only caused by a change in hormones, genetics, and the oil production level in the skin, it must be treated by a dermatologist. Home skin care remedies as well as over-the-counter topical treatment and medication rarely work and can take a very long time to show any sort of result. Regular cleansing and removing dead skin cells won’t help either.

Cystic acne can be treated by any of the following treatments:

 

  • Oral Antibiotics: Oral antibiotics work to reduce inflammation and kill these acne-causing bacteria.
  • Isotretinoin (Accutane): Isotretinoin works by decreasing the size of the sebaceous glands in the skin. The sebaceous glands are responsible for creating sebum, the oil in the skin that can clog pores and cause acne. When the sebum is controlled, breakouts stop. Isotretinoin can have serious side effects, so be sure to discuss in detail with your dermatologist the steps you need to take before starting this medication.
  • Oral Contraceptives (for women): Oral contraceptives contain estrogen and progesterone hormones. These extra hormone levels work to reduce the level of androgen hormones in the body. When androgen levels are low, oil production is slowed, and breakouts are less likely to occur.
  • Manual Excision: This is a surgical procedure in which your doctor will make a small incision in the skin to remove the cystic pimple or infected pus-filled material.
  • Intralesional Corticosteroid Injections: These injections are shots that contain an artificial version of cortisone (like the hormone cortisol). The shots are injected directly into the cyst and help to provide pain relief and shrink the size of acne cysts.

When it comes to getting rid of cystic acne, it can take a few tries to find the right treatment for your skin. Everybody reacts differently to treatment so be sure to keep your dermatologist informed of any changes you might be using in your skin when starting acne treatment.

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Symptoms, Causes, Pictures & Treatment

Cystic acne is a form of nodular acne, which is a type of acne vulgaris. Acne has two broad categories: non-inflammatory and inflammatory. Blackheads and whiteheads fall under the non-inflammatory column. On the other hand, inflammatory acne consists of pimples, nodules and cysts. Nodules are large, hard, painful lumps that form deep in the skin. Cysts are tender pus-filled lesions that feel softer than nodules.

All acne begins in the skin’s pores. Pores are openings that contain a hair follicle and a sebaceous, or oil, gland in the bottom. Sebum is the name of the oil the gland secretes. Its purpose is to moisturize the skin. The oil also cleans the pore by carrying dead skin and debris up and out of the pore as it goes. In acne, oil and debris become trapped in the pore. They form a plug, which clogs the pore and blocks the opening. In inflammatory acne, Cutibacterium acnes bacteria also become trapped in the pore. This triggers the inflammation.

Cystic acne on chin, jaw, face and neck skin is common. It can also frequently affect the chest, shoulders, and upper back.

Acne is the most common skin condition in the United States. Almost everyone will experience an acne breakout at some point. Teenagers and young adults are most likely to have breakouts, but they can occur at any age. In the majority of cases, acne is minor. Cystic acne is the most severe form of acne, but it is also the least common. The risk of developing cystic acne is higher if you have a parent who had it.

Experts do not fully understand why acne happens. For cystic and nodular acne, there are four contributing factors: bacteria, clogged pores, excess oil production, and inflammation. But it remains unclear why some people develop cystic acne and others do not.

Acne, including cystic acne, appears to be hormonal to some extent. It tends to happen or worsen when hormone levels are changing, such as during adolescence and menstruation.

Both nodular and cystic acne treatment require a dermatologist’s expertise. Prescription treatments are necessary, including oral antibiotics, retinoids, and hormonal therapies. Sometimes, other doctors recommend procedures, such as injecting medications into the cysts or draining them.

Scarring and pitting are complications of cystic acne. There are treatments available to help improve the look and texture of scarred skin. Treating cystic acne and its scars can have mental and emotional benefits as well.

90,000 Acne (Acne). Full description: causes, symptoms, diagnosis, treatment

A disease of the sebaceous glands, accompanied by blockage and inflammation of the hair follicles, is called acne (acne), or acne .

Acne is one of the most common diseases.

Acne occurs in both babies and adults. Most often, acne appears in adolescence, which causes a lot of experiences and psychological problems in young people.

In the depths of the human skin, there are sebaceous and sweat glands, which tend to produce not only sebum, but also sweat.

In addition, all skin, except for the palms and feet, is endowed with hairs. Some of them are visible, while others are invisible. The hair follicles (bulbs) are located quite deep in the skin layer, while the follicles are located very close to the sweat and sebaceous glands.

Therefore, at the slightest malfunction of the body, the follicles and the glands themselves begin to inflame.

In addition to the inflammatory process, soreness and redness are also noted in the affected areas. Quite often, with the development of acne, suppuration is also observed.

Signs of acne

Closed and open comedones, papular and pustular acne, nodular and cystic formations appear on the skin.

Closed comedones are white, non-inflammatory nodules that do not come out to the surface of the skin.

Further accumulation in the pores of the secretion of the sebaceous gland, epithelial cells, pigment, dust leads to the formation of open comedones , which have a black apex protruding above the surface of the skin. Typical places of localization of comedones are the skin of the forehead and chin.

Joining the already existing blockage of the hair follicle of the inflammatory process leads to the development of papulopustular acne, and in severe forms – cystic cavities, phlegmonous and necrotic acne elements.Papular – an elevation, a dense tubercle above the skin, the size of a pea, of a reddish-cyanotic color. Multiple papules give the skin an uneven appearance. Papules can undergo reverse development or further transition to pustules. Pustular acne is a painful blister with purulent contents of a softer consistency than a papule. Small, up to 5 mm in diameter, pustules usually heal without a trace, after large pustules, scarring skin defects often remain.

Further development of inflammatory elements of acne can lead to the appearance of nodes and cystic cavities.The nodes are large infiltrates (more than 5 mm in diameter) located in the skin and subcutaneous fat. With the reverse development, the nodes disintegrate, ulcerate and heal with a scar. Cysts are cavity formations filled with pus, purple-cyanotic in color. Healing of cysts also occurs with scar formation.

Causes of acne (Acne)

It is necessary to understand that the skin is a reflection of the general condition of the body.Acne is most often caused by:

90,048

  • infections;
  • 90,049 genetic disorders;

  • endocrine system failures;
  • malfunctions of the immune system;
  • digestive disorders;
  • neuropsychiatric disorders
  • One of the most common causes of acne in adolescence is hormonal changes in the body.

    The active release of steroid hormones, especially androgens – male sex hormones, and in girls and boys causes increased secretion of the sebaceous glands.Sebum changes its properties, turning from liquid to dense and viscous.

    The level of steroid hormones in women fluctuates during the menstrual cycle and rises in its final phase. This circumstance is associated with the appearance of acne eruptions approximately a week before menstruation in 70% of women. Even those who do not suffer from acne often report the appearance of single pimples on the chin on the eve of their period.

    Many researchers put the appearance of acne in direct dependence on the nature of the diet and the state of the patient’s gastrointestinal tract.Indeed, the predominance of carbohydrate foods in the diet and the deficiency of essential amino acids and healthy fats lead to hyperfunction of the sebaceous glands. In some cases, nutritional correction can normalize sebum secretion and get rid of acne.

    In the skin and the mouths of the sebaceous glands of a healthy person, propionbacteria acne and granulosum, epidermal staphylococcus, ticks, fungi, etc. live. Under normal conditions, they do not cause any problems, but imbalance in the body.

    Stress itself does not cause acne formation, but its effect on the hormonal and immune status of the body can aggravate the manifestation of acne.

    The weakening of immunity can be caused by a number of reasons: stress, diseases of the digestive system, etc., but always has as its consequence a decrease in the body’s resistance to various adverse influences. Against the background of a decrease in the protective mechanisms of the skin, even usually “neutral” microorganisms can cause considerable harm.

    Cosmetics as a cause of acne A “provocateur” of acne can be cosmetics that clog pores and promote acne: creams, powders, lotions, blush, etc. Disguising acne with cosmetics further aggravates the course of acne.

    Attempts to squeeze out pimples and thereby get rid of them on their own can lead to exactly the opposite result. When pimples are squeezed out, the infection penetrates into the deeper layers of the skin, seeding non-inflamed elements, leading to their infection and suppuration.

    In the treatment of many diseases of internal organs, steroid hormones are currently used, which cause the appearance of drug-induced acne.

    Excessive cleanliness, oddly enough, can also provoke the appearance of acne. Frequent washing dries out the skin of the face, reduces its protective properties and exacerbates the appearance of acne.

    In order for acne to begin to develop, 4 factors must combine:

    1.Excessive increase in the secretion of the sebaceous glands Often observed during the period of rapid puberty in adolescents and in the last week of the menstrual cycle in women.

    2. Follicular hyperkeratosis The development of follicular hyperkeratosis is based on the disruption of the normal process of constant renewal of hair follicle cells. Thickening of the superficial stratum corneum of hair follicles along with sebaceous plugs creates an additional obstacle to the outflow of sebum.

    3. Reproduction of propionic bacteria acne Microorganisms that live in large numbers on the skin of healthy people, under certain conditions, can cause the development of acute inflammatory reactions. Sebaceous horny plugs of hair follicles are a favorable environment for their enhanced reproduction and active life. The leading role in the appearance of acne belongs to the acne propionic bacteria.

    4. Inflammation Active multiplication of propionic acne bacteria leads to tissue response and the development of inflammation in them.

    Acne Treatment

    In adolescence, you can get rid of them by adhering to all the rules of hygiene, as well as regularly using various topical anti-acne preparations in the form of gels, creams and ointments.

    Therapy of severe forms of acne, in which the occurrence of purulent acne is noted, is carried out under the supervision of a dermatologist. Passing a course of procedures, with active home care, recommended drugs.

    Combined treatment with external agents with systemic drugs (affecting the entire body). The use of drugs that affect the entire chain of the mechanism of acne development (hypersecretion of sebum, increased keratinization of hair follicles, reproduction of microbes, inflammation).

    Treatment of chronic processes in the body (gynecological, endocrine, gastrointestinal diseases, foci of chronic infection)

    Why is acne treatment in our clinic so effective?

    Because we approach acne treatment in a comprehensive manner, including all modern techniques.

    We work fruitfully together with the patient, constantly monitor the progress of the disease, achieving a high-quality result.

    90,000 Acne – Causes, Symptoms, Effective Care – Face Care – Oily / Problem Skin Care – Blog

    Acne (synonym – acne) is one of the most common skin diseases. The term “acne” refers to various pathological changes in the sebaceous glands.Typical comedones (blackheads) with dark tops appear on the skin of the face, especially on the forehead, as well as on the back, chest, and shoulders. Sometimes pustules (pustules) develop in their place, which are called acne vulgaris. Eels have been known for over 2,000 years. but AD According to statistics, 70 – 80% of adolescents and young people and about 11% of the adult population over 25 suffer from this disease.

    During puberty and hormonal changes, the secretion of sebum increases, that is, seborrhea occurs – a painful skin condition associated with an increase in the amount of sebum secreted by the sebaceous glands, and a change in its chemical composition.

    So-called oily seborrhea is usually observed. It is expressed by the visible and tangible oily skin of seborrheic areas (nose, forehead, cheeks, chin, behind the ears, upper chest and back, scalp.). The skin in these areas is shiny, the openings of the sebaceous glands and hair follicles are enlarged. The skin appears thicker and coarser, as if dirty. Enlarged sebaceous glands give the rough appearance of seborrheic skin.

    CAUSES ACNE

    • hormonal activity (menstruation, puberty)
    • transitional age
    • stress activating the adrenal glands
    • overactive sebaceous glands
    • accumulation of dead skin cells
    • microorganisms
    • skin lesions accompanied by inflammation
    • anabolic steroid use
    • Application of preparations containing halogens (fluorine, chlorine, bromine, iodine), lithium and barbiturates.

    Also, disorders of the digestive system: dyspepsia and chronic constipation aggravate seborrhea. It should be noted that feta cheese, cheese, eggs, liver, legumes, pickles, canned meat, coffee, chocolate more often than other products cause exacerbation of seborrhea. Very often, skin disorders are accompanied by diseases of the gastrointestinal tract, so it may be necessary to consult a gastroenterologist and then switch to nutritional therapy

    The neuropsychic mechanism is also of undoubted importance in the development of seborrhea and acne.Acne, even in mild severity, significantly reduces self-esteem, causes anxiety, depression.

    Prolonged, proceeding with frequent exacerbations of seborrhea and acne cause an unclean, unkempt appearance of the face and often lead to a change in character and behavior, as well as to mental depression of patients.

    ACNE SYMPTOMS

    Initial skin changes in acne are represented by open or closed comedones . Comedone – “cast” of the duct, consisting of rejected corneocytes and microorganisms, glued together with sebum.Open comedones, as opposed to closed ones, in about 80% of cases resolve on their own and without a trace. The addition of an inflammatory reaction in the circumference of the comedone leads to its destruction and the subsequent formation of papules, and then pustules. The development of an inflammatory reaction in the dermis leads to the formation of nodes, and with their suppuration – cysts.

    The most common form of acne is acne vulgaris. Excessive production of sebum by the glands of the same name clogs the pores with dying corneocytes, blocking the skin follicles.The accumulation of these corneocytes in the ducts is due to impaired keratinization, which usually leads to cell exfoliation. Sebum is deposited under blocked pores, providing an excellent environment for microorganisms to thrive: Propionibacterium acnes, Malassezia.

    The face and upper neck are most commonly affected, but the chest, back, and shoulders may also be involved. Acne, papules, pustules, nodules, and inflammatory cysts (cystic acne) can be found on the skin.These cysts contain pus. Non-inflammatory sebaceous cysts (epidermoid cysts) may be associated with acne. Scars may remain after acne.

    To assess the severity of acne in practice, the most convenient classification proposed by the American Academy of Dermatology:

    1 degree – the presence of comedones and up to 10 papules;
    2nd degree – comedones, papules, up to 5 pustules,
    3rd degree – comedones, papulopustular rash, up to 5 nodes.
    4 degree – a pronounced inflammatory reaction in the deep layers of the dermis with the formation of painful nodes and cysts.

    TREATMENT AND CARE

    The approach to acne treatment should be comprehensive: adherence to dietary recommendations, proper dermatological skin care, drug treatment, non-commendable decorative cosmetics.

    General strategy of acne therapy, depending on the severity:

    1st degree – local therapy: pharmacy cosmetics, diets.
    2nd degree – local therapy: pharmacy cosmetics + medications as prescribed by a dermatologist.
    3rd and 4th degree – medications prescribed by a dermatologist.

    PHARMACY COSMETICS

    As the long-term experience of dermatologists and cosmetologists shows, the timely use of pharmaceutical cosmetics for the care of problem skin with acne, for example, in adolescents, leads to a clinical cure without prescribing antibiotics and retinoids.

    Currently, there is a large selection of cosmetics for problem skin care. These agents have sebum-regulating, anti-inflammatory, kerato-regulating and bacteriostatic effects. Medicinal cosmetics that have all of the above properties and meet the requirements of international standards for acne treatment are products in the EFFACLAR (La Roche-Posay), SEBIUM (Bioderma), HYSEAK (Uriage), CLEANANCE (Avene) lines, the Keraknil (Ducray) line in the brands medical cosmetics from French manufacturers.

    Pharmacy cosmetics can be used as monotherapy, or in combination with other anti-acne drugs with varying degrees of severity of the disease as prescribed by a dermatologist.

    An important and integral part of complex acne therapy – is daily skin care:

    • gentle cleansing,
    • adequate hydration,
    • normalization of sebum secretion, regulation of keratinization,
    • suppression of the growth of microorganisms, reduction of inflammation,
    • permissible defect masking.

    DERMO COSMETIC CARE AND TREATMENT:

    For DAILY CLEANSING OF THE FACE SKIN
    , it is advisable to use solutions and gels that have a kerato-sebum-regulating anti-inflammatory effect:


    MAKEUP REMOVER
    recommended:


    SEBOREGULATION
    After cleaning, apply a sebum-regulating emulsion:

    ANTI-COMEDOGENIC CARE

    REDDING AND BREEDING

    AGAINST OVERDYING SKIN
    with drug treatment:

    RELATIONSHIP OF ACNE AND SOLAR INSOLATION (UVA, UVB)

    Most patients believe that acne goes away after exposure to the sun, which should be regarded as nothing more than a masking effect of tanning.The role of solar radiation in the ability to induce apoptosis of corneocytes is considered to be proven, thereby aggravating hyperkeratosis in the ductal sebaceous hair follicle, which often leads to an exacerbation of the process soon after the cessation of insolation.

    The use of special sunscreens during periods of exposure to the sun prevents the formation of “solar comedones” and avoids an exacerbation of the disease

    ADDITIONAL CARE

    90,000 overview of all forms of manifestation.- Laboratory IAKI

    20.09.2016

    all Articles

    Acne (acne) is the term currently used to refer to the lesion of the sebaceous glands. Acne is a disease characterized by damage to the sebaceous glands with the formation of comedones and inflammatory elements.

    Acne is an ordeal that any teenager faces sooner or later, more than 90% of young people cannot get rid of acne before the age of 25.

    The disease usually begins at 12-14 years of age, with a tendency towards an earlier onset in girls. The peak of acne occurs at the age of 16-17 years in girls and 17-19 years in boys, in whom acne more often takes on severe forms.

    The acne treatment program is based on an individual approach, the use of modern means of European pharmacotherapy, as well as the manufacture of drugs to order in the pharmacy network.

    Acne Treatment

    Introduction

    Causes of acne

    Acne is a hereditary multifactorial disease.The likelihood of developing acne in a teenager is higher in cases of illness of both parents, the size of the sebaceous glands and their sensitivity to various stimuli are genetically determined. In puberty, there is a sharp increase in the level of steroid hormones, this is a prerequisite for hyperfunction of the sebaceous glands and the appearance of acne.

    Examination for acne

    Clinical diagnosis of acne is mostly straightforward; it is more difficult to understand the types of acne, their complications and severity.If in milder forms of acne, as a rule, it is not necessary to resort to laboratory and instrumental methods of examining patients, then patients with severe forms of acne need a serious targeted examination.

    Experienced specialists of our clinic are clearly guided in the peculiarities of the eruptive elements, as this is important for the prognosis and choice of treatment.

    Acne treatment

    Treatment for acne is usually combined and includes local therapy.

    The choice of treatment method is based on:

    1. history data (hereditary predisposition, duration and factors,
      influencing the course of the disease, the nature and effectiveness of the earlier
      treatment)
    2. assessment of the severity of the disease, type, location and prevalence
      rashes, type of lesion (inflammatory or non-inflammatory), severity
      complications (scars, hyperpigmentation foci)
    3. 90,049 disfiguring cosmetic effects (the so-called stepwise approach to
      treatment)

    4. assessment of the psychosocial status of the patient

    Years of experience in acne attraction allows us to achieve good results not only for mild, but also severe forms of acne.

    Varieties of acne

    1. Comedones
    2. Papular and papulopustular acne
    3. Inductive acne
    4. Phlegmonous acne
    5. Conglobata or accumulated eels
    6. Acne fulminant (acne fulminant)
    7. Inverse acne (suppurative hydradenitis)
    8. Comedones

    Comedones – non-inflammatory elements resulting from blockage of the hair follicle orifices.At the beginning of the development of acne, microcomedones, which are also found in normal conditions, are transformed into the so-called closed comedones (which do not have free communication with the skin surface) comedones. Gradually increasing in volume due to excess sebum production, some closed comedones turn into open
    (black spot acne).

    Papular and papulopustular acne

    Papular and papulopustular acne occurs as a result of the development of inflammation (of varying degrees) around open or closed comedones.In a mild form, papulopustular acne resolves without scarring. With significantly pronounced inflammation with damage to the structures of the dermis, scars often form at the site of the inflammatory elements.

    Inductive acne

    Inductive acne is characterized by deep infiltrates. Scar formation is always the result of inductive acne. Inductive acne is a sign of severe acne.

    Phlegmonous acne

    Phlegmonous acne occurs when the cystic cavities formed in the places of infiltrates are filled with pus and merge with each other.Phlegmonous acne is a sign of a severe course of acne.

    Acne conglobata

    Acne conglobata is characterized by the appearance of multiple, deeply located, communicating nodular cystic elements, as well as large grouped comedones. The outcome of such acne is atrophic, hypertrophic and keloid scars. Such acne usually does not improve after puberty and often recurs.Acne conglobata is a symptom of severe acne.

    Acne fulminant (acne fulminant)

    Fulminant acne is characterized by a sudden onset, the appearance of necrotic ulcers (usually on the trunk) and general symptoms (an increase in body temperature above 38 ° C, general disturbance, arthralgia, severe muscle pain, rarely osteolysis). A blood test reveals leukocytosis, accelerated ESR and a decrease in hemoglobin.Healing acne fulminant usually occurs with the formation of scars, including keloids.

    Inverse acne (suppurative hydradenitis)

    Inverse acne is associated with damage to the apocrine sweat glands and occurs secondarily, as a result of blockage and rupture of the wall of the hair follicle, and inflammation around it. Inverse acne develops after puberty and is often associated with severe acne. Predisposing factors can be friction with clothes or itching in the armpits, perineum.The disease is prone to relapse. Fistulas are often formed in the outcome of inverse acne. Scars in the outcome of such conditions are usually retracted.

    90,000 10 Natural Cystic Acne Treatments That Really Work | Health

    Have you had large, red, painful acne? They can be a big problem for both men and women between the ages of 8 and 50. The face is the most susceptible to these rashes, but the chest, back, and shoulders can also be problem areas.Cystic acne is the most severe form of acne

    Unlike other milder forms of acne, cystic acne is noticeably more painful and occurs when oil and dead skin cells accumulate deep in hair follicles or pores. Cystic acne is most common during puberty in young boys, but unfortunately, it can continue into adulthood, especially with hormonal imbalances. It is common for adult women to experience cystic acne due to the menstrual cycle, especially on the jaw line and chin.

    Conventional cystic acne treatments like Accutane may work, but it comes with very serious side effects, including birth defects and even Crohn’s disease! This is why we always recommend trying your own home remedies for acne first. We are confident that you will be happy with the results.

    One of the most reliable and best remedies for fighting cystic acne is to improve the work of the intestines. It is the intestines that directly affect the condition of our skin.Proper skin care, probiotics and proper nutrition are the keys to success. Back in 1961, a report showed that out of 300 acne patients treated with a probiotic, 80 percent experienced clinical improvement. The idea of ​​probiotics for skin health is not new, but we are pleased to announce that it has received more and more attention in recent years. So before you start picking your skin or using dangerous topical or oral treatments, read on to find out how you can naturally heal your cystic acne and have clear skin again.

    Acne vulgaris is the medical name for common acne. Acne conglobata, or cystic acne, is a more serious and rarer form of acne that occurs mainly in young men, but it can affect people of both genders and ages. When you have cystic acne, your skin pores become clogged with oil and dead skin cells and become inflamed. It becomes cystic acne when the pores break open under the skin, causing inflammation to spread into the surrounding skin tissue.This chain reaction can continue in the skin, causing wider inflammation, spreading more acne bacteria and more breakouts. Your body will then form a cyst around the area to keep the inflammation from spreading further. Cystic acne is easily diagnosed by a dermatologist and does not require special tests.

    Causes of cystic acne

    • Genetics
    • Hormonal changes, including polycystic ovary syndrome
    • High sweating
    • Facial and body care products that clog pores
    • Certain drugs and chemicals (for example , corticosteroids, lithium, phenytoin, isoniazid), which may worsen or cause rashes.
    • Heredity. If one or both of your parents had severe cystic acne, then you are more likely to get it.

    Most often teenagers and young men are prone to acne. It is thought that hormones called androgens may play a role in the development of cystic acne in adolescents when androgen levels are increasing. This increase leads to changes in your skin, which can lead to clogged pores and acne.

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    Cystic acne does not only affect men.For women, the hormonal changes that cause cystic acne can be triggered by the menstrual cycle, pregnancy, and menopause. Cystic acne is also more common in women with polycystic ovary disease.

    Natural Cystic Acne Treatment

    Can You Get Rid Of Cystic Acne Naturally? Fortunately, the answer is yes. There are many natural ways to treat and get rid of cystic acne quickly. Here are the 10 most effective:

    1.Do not touch your face with your hands

    As much as you would like, please do not try to squeeze out your cystic pimples or resort to any mechanical action on them yourself. Cystic acne, unlike regular acne, usually cannot just “pop”. Due to the depth of cystic acne lesions, piercing or squeezing can be completely ineffective and will likely increase the healing time from a few days to a few weeks. The more you touch an infected pimple, the angrier and uglier it becomes.If you try to get rid of cystic acne, you will simply spread the boil under your skin. Plus, you can easily get scars that remain after acne, perhaps even permanently. Also, with this method, you will most likely, on the contrary, increase the number of acne on your face.

    Two words to remember the main rule of behavior in such a situation: Hands off!

    2. Ice

    You can apply an ice cube directly to the abscess for a few seconds to constrict the small blood vessels feeding the painful cyst.Ice helps to quickly reduce the size and redness of pimples.

    3. Proper Skin Care

    Follow simple, soothing skin care, avoiding strong and aromatic moisturizers. Always make sure your skin is thoroughly cleansed before applying a moisturizer daily. A perfume-free moisturizer is a great choice. To promote healthy skin regeneration, be sure to use an effective, but not harsh, abrasive exfoliant. Some good options include glycolic acid and fruit enzymes.Vitamin C is recommended both in the diet and in cosmetics. Without this vitamin, collagen synthesis is impossible in the body.

    4. Don’t look in the mirror too often

    It’s a good idea not to dwell on skin imperfections. The more you look at the pimple in the mirror, the more likely you will want to try to pop it. And we remember the main rule: do not touch your face with your hands!
    Stop yourself from visual and mental obsession with your acne and make sure you only think about positive things.

    5. Your Towels and Pillowcases

    What you may not think about or attach much importance to is an important point in the fight for clean skin! It is the towels and pillowcases that touch your face every day. To reduce the chances of irritation and oversensitivity, it is wise to change and iron these items frequently. This will prevent bacteria from affecting your skin recently. But don’t use strong chemical detergents or bleaches.Instead, choose natural and unflavored laundry products.

    6. Diet

    Foods to Avoid:

    Conventional Dairy Products: Even if you are not lactose intolerant, regular dairy products can be harmful to your digestive system. Many people see an improvement in their condition when they cut back or even eliminate dairy products such as milk, cheese, ice cream, etc. If you want to test if a dairy product is the culprit, try eliminating it from your diet for two weeks and see if your skin improves and rashes go away.If so, you now know that dairy products are not right for you. Or you should pay attention to the quality of the dairy products that you choose.

    Sugar and other foods with a high glycemic index of (such as bread and pasta) can worsen inflammation in the body. The more inflammation you have, the worse your cystic acne will be. Try natural sweeteners instead. Sugar, grains, and yeast products nourish candida in the body, increasing the number of acne on the skin.

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    Caffeine and Chocolate: Many experts like to say that there is no link between caffeine and chocolate consumption and acne. However, there is no question that caffeine consumption directly affects your hormonal balance. In particular, an overdose of caffeine can raise the stress hormone known as cortisol. By reducing or eliminating various sources of caffeine, such as coffee, tea, and chocolate, you can help keep your hormones in balance and clear your face of cystic acne.

    Products with a low fiber content and a high degree of processing.

    Consuming foods that are low in fiber and highly processed has a direct negative impact on gut health, which in turn negatively affects skin health. When you consume processed meats such as sausages, breakfast cereals, and microwaved foods, unhealthy changes occur in your internal microbial colonies.This causes inflammation throughout the body, which can worsen cystic acne or further worsen the current condition.

    Fried foods and fast food

    These foods are also processed and low in fiber. In addition, they contain a number of ingredients that cause inflammation, including hydrogenated oils, sodium, chemicals, flavors, and sugar.

    Foods you need

    Foods rich in probiotics: the healthier your gut, the better the balance between bad and good bacteria.One Korean study of 56 acne patients found that drinking fermented milk drinks fermented with Lactobacillus was effective in reducing overall acne lesions and reducing sebum production for 12 weeks.

    Foods with a high zinc content. About it is absolutely necessary to increase the amount of the element in the body with the help of foods such as beef, chickpeas, pumpkin seeds and cashews. Zinc also supports a healthy digestive tract, which we already know has a direct effect on the skin.

    Foods rich in vitamin A

    Foods high in vitamin A (kale, spinach, sweet potatoes and carrots) fight infection and accelerate healing.

    Foods high in fiber. Eating high-fiber foods such as vegetables, fruits, nuts, and seeds can help cleanse the gut as well as the growth of beneficial bacteria in the gut that can help clear up cystic acne.

    High quality protein foods: beef, chicken, wild caught fish and eggs (free-range chicken) are rich in protein and nutrients and help balance blood sugar, a key ingredient in combating cystic eels.

    Liver Support Foods

    Since hormones are metabolized in the liver, eating liver support foods can help get rid of acne.Eat more cruciferous vegetables like broccoli and cauliflower, as well as leafy greens, celery, and high fiber fruits like pears and apples to improve liver function.

    Supplements to Consumption:

    Probiotics (10,000 to 50,000 IU per day, usually two to three capsules twice a day). Taking probiotics can boost your immunity and help your internal fight against cystic acne. You can also use probiotic skin care products that can provide a protective outer shield.

    Omega-3 fatty acids (1000 mg fish oil / cod liver oil per day or 3000 mg linseed oil or chia seed oil). Omega-3s help reduce inflammation and maintain hormonal balance. You may also want to consider gamma-linolenic acid (GLA), found in primrose oil and borage oil, for hormonal balance. One scientific study found that after 10 weeks of taking omega-3 fatty acids or GLA supplements, the inflammatory and non-inflammatory lesions of acne were significantly reduced.
    Zinc (25-30 mg twice daily). Research shows that people with acne have lower levels of zinc in their blood and skin. Taking zinc by mouth can help treat and reduce acne.

    Vitex (160 mg Vitex / Cherry). This herbal remedy is especially recommended for acne.

    Guggul or guggulsterone (25 mg twice daily). Guggul is made from the sap of a tree native to India. For people with cystic acne, a controlled clinical trial has shown that guggul supplements are superior to 500 mg of tetracycline.

    7. Relax

    Stress makes any situation worse, and looks are no exception. Find ways to reduce stress in your life, because stress can cause your body to release hormones that make acne worse. The more you relax, the better your skin will be, paradoxical as it may sound.

    8. Sleep

    Getting proper sleep at night can help improve your overall health, including balancing hormone levels and reducing inflammation associated with cystic acne.

    9. Exercise

    Regular physical activity is great for boosting the lymphatic system, which in turn helps the body to more actively remove toxins from the body. Physical activity is also the key to good mood and well-being.

    10. Essential oils of tea tree and lavender.

    The best way to use essential oils for acne is to apply two to three drops topically to the problem area. Tea tree and lavender essential oils are safe for gentle (direct) use, but they can also be combined with other, less active oils such as jojoba or coconut oil if you have sensitive skin.

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    A scientific review of efficacy, tolerability and potential treatments for acne with tea tree oil claims tea tree products reduce lesions in acne patients, have similar tolerance levels to other topical treatments, and have antimicrobial and anti-inflammatory properties. actions that are associated with acne treatment.

    Avoid exposure to direct sunlight when treating acne with essential oils.UV rays can make your skin more sensitive and can cause skin irritation or redness. If using any of these essential oils causes skin irritation, stop using this oil. published by econet.ru

    * Articles of Econet.ru are intended for informational and educational purposes only and do not replace professional medical advice, diagnosis or treatment. Always consult your doctor for any questions you may have about your health condition.

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    P.S. And remember, just by changing your consciousness – together we are changing the world! © econet

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    How to get rid of acne on the face

    Acne (acne) occurs as a result of failures of important functional processes in the body, and in order to understand how to get rid of acne on the face, it is necessary to determine the specific cause of the problem.There are several types of acne, mainly localized on the face (forehead, nose and cheeks). For the treatment of acne, experts advise using products with a natural composition and avoid squeezing them out. The problem can be troubling at any age, but most often acne appears in adolescents, against the background of hormonal changes. In most cases, properly selected face care cosmetics can solve this problem.

    Acne is a painful point inflammation localized on the skin, often with purulent or serous contents inside.In dermatology, acne is considered not only a cosmetic problem, but also a sign of organ system disorders. Genetic disposition plays an important role in the appearance of acne. When asked what causes acne on the face, experts also often point to a lack of melanin in skin cells. It is important to know that acne on the face is a signal of a medical problem.

    Acne is a medical term. Cosmetologists and dermatologists also use the term acne.Acne is a skin disease that affects the sebaceous glands and hair follicles. The pathological condition occurs as a result of the clogging of the pore with a sebaceous plug, as well as the ingress and multiplication of painful agents, in particular bacteria such as Staphylococcus aureus, Demodex mite or Candida fungi. Such bacteria are constantly present on the epidermis of a healthy person, but their reproduction is prevented by the immune system. Pathological reproduction of pathogens is caused by the creation of an abundant nutrient medium and a decrease in immunity.

    Many people wonder what to do if there is acne on the face, worrying only about the aesthetic side of the problem, which actually has more serious prerequisites.

    Types of acne

    For the correct selection of a treatment strategy, it is necessary to use the existing classification of acne and become familiar with the distinguishing features of each type of acne.

    Types of acne on the face are classified according to the stages of development:

    1. Comedones, which are pores with thick secretions from the sebaceous glands.Sebum plugs on the face can remain open, leading to partial oxidation of the sebum plug. As a result of the pathological process, black dots or black acne appear on the face. When the exit from the pore is narrowed or blocked by skin particles, oil accumulates inside, forming white balls, or so-called white pimples on the face. Small white pimples on the face (milia) occur mainly in the eyes, chin, or cheeks. Enlarged pores indicate the initial stage of the pathological process.
    2. Red pimples on the face or papules that form on the surface of the skin, dense and painful to the touch.
    3. Pustules or vesicles containing sulfur or pus. They stand out above the surface of the skin and burst easily when pressed, leaving no scar after healing.
    4. Nodular-cystic acne or subcutaneous acne on the face indicates a complex course of the disease and is characterized by the presence of multiple papules and pustules that merge into formations connected by fistulous passages.Internal acne on the face appears as a result of a violation of the functionality of the sebaceous glands. Purulent infiltrates form under the skin, connective scar tissue grows. This form of acne requires long-term therapy, in some cases even surgical intervention.
    5. Fulminant acne occurs as a result of damage to the epithelium by pathogenic agents. Typical for this species is the presence of symptoms of a bacterial infection (fever, dehydration, muscle and joint pain).This form of acne requires the use of antibiotics under the supervision of a physician.

    Carbuncles, boils, pimples and acne on the face can be infectious. At autopsy, they secrete pus, often mixed with blood. Acne spots on the face, which are the main cause of concern for many women, are in most cases the result of this form of acne.

    Etiology distinguishes between endogenous and exogenous (vulgar) acne.

    The endogenous type of oily acne is most often found in adolescents, people with diabetes, gastrointestinal problems, and in pregnant women. Acne on the face in women can also appear:

    • with regular intake of hormonal drugs;
    • at the beginning of the menstrual cycle;
    • after experiencing stress and psychological stress.

    Exogenous oily acne on the face occurs as a result of improper care of problem skin of the face, as well as with increased work of the sebaceous glands due to:

    • wrong diet;
    • alcohol abuse;
    • 90,049 frequent stress;

      90,049 sleep disturbances.

    Exogenous acne can appear upon contact with harsh chemicals, as well as when using low-quality cosmetics or makeup.

    The classification of the disease is also carried out according to age categories. There are pubertal acne caused by changes in hormonal levels in adolescents aged 12-13 years. Acne in people after 25 years is a symptom of a malfunction of the endocrine system, and also indicates an improper diet and the presence of bad habits.

    Causes of acne

    There are many reasons for the development of acne. Acne on the face, which is often caused by a malfunction of the sebaceous glands, occurs when the glands secrete too much or too little sebum.

    With a large amount of sebum, it gets into the pores and clogs them, causing inflammation. If fat is produced in insufficient quantities, the protective capacity of the skin decreases, and it is easily exposed to pathogenic microorganisms.

    The reasons for the appearance of acne also include:

    • infection with specific acne bacteria;
    • hormonal disorders and changes;
    • diseases of the internal organ systems.

    Many are interested in the question of why acne appears on the forehead. The reasons for the localization of acne on the forehead can be:

    • disorders of the digestive tract;
    • problems with the liver and gallbladder;
    • hormonal changes in the body;
    • long-term use of certain drugs and dietary supplements;
    • use of decorative cosmetics;
    • poor hygiene;
    • the use of products that enhance the work of the sebaceous glands;
    • allergic reaction and stress;
    • genetic disposition;
    • age-related changes.

    To understand how to treat acne on the face, you need to consult a dermatologist. For the correct choice of the therapeutic course, it is important to determine the specific cause of the skin disease.

    Organs responsible for acne on the face

    Experts say that the appearance of acne is associated with human health. The organs responsible for acne on the face are determined by the location of the acne. The appearance of acne:

    • on the temples it signals a problem with the spleen and gallbladder;
    • in the area between the eyebrows indicates problems with the liver and with the pancreas;
    • on the forehead indicates a violation of the digestive tract, bowel or gallbladder;
    • on the nose is a signal that there are problems with the pancreas and stomach, as well as with the cardiovascular system;
    • on the cheeks indicates gastrointestinal diseases, lung problems, as well as pathologies of the oral cavity, teeth and gums;
    • around the eyes and above the cheekbone is a clear symptom of kidney and adrenal problems;
    • above the lips indicates problems with the intestines and heart;
    • on the chin is a sign of pelvic disease, hormonal imbalance, or bad habits.

    How to treat acne on the face

    It is necessary to organize acne treatment after determining the cause of the pathology. It is necessary to pay special attention to the choice of skin care products, since often it is low-quality cosmetics that cause acne. Care products should be appropriate for age and skin type. It is advised to give preference to cosmetics with a natural composition.

    It is not recommended to abuse foundation and powder.For dry skin, choose cosmetics that balance the moisture in the skin cells. Owners of oily skin should use care products designed only for the corresponding type of dermis. Every day before going to bed, the face must be cleaned of traces of cosmetics. You need to wash yourself with products that do not contain soap, so as not to dry the skin.

    It is also necessary to monitor the diet:

    • eat a balanced diet, reduce the amount of fast carbohydrates, sugar, salt, fatty, spicy and fried foods;
    • Give preference to dishes made from fresh vegetables, include a lot of fruits, berries and dried fruits in the diet;
    • give up alcohol and carbonated drinks;
    • per day to consume about 2 liters of pure water, which will help reduce the density of the secretion of the excretory glands.

    If necessary, you should consult a dermatologist or cosmetologist. Squeezing acne on the face is strictly prohibited, since it is fraught with infection and injury to the hair follicle.

    The best remedy for acne on the skin

    Experienced dermatologists emphasize that the best remedy for acne on the face should have a natural composition and not have an aggressive effect on the epidermis. With individual sensitivity to certain chemical components, it is important to familiarize yourself with the composition before using an acne remedy.Some chemical elements included in the composition of a cosmetic product can, on the contrary, aggravate the condition.

    Effective remedies include:

    1. Red clover flower extract for acne. Due to the composition rich in vitamins and minerals, red clover helps to eliminate the inflammatory process on the skin of the face and reduces the irritability of the skin. It can be added to masks for dry, flaky, problem skin instead of regular water.
    2. Propolis extract. With the help of this composition, it is possible to stimulate tissue regeneration, get rid of scars and scars after acne treatment, and also stop the inflammatory process on the skin of the face. Propolis helps to normalize the production of sebum (sebum), increases the permeability of the skin, and also reduces the increased fat content of the dermis. The product has a positive effect on the skin of the face, making it elastic and smooth.

    It is possible to prevent the appearance of acne and prolong the youthfulness of the skin of the face if you follow the rules of a healthy lifestyle, treat diseases of the internal organs in a timely manner and give up bad habits.

    The way to prevent acne is also correct and regular skin care using well-chosen products.

    In the fight against acne, Monomolecule No. 3 is well suited for narrowing pores, reducing oil content and inflammation ResedaOdor

    Applying a few drops of beauty product daily will help you achieve perfect skin texture. Monomolecule No. 3 consists of 100% active physiological concentrated substance.

    The beneficial active effect on the skin eliminates:

    • excess sebum;

    • enlarged pores.

    Improves exfoliation of dead cells. Does not clog the pores of the skin. Prevents the formation of comedones. This is a serum with peptides for the face with their 100% content.

    As an alternative to the 3 monomolecule, you can take a closer look at the ResedaOdor sebum-regulating booster.Specially formulated for skin with enlarged pores and prone to oiliness. Ideal facial treatment for oily and problem skin, acts as a serum for problem skin.

    The sebum-regulating booster is based on two groups of active ingredients that ensure proper exfoliation of the stratum corneum. Biocanin A and propolis extract.

    Biocanin A regulates the sebaceous glands. Helps to tighten pores and smooth skin texture by compressing collagen fibers.Accelerates regeneration. Thanks to this component, the complexion improves, the greasy shine goes away and the number of blackheads (comedones) decreases.

    Propolis extract has anti-inflammatory and antibacterial effects. Activates local skin immunity

    Acne | Central Clinic

    What is acne?

    Most often, the disease affects the skin of the face, upper back, chest, less often the skin of the shoulders and forearms.

    The problem of acne is especially relevant in adolescence, manifesting itself on the skin as red inflammatory nodules, pustules, blackheads, and sometimes cysts. But now older people often suffer from acne. Quite often, the disease appears in athletes using steroid drugs.

    Acne is a disease associated with increased sebum secretion, enlargement and blockage of the sebaceous glands. Inflammatory disease of the skin glands, most often localized in the face, back, chest.According to the literature, acne occurs in about 85% of people aged 12 to 25 years, but in different populations, these rates can vary between 35-90%. In people over 25 years old, the incidence of the disease is 11%, while sometimes it also occurs in patients over 40 years old. As a rule, patients of all races and both genders are targeted for acne, however, symptoms most often begin to appear in adolescence. Among older patients, women predominate. Currently, there are effective treatments that can significantly reduce the manifestation of symptoms and even completely cure acne.In addition, cosmetic products and procedures can reduce or completely remove scars and discoloration of the skin associated with the appearance of acne and acne on the skin.

    Reasons:

    • Genetics. Predisposition to acne can be inherited from close and not very close relatives. That is why some people do not follow their skin, and acne does not attack them.
    • Malfunctions in the endocrine system. The glands produce more oil, the skin becomes more keratinized, which in turn contributes to the clogging of pores and the appearance of acne.
    • Infection. Propionibacterium acnes (P. acnes) is normal on the skin surface. It is she who contributes to the inflammation of the clogged sebaceous glands.
    • Improper skin care. It is very important to choose the right basic skin care products. You can not wash your face with soap and other alkaline detergents, as soap dries the skin, dehydrates, degreases it. The skin is not comfortable from this and, in order to protect itself and restore its barrier properties, it begins to produce sebum even more, exacerbating the manifestations of the disease.For the same reasons, the regular use of alcohol solutions and lotions to cleanse the skin leads to increased sebum secretion.
    • Diseases of the gastrointestinal tract. The mechanisms of this relationship may be different, and in some cases remain completely unknown.
    • Smoking. It has been shown that smokers have more severe acne than nonsmokers.
    • The influence of psycho-emotional overload. It is known that against the background of stress there is an increase in sebum secretion, which worsens the course of acne.

    Acne is often associated with pathology of internal organs. Problems with the stomach and intestines (ulcers, gastritis and colitis), as well as constipation, lead to an exacerbation of the disease, the appearance of new acne elements on the face. Acne on the face in the area of ​​the nose, chin and cheeks may be associated with dysfunction of the gonads (more often in women with adnexitis). The disease is exacerbated by the ingestion of hot, spicy food, alcoholic beverages. With a lack of female sex hormones of estrogen in the body in women and with an excess of male sex hormones, acne appears on the back, chest and face.Acne also occurs with prolonged use of drugs containing iodine, bromine, corticosteroids, as well as with professional skin contamination, for example, tar, tar, oil, chlorine compounds, etc. The term “acne” appeared among specialists not so long ago. He points out that the appearance of acne is not only the appearance of rashes on the skin, but also a change in the state of the whole organism. Acne has been reported in athletes and bodybuilders taking anabolic drugs.

    Etiopathogenesis of acne vulgaris is complex.The following factors play the main role in the development of the disease:

    1. overactive greasy jelly;
    2. keratinization of the mouth and blockage of the sebaceous glands;
    3. activity of saprophytic skin microflora;
    4. inflammatory process.

    Microcomedones are formed in the ducts of the sebaceous glands – sebaceous horny plugs, which do not manifest themselves clinically. Further accumulation of secretion and its pressure on the clogged follicle funnel leads to the formation of a cystic cavity in the lower part of the hair follicle funnel and the appearance of clinical signs of the disease in the form of closed comedones.The constant accumulation of sebaceous and horny masses inside the follicle and their pressure on the surrounding tissues ultimately leads to atrophy of the sebaceous gland, as well as to the expansion of the mouth of the hair follicle. This is how open comedones are formed.

    According to modern concepts, bacteria are not the direct cause of the disease, they only provoke local inflammatory processes. Saprophytic microorganisms such as lipophilic fungi of the genus Pytirosporum, Staphylococcus epidermidis and Propionibacterium acnes are constantly present on the skin and hair follicles.The greatest role in the development of inflammation in acne is played by Propionibacterium acnes – gram-positive immobile lipophilic rods, which are facultative anaerobes. Blockage of the mouth of the hair follicle and the accumulation of sebum inside it create the prerequisites for the multiplication of these microorganisms inside the funnel of the hair follicle. The constant multiplication of P. acnes in the follicle, which is found at the stage of microcomedones, leads to an increase in the activity of metabolic processes, and as a consequence, the release of inflammatory mediators.

    Most of the incidences of acne diseases belong to the categories acne comedonica and acne papulopustulosa. All other types are much less common.

    There are 4 degrees of severity of acne:

    1. One or two areas of the face are affected. There are open and closed comedones with a significant predominance of open comedones. There are single superficial papules and pustules.
    2. Several areas of the face and body are affected. A large number of open and closed comedones.Single papules and pustules.
    3. A large number of deep pustules and papules are diagnosed against the background of open and closed comedones. Hyperemia of the affected areas is widespread due to a pronounced inflammatory reaction. There are post-acne phenomena: scars, stagnant spots, hyperpigmentation.
    4. There are large (more than 5 mm in diameter) bluish-purple painful infiltrates, conglobate elements (several large nodes located nearby, connected by fistulous passages), large cysts, resolving with the formation of rough atrophic scars.

    Types of acne

    Acne vulgaris (acne vulgaris, juvenile acne, acne) – a chronic disease of the sebaceous glands and hair follicles, develops against the background of age-related hyperfunction of the sebaceous glands under the influence of gonadotropic hormones, occurs in 85% of persons aged 12 to 25 years and in 11% of people over 25 years old. Four interrelated factors play a role in the onset of acne: follicular hyperkeratosis; hyperfunction of the sebaceous glands; microbial colonization of Propionbakterium acnes, Staphylococcus epidermis, Malassezia furfur; inflammation and immune response.The nature and volume of secretion of the sebaceous glands are influenced by sex hormones – androgens.

    Comedones (comedo sou acne comedonica) – primary non-inflammatory elements resulting from blockage of the hair follicle orifices. They are subdivided into microcomedones, open and closed comedones. At the initial stage of acne development, microcomedone is transformed into a closed comedone. A closed comedone is called a comedone that does not have free communication with the surface of the skin. Then, with a gradual increase in sebum volume, some of the closed comedones develop into open comedones.

    Microcomedones – a physiological phenomenon. Microcomedones are primary microscopic accumulations of sebaceous gland secretion, formed as a result of partial blockage of the exit from the follicle by corneocytes (skin cells that form its surface). Microcomedones are practically invisible on the skin surface.

    Closed comedones – the accumulation of sebaceous secretion and its pressure on the clogged follicle funnel leads to the formation of a cystic cavity with a diameter of 0.1 to 3 mm in the lower part of the hair follicle funnel and the appearance of clinical signs of the disease in the form of closed comedones.A characteristic feature of closed comedones is the formation of nodules under the surface of the skin. Closed comedones do not have free communication with the skin surface, inflammatory processes are not pronounced, however, favorable anoxic conditions have been created for the development of bacteria, namely for the reproduction of P. acnes. Closed comedones are called a “time bomb”. If there is a thin layer of skin above the comedone, this is called a closed comedone or white spot.

    Open comedones – due to the constant accumulation of the secretion of the sebaceous gland and corneocytes in the mouth of the follicle, atrophy of the sebaceous gland and expansion of the mouth of the hair follicle occur.An open comedone or black-spotted eel (black dot) is formed. Since the secretion of the sebaceous gland is oversaturated with corneocytes, it becomes thick and cannot be removed to the surface. The black color of that part of the secretion that is visible through the enlarged orifice of the hair follicle is not due to exogenous pollution or oxidation of sebum, as previously thought, but melanin. The comedone plug consists of a densely packed lattice of hundreds of tightly linked corneocytes, sebum, numerous propionic bacteria, staphylococci, and apically located pytirosporum.

    Papular and papular-pustular acne are the result of the development of inflammation of varying severity around open or closed comedones. With a mild form of the disease, papulopustular acne is resolved without scarring. With a significant severity of the inflammatory reaction, accompanied by damage to the structures of the dermis, scarring is possible at the site of inflammatory elements.

    Papular and papulopustular acne – secondary inflammatory elements.Clinically presented in the form of pink nodules – papules with a diameter of 2-5 mm, formed at the site of a comedone. With further development, a cone-shaped pustule forms at the apex. Then the contents of the pustule – the purulent exudate shrinks into a crust or opens up with release on the surface of the skin. After regression, pigment spots or small scars form at the site of the pustules.

    Inductive acne (acne indurata) – a more severe form of papulopustular acne. It differs in that the focus of inflammation is quite deep (deep infiltration), and the papules are hard.In this case, the inflammatory process also affects the surrounding tissues, mainly due to the multiplicity of rashes. Such nodes regress with atrophic or indurative scars with persistent skin pigmentation, but with proper systemic therapy they dissolve completely, albeit much more slowly than ordinary papulopustular acne. In most cases, the treatment for this type of acne is similar to that for papulopustular acne. Often, indurative and phlegmonous acne is called nodular cystic. Nodular cystic acne is a symptom of a rather severe course of acne.

    Phlegmous acne – with further development, in places of formation of indurative acne (infiltration here in the form of local seals and an increase in tissue volume due to the accumulation of pus in them), cystic cavities are formed, filled with pus, which can merge with each other, forming areas. In the specialized literature, indurative and phlegmonous acne is often called cystic nodular.

    Nodular cystic acne is a symptom of a rather severe course of acne.Acne conglobata is also indicative of a severe course of acne. They are characterized by the gradual appearance of multiple extensive, deeply located nodular cystic elements, which communicate with each other, as well as large grouped comedones. The lesions can be located not only on seborrheic areas, but also capture the skin of the back, abdomen, extremities, with the exception of the palms and soles. The resolution of most elements results in normo-atrophic, hypertrophic and keloid scars.The manifestations of this disease, as a rule, do not diminish after puberty, they can recur up to 40 years of age, and sometimes throughout life.

    Acne fulminans is a rare and severe form of acne. The disease occurs more often in young men aged 13-18 years, suffering from mild papulo-pustular, less often – nodular cystic form of acne, and is characterized by a sudden onset, the appearance of ulcerative necrotic elements (mainly on the trunk) and general symptoms.Some authors consider acne fiilminans as an acute ulcerative variant of acne conglobata, but most researchers believe that this form of the disease is closest to pyoderma gangrenosum.

    Inverse acne is associated with a secondary lesion of the apocrine sweat glands, which, like the sebaceous glands, are associated with hair follicles. Initially, occlusion and rupture of the hair follicle wall occurs, an inflammatory infiltrate around the follicle remnants, and apocrine sweat glands are involved in the process again.Various bacteria can be sown from lesions, but they are referred to as secondary infection. The disease develops after puberty and is often associated with severe acne. Predisposing factors may be friction or itching in various locations (armpits, perineum, navel, areola of the nipples of the mammary glands).

    A variety of exogenous acne can be considered mechanical acne, which occurs in persons predisposed to the disease.Their appearance is associated with pressure and friction (simple dermatitis), which cause mechanical obstruction of the follicular openings. An example is the prolonged pressure of a headdress, a sports helmet, a plaster cast, bed linen in immobilized patients, especially with increased sweating.

    Rosacea (acne rosacea) is characterized by the absence of comedones, localization exclusively on the face, a later onset (> 30 g. F.) And the presence of telangiectasias. The disease develops against the background of vascular angioneurosis, often parasitized by the demodex mite.

    Spring acne (acne mallorca) manifests itself cyclically during the period of increased radiation of ultraviolet rays (spring, summer). Elements of a homogeneous rash in the form of small pink nodules (usually with no comedones and pustules) are located only on areas of the skin unprotected from the sun (face, upper shoulders and back) and quickly subside after cessation of irradiation.

    Post-acne – persistent skin changes at the site of resolved acne elements. They are manifested by enlarged pores, enlarged capillary walls, uneven pigmentation, erythematous stagnant spots, uneven texture and microrelief of the skin, atrophic, keloid and hypertrophic scars due to destructive processes in the dermis.The consequences of acne (post-acne) can only be cured with special methods.

    Diet for acne

    According to modern concepts, it is important for patients with acne to limit the amount of carbohydrates consumed and exclude carbonated drinks (cola, lemonades, champagne and others). And also exclude from the diet those foods that, in a particular patient, cause deterioration of the skin condition (for someone it is chocolate, someone has coffee, spicy or fatty foods). In addition, there are studies indicating that drinking unleavened milk is the cause of more severe acne.

    Acne Treatment

    There is no single treatment regimen, so it is best to consult a dermatologist-cosmetologist. After examination and, if necessary, a doctor:

    1. Prescribe tests that may help determine the cause of your acne.
    2. Prescribe a course of external treatment and, if necessary, depending on the severity of acne, systemic oral medications.
    3. Will develop a program for cleansing, toning and moisturizing the skin.Will select cosmetics for daily care, advise decorative cosmetics, tonal foundations, sunscreens.
    4. Prescribe cosmetic procedures that will relieve inflammation and help cope with the effects of acne.
    5. It will help to develop an individual diet aimed at cleansing, healing the whole body, and therefore the skin.

    Can acne get rid of in one day?

    The answer is no! And don’t believe it if you hear that it’s real.Acne treatment is a long process that requires the patient to be systematic and follow all the recommendations of a dermatologist.

    Tune in to interact with your doctor. Using an individual approach and complex treatment, the specialists of the Central Clinic Voronezh achieve a significant improvement in the condition of the skin with acne or completely solve the problem. You can sign up for a consultation with a dermatologist in Voronezh by calling the Central Clinic: +7 (473) 300 33 44 or in the feedback form indicated on the website.The record is also available in social networks.

    90,000 What is cystic acne and how to properly treat it?

    One of the severe forms of acne is nodules-cystic acne , which can develop both in adolescence and after 20 years 1 . Rashes appear on the back, face, shoulders, neck, and other parts of the body.

    What does cystic acne look like?

    In the pathogenesis of cystic acne, the same factors are distinguished as in other forms of the disease.These include inflammation, follicular hyperkeratosis, increased colonization of propionibacteria, hyperproduction of sebum 1 .

    With cystic acne, acne occurs in the deep layers of the skin 1 . They look like large red bumps filled with pus. Such rashes often cause pain and itching, and leave scars when resolved.

    If the cyst ruptures, the infection can spread, causing more acne.

    What should not be done for cystic acne?

    If you develop cysts, you should refuse the following actions:

    • Self-medication. The biggest mistake people with acne make is neglecting the help of specialists. In the course are folk methods, the use of “foreign” drugs, which helped another patient with acne. But this can only aggravate the situation.
    • Extrusion of the cyst. This should not be done in any case, if the cyst ruptures, its contents will get into deep tissues and cause even more inflammation, the appearance of new rashes.
    • Aggressive care. The use of scrubs, peels, brushes on areas of the skin covered with cysts is also prohibited. So, you only more injure the skin.
    • Injection and hardware procedures. Most cosmetic procedures for inflammatory acne are prohibited.

    How to treat severe acne?

    Medicines for the treatment of cystic acne should be prescribed by a dermatologist. He does an examination, examines the symptoms to make sure it is indeed acne and not another dermatological condition.

    In severe forms of acne, the emphasis is on systemic therapy 1 .