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Fluid filled acne. Understanding Fluid-Filled Acne: Causes, Treatments, and Prevention Strategies

What is fluid-filled acne and how does it differ from regular acne. How can you effectively treat cystic acne at home and when should you seek professional help. What are the long-term effects of cystic acne and how can they be minimized.

The Nature of Fluid-Filled Acne: A Deep Dive into Cystic Breakouts

Fluid-filled acne, commonly known as cystic acne, represents a severe form of this skin condition. It manifests as large, red, and painful breakouts deep within the skin. Unlike regular acne, cystic acne occurs when infection penetrates deep into the skin, creating pus-filled bumps that can be both painful and itchy.

Is cystic acne different from regular acne? Indeed, it is. While regular acne typically remains on the surface of the skin, cystic acne forms deep beneath the skin’s surface. These cysts can persist for extended periods, potentially lasting for years if left untreated. The severity and persistence of cystic acne make it crucial to seek professional help rather than attempting to wait it out.

The Formation of Cystic Acne

The journey of a cystic pimple begins similarly to other forms of acne. It starts when a pore in the skin becomes clogged, usually with dead skin cells. However, the situation escalates when bacteria become trapped in this clogged pore, leading to redness and swelling. In cystic acne, this infection delves deeper into the skin, resulting in a pus-filled bump or cyst.

Can a cystic acne breakout spread? Unfortunately, yes. If a cyst bursts, the infection can spread, potentially causing more breakouts in the surrounding area. This characteristic makes cystic acne particularly challenging to manage and emphasizes the importance of proper treatment.

Unraveling the Causes of Cystic Acne: From Hormones to External Factors

While the exact causes of cystic acne remain somewhat elusive to medical professionals, several factors have been identified as potential contributors. Understanding these factors can help in both prevention and treatment strategies.

The Hormonal Connection

Hormones, particularly androgens, play a significant role in the development of cystic acne. During adolescence, androgen levels increase, leading to changes in the skin that can result in clogged pores and acne. This hormonal influence explains why cystic acne is most common in teenagers and young adults, though it can affect individuals from age 8 to 50.

Are hormonal changes the only cause of cystic acne? No, while hormones are a primary factor, other elements can contribute to or exacerbate cystic acne:

  • Menstrual cycles in women
  • Pregnancy
  • Menopause
  • Polycystic ovary syndrome (PCOS)
  • Certain medications
  • Some skin products
  • Tight clothing
  • High humidity or excessive sweating

Debunking Acne Myths

It’s important to dispel common misconceptions about acne causes. Contrary to popular belief, the following factors do not cause acne:

  • Insufficient face washing
  • Sexual activity, including masturbation
  • Consumption of chocolate
  • Eating greasy or spicy foods

Understanding the true causes of cystic acne can help individuals focus on effective prevention and treatment strategies rather than wasting time on ineffective remedies based on myths.

Risk Factors and Complications: Who’s Most Susceptible to Cystic Acne?

While cystic acne can affect anyone, certain factors may increase an individual’s likelihood of developing this severe form of acne.

Age and Gender Considerations

Cystic acne most commonly affects individuals in their teens or early 20s. However, it’s not exclusive to this age group and can occur in children as young as 8 or adults up to 50 years old. In terms of gender, severe cystic acne tends to be more prevalent in men. When women develop cystic acne, they often experience cysts on the lower half of their face.

Genetic Predisposition

Does family history play a role in cystic acne development? Yes, genetics can influence your likelihood of developing cystic acne. If one of your parents experienced severe cystic acne, you have a higher chance of developing it yourself.

Potential Complications

Cystic acne can lead to several complications, primarily related to scarring. The cysts can leave permanent marks on the skin, including:

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

These scars can have long-lasting effects on an individual’s appearance and self-esteem, underscoring the importance of prompt and effective treatment.

Effective Treatment Strategies: Medical Interventions for Cystic Acne

Treating cystic acne often requires more intensive interventions than those used for milder forms of acne. Over-the-counter treatments that work for mild acne are typically ineffective against cystic acne. Instead, a dermatologist may recommend one or more of the following treatments:

Oral Medications

  • Oral antibiotics: These help control bacteria and reduce inflammation.
  • Birth control pills: For women, these can help regulate hormones that contribute to acne.
  • Isotretinoin: This powerful medication (formerly known as Accutane, now available under various brand names) addresses all causes of acne. However, it’s important to note that women should not get pregnant while taking this drug due to potential risks to the fetus.
  • Spironolactone: This medication can help reduce excess oil production. It’s typically not prescribed to men due to potential side effects like breast growth.

Topical Treatments

  • Benzoyl peroxide: This ingredient kills bacteria on the skin and fights inflammation.
  • Retinoids: These vitamin A derivatives come in various forms (cream, lotion, foam, or gel) and help unplug pores, allowing antibiotics to work more effectively.

In-Office Procedures

In some cases, a dermatologist may recommend steroid injections directly into the cysts. This procedure is typically performed in the doctor’s office and can help reduce inflammation and promote healing.

How long does it take to see results from cystic acne treatments? The timeline can vary depending on the severity of the acne and the chosen treatment. Some individuals may see improvement within a few weeks, while others might require several months of consistent treatment. It’s crucial to follow your dermatologist’s instructions and be patient with the process.

Home Remedies and Lifestyle Changes: Supporting Professional Treatment

While professional medical treatment is crucial for managing cystic acne, certain home remedies and lifestyle changes can support these efforts and help prevent future breakouts.

Skincare Routine

  • Wash your skin twice daily and after sweating using a gentle cleanser and lukewarm water.
  • Avoid scrubbing your skin or using harsh exfoliants, which can irritate existing acne.
  • Don’t touch cysts or pick at blemishes, as this can push the infection deeper and cause it to spread.
  • Allow blemishes to heal naturally instead of popping or squeezing them to reduce the risk of scarring.

Sun Protection

Protect your skin from the sun and avoid tanning beds, as these can damage your skin and potentially worsen acne.

Stress Management

Try to manage stress through relaxation techniques, as stress can trigger hormonal changes that may exacerbate acne.

Healthy Lifestyle

Maintain a healthy lifestyle by getting adequate sleep and regular exercise. Some research suggests that a low-glycemic diet, which limits sugar intake, may help ease acne symptoms.

Can dietary changes alone cure cystic acne? While diet can play a role in skin health, it’s unlikely that dietary changes alone will cure severe cystic acne. However, a healthy diet can support overall skin health and may complement medical treatments.

Understanding the Long-Term Impact: Living with Cystic Acne

Cystic acne can have significant long-term effects on both physical appearance and emotional well-being. Understanding these potential impacts can help individuals seek appropriate care and support.

Physical Effects

The most visible long-term effect of cystic acne is scarring. Even with treatment, severe cystic acne can leave permanent marks on the skin. These scars can take various forms:

  • Icepick scars: Deep, narrow indentations
  • Boxcar scars: Wider, box-like depressions
  • Rolling scars: Wave-like undulations across the skin
  • Hypertrophic or keloid scars: Raised, thickened areas of skin

How can cystic acne scars be treated? While complete elimination of scars may not always be possible, several treatments can help improve their appearance:

  • Laser resurfacing
  • Chemical peels
  • Microneedling
  • Dermal fillers
  • Subcision (for tethered scars)

Emotional and Psychological Effects

The impact of cystic acne extends beyond physical appearance. Many individuals with severe acne experience:

  • Low self-esteem
  • Social anxiety
  • Depression
  • Body dysmorphic disorder

These psychological effects can persist even after the acne has cleared, particularly if scarring remains. It’s crucial for individuals dealing with cystic acne to seek support for their mental health as well as their skin health.

Prevention Strategies: Minimizing Future Breakouts

While it may not be possible to completely prevent cystic acne, especially if you have a genetic predisposition, there are several strategies that can help minimize future breakouts and support overall skin health.

Consistent Skincare Routine

Maintaining a consistent skincare routine is crucial. This should include:

  • Gentle cleansing twice daily
  • Use of non-comedogenic moisturizers and sunscreens
  • Avoiding harsh scrubs or excessive exfoliation
  • Regular use of prescribed topical treatments

Hormonal Management

For women whose cystic acne is linked to hormonal fluctuations, working with a healthcare provider to manage hormones can be beneficial. This might involve:

  • Use of birth control pills
  • Management of conditions like PCOS
  • Consideration of anti-androgen medications in severe cases

Lifestyle Factors

Several lifestyle factors can influence acne development and severity:

  • Diet: While the link between diet and acne is still being researched, some studies suggest that a low-glycemic diet may be beneficial
  • Stress management: Chronic stress can exacerbate acne, so stress-reduction techniques may be helpful
  • Sleep: Ensuring adequate sleep can support overall skin health
  • Exercise: Regular physical activity can help regulate hormones and reduce stress

Environmental Considerations

Pay attention to environmental factors that might contribute to acne:

  • Avoid tight, non-breathable clothing, especially in humid conditions
  • Be mindful of potential acne triggers in your environment, such as certain hair products or cosmetics
  • Clean items that frequently come into contact with your skin, like phone screens and pillowcases

Is it possible to completely prevent cystic acne recurrence? While these strategies can significantly reduce the frequency and severity of breakouts, complete prevention may not always be possible, especially for those with a strong genetic predisposition. However, consistent care and early intervention can help manage the condition effectively.

When to Seek Professional Help: Recognizing the Need for Dermatological Care

Understanding when to consult a dermatologist is crucial in managing cystic acne effectively. While mild acne can often be managed with over-the-counter treatments, cystic acne typically requires professional intervention.

Signs It’s Time to See a Dermatologist

Consider seeking professional help if you experience:

  • Deep, painful cysts or nodules
  • Acne that doesn’t respond to over-the-counter treatments after several weeks
  • Acne that leaves scars or dark spots
  • Acne that significantly impacts your self-esteem or quality of life
  • Sudden onset of severe acne, especially if you’re older than 25

What to Expect from a Dermatology Appointment

During your visit, the dermatologist will likely:

  • Examine your skin
  • Ask about your medical history and any treatments you’ve tried
  • Discuss potential treatment options
  • Develop a customized treatment plan

How often should you follow up with your dermatologist? The frequency of follow-up appointments can vary based on your treatment plan and how your skin responds. Initially, you might need to see your dermatologist every 4-6 weeks to monitor progress and adjust treatments as necessary. As your acne improves, these visits may become less frequent.

The Importance of Early Intervention

Seeking professional help early can have several benefits:

  • Prevent the progression of acne to more severe forms
  • Reduce the risk of scarring
  • Minimize the emotional and psychological impact of acne
  • Allow for earlier initiation of effective treatments

Remember, cystic acne is a medical condition that often requires professional treatment. Don’t hesitate to seek help if you’re struggling with severe or persistent acne. With proper care and guidance from a dermatologist, most cases of cystic acne can be effectively managed, leading to clearer skin and improved quality of life.

Definition, Causes, Treatment, and Prevention

Written by WebMD Editorial Contributors

  • What Is Cystic Acne?
  • Cystic Acne Causes
  • Cystic Acne Risk Factors
  • Cystic Acne Complications
  • Cystic Acne Treatment
  • Cystic Acne Home Remedies
  • More

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.

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:

  • A woman’s menstrual cycle
  • Pregnancy
  • Menopause
  • Polycystic ovary syndrome
  • Certain medications
  • Some skin products
  • Clothing that’s too tight
  • High humidity or sweating

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

  • Not washing your face enough
  • Sexual activity, including masturbation
  • Chocolate
  • Greasy or spicy foods

 

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.

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

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

 

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, Zenatane) 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

 

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.

 

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Definition, Causes, Treatment, and Prevention

Written by WebMD Editorial Contributors

  • What Is Cystic Acne?
  • Cystic Acne Causes
  • Cystic Acne Risk Factors
  • Cystic Acne Complications
  • Cystic Acne Treatment
  • Cystic Acne Home Remedies
  • More

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.

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:

  • A woman’s menstrual cycle
  • Pregnancy
  • Menopause
  • Polycystic ovary syndrome
  • Certain medications
  • Some skin products
  • Clothing that’s too tight
  • High humidity or sweating

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

  • Not washing your face enough
  • Sexual activity, including masturbation
  • Chocolate
  • Greasy or spicy foods

 

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.

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

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

 

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, Zenatane) 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

 

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.

 

Top Picks

Watery lesions on the skin – causes, symptoms and treatment of vesicles on the skin

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    Children’s Medical Center “Pediatrician and Me”

  • Articles

  • Watery lesions on the skin

Watery pimples are scientifically called vesicles. This is when a pimple appears on the skin, inside of which is a clear liquid. A pimple can be one or many. Pimples can merge into groups or be at a distance from each other. The location can be any: on the skin of the whole body and on the mucous membranes of the genital organs, on the scalp, only on the lips, or only in the form of an isolated lesion of a segment on the skin like a branch strewn with such pimples. The pimple itself with a clear liquid inside may have a slight red rim on the skin at the base of the watery vesicle or may not have it. There may also be a slight depression in the center of the watery pimple, or there may be none. Doctors call this umbilical depression.

A watery pimple can vary in size from small to large. After the appearance of a pimple, its further development takes place. The watery blister may instantly burst and crust or become wet. It can also have dense walls and not open for a long time. And sometimes the transparent contents are replaced by cloudy and purulent.

Pimples can cause severe pain at the site of the rash, a feeling of fullness and itching. There may also be a change in body temperature, runny nose, sore throat and general malaise. Or maybe none of that.

So what do these many-sided watery pimples mean? What will the pediatrician, dermatologist or therapist say with each variant of the appearance of a pimple with watery contents and with its subsequent transformations? What causes such diverse types of acne filled with a clear liquid?

This can occur with allergies, with purulent skin infections, with herpes infections in the form of herpes types 1 and 2, and with herpes called varicella zoster.

All these causes have different clinical manifestations. And only on the basis of a combination of clinical manifestations, a dermatologist or pediatrician will make a diagnosis. But to confirm the diagnosis, the doctor will offer to take tests. This may be a study of the contents of the bladder in the form of PCR for viruses or sowing on the flora, a blood test for the presence of antibodies to viruses or infectious diseases.

And, of course, treatment directly depends on the diagnosis and tests.

If the diagnosis is “herpes simplex”, or “genital herpes”, or “shingles”, then the doctor has many effective anti-herpetic drugs in his arsenal. These are ointments, and tablets, and syrups, and solutions for administration both intravenously and intramuscularly. The doctor may prescribe medications to correct immunity. Your doctor may also recommend vaccines for herpes simplex and chickenpox. The fact is that the chickenpox and shingles viruses have the same origin and the name varicella zoster. And those who have suffered a live varicella zoster virus, have been ill with chickenpox, for life retain the carriage in the body in the nerve ganglia of the varicella zoster virus. Only he is in a dormant form and, under adverse influences, can be activated and cause an unpleasant disease in the form of shingles.

What if the diagnosis is chicken pox? With chickenpox herpes, the doctor will prescribe the treatment of pimples and isolate the patient for 11 days from the moment of the rash. By the way, it is better for contact people to vaccinate against chickenpox within 72 hours after contact with chickenpox so as not to get sick.

What if it’s a skin infection? Doctors call a skin infection pyoderma. In case of a purulent lesion, the doctor will prescribe local ointments and solutions and decide on the need for antibiotic therapy according to the situation.

But what if it’s an allergy that manifests itself like this? For allergies in the form of eczema or other manifestations, local treatment with ointments and solutions with anti-allergic properties is indicated. Everything you need will be prescribed by a doctor based on the individual characteristics of the disease. Also, the doctor will prescribe a diet, drugs that cleanse the body of allergens and toxic substances and prevent the development of allergies.

The main thing is not to start the situation and see a doctor in time (at the very beginning of the disease).

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The article was edited by an expert, pediatrician, doctor of the highest category Storcheus Natalia Yurievna. To undergo the treatment mentioned in the article materials, you need to contact a specialist. The information in the article is not a call for self-treatment!

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Blisters

responsible medical portal

Eruptions in the form of bubbles

Vesicle (synonym – vesicle) is the primary element of skin rashes that appears on intact skin due to various reasons. It is a cavity bounded by a lid and bottom, and rises above the skin surface. It is located in the epidermis – the surface layer of the skin. The vesicle is filled with transparent, sometimes turbid (serous) or mixed with blood (serous-hemorrhagic) contents. Size – more often up to 0.5 cm in diameter. There are single and multi-chamber bubbles. Sometimes they open, the contents expire, erosions form at this place, which, after healing (epithelialization), leave no traces. Large, more than 0.5 cm in diameter, elements similar in structure are called bubbles (or bullae).

Causes of blisters:

  • prickly heat – a pathological condition of the skin, accompanied by the appearance of many blisters with transparent contents on closed areas of the body and in natural skin folds. The disease develops due to excessive overheating and sweating. Vesicles are scattered or grouped (more often in the folds of the skin – inguinal, intergluteal; in the armpits, under the mammary glands). Sometimes the contents of the bubbles become cloudy and suppurate, the elements are surrounded by a zone of redness; in severe cases, they can merge and form weeping foci.
  • herpes simplex – viral disease affects the lips, nasolabial folds, another part of the face, can be located in the oral cavity. Vesicles have cloudy contents and are surrounded by a reddish corolla (a zone of hyperemia). Swelling and redness visits the patient even before they appear. Rashes bring pain and discomfort in the affected area, may be merged. After some time, they dry out, crusts form on the surface, sometimes small ulcers. The disease may be accompanied by a rise in temperature.
  • chickenpox (or shingles) – a disease of a viral nature (causative agent – herpes zoster virus). The rash is staged: first papules appear (raised reddish-pink skin densities), and then they are converted into vesicles, first with a transparent, and then cloudy content. These elements subsequently dry out with the formation of brown crusts. It is localized throughout the body, occurs on the scalp, mucous membranes of the mouth, eyes and genitals. Rashes have a wave-like character, which corresponds to a surge in temperature reaction. The rash passes without a trace if it is not injured by scratching, otherwise scars may remain.
  • felinosis or cat-scratch disease – parasitic disease, vector – domestic cats. At the site of a scratch inflicted by a pet or its bite, two weeks later (incubation period), a small papule (a seal that rises above the skin surface) is formed with a zone of redness, which then transforms into a vesicle or pustule (abscess), followed by the formation of a crust. A characteristic feature of the clinic is regional lymphadenitis (damage to the lymph nodes) two weeks after the rash; axillary and ulnar are more often involved in the process, less often – cervical and inguinal. The temperature reaction is expressed.
  • scabies – a contagious disease caused by the scabies mite. The way of transmission is contact. Clinic – more often in the skin between the fingers, on the wrist, genitals, the tick makes moves; at the affected sites, a rash appears in the form of papules with a reddish corolla, which can transform into vesicles and be accompanied by itching. Scratching the affected areas can lead to infection of the rash.
  • allergic reaction (contact and food allergy) – manifests itself in the form of contact dermatitis. Rashes may look like bubbles with transparent contents, redness and swelling around; accompanied by severe itching, while, as a rule, the general condition of the patient is not disturbed. When an allergen is identified, eliminated, or antihistamines are taken, the rash is neutralized.
  • autoimmune diseases (pemphigus, bullous pemphigoid, dermatitis herpetiformis) is a pathology in which the body’s immune system fights its own healthy cells, as well as body tissues. Rashes affect both the skin and mucous membranes.