Acne is a chronic inflammation of the hair follicle and sebaceous glands characterized by comedones (points blacks), papules (inflamed elements) and pustules (pimples, which may have white or yellow dot). There are several forms of this pathology: among these the most severe form is nodulo-cystic acne .
What is cystic acne?
Nodulo-cystic acne is a rare form of acne that affects male subjects almost exclusively. This variety of acne can occur at the beginning of puberty or later (18-20 years) in a sneaky way. It is characterized by the appearance both on the face and on the trunk of inflamed subcutaneous nodulo-cystic formations, sometimes even conglobled together not rarely associated with painful symptoms. On the back, large cystic forms prevail with suppurative and abscess phenomena that give rise to mold or keloid scars. Healing is delayed and this type of acne often persists for several years .
What are the causes of cystic acne?
Unlike the intermediate forms of acne, such as papulo-pustular, or mild, comedonic, nodulo-cystic, it manifests itself following an important amplification of the pathogenetic mechanisms of the pathology. In other words, there is an over -expression of the mechanisms responsible for acne . The causes of cystic acne are not yet known. It is thought that this form of acne may be connected to an excessive activation of the sebaceous glands due to neuroendocrine stimulation.
What are the symptoms of cystic acne?
Cystic acne is manifested by the presence of nodules and cysts , which can be accompanied by pain .
Since the causes of cystic acne are not yet known, it is unfortunately not possible to speak of cystic acne prevention.
To carry out the diagnosis of cystic acne it is necessary to undergo a dermatological examination , during which the specialist will highlight the presence of nodules and cysts.
It is a manifestation that often inevitably creates a social, especially psychological, discomfort and whose treatment requires a targeted specialized dermatological approach. In fact, it is unthinkable to solve this type of acne using only topicals to be applied to the skin and even worse to imagine making improvements with the do-it-yourself.
Nodulo-cystic acne requires the professionalism and competence of the dermatologist but also the patience, sometimes a lot, of the patient, before he can appreciate the improvements on his skin.
To treat cystic acne, the currently most effective drug is Isotretinoin , a derivative of vitamin A which is able in almost all cases to make nodules and cysts regress in four / six months of treatment. Taken on a long-term basis, this drug can give rise to different types of side effects and therefore should only be used under specialist supervision .
Promptly recognizing the nodulo-cystic forms of acne and consequently starting the treatment with isotretinoin is important to avoid the formation of cicatricial results that, today, unlike in the past, it is possible to treat and manage better to restore the normal smoothness of the skin.
The treatment of acne scars varies from subject to subject and can be essentially chemical , for example specific peeling, or physical , for example through the use of laser systems optimized for this problem such as the fractional laser.