Cystic Acne

Cystic Acne is a more severe form of acne which is also known as nodulocystic acne. It develops when acne forms small cysts or papules, which are the most common for of this type of acne. Nodulocystic acne is not restricted to the face, but can occur on the chest, back, shoulders and upper arms. The cysts are usually filled with a white pus-like substance, are several millimeters in diameter and can be painful. Although this form of acne is not uncommon, it is rarer than other forms of acne.

Cystic Acne usually does not respond well to over-the-counter acne treatments, although some patients may try that first. There are instances when over-the-counter medications along with a deep cleanser can be effective, but usually with deep cysts, it is necessary to visit a dermatologist for a more aggressive treatment. This form of acne is thought to occur when there is an excess buildup of sebum in the pores. Despite a commonly held belief, there is nothing linking hygiene or lack thereof to nodulocystic acne.

While some cases of acne cannot be prevented due to genetic predisposition and hormonal activity, there are some precautions a person can take to prevent the development of this kind of acne. Harsh overuse of cleansers and over washing of the face can exacerbate acne more than help it. Also, stress of any kind can make someone break out into acne. Greasy cosmetics or oily skin products can clog the pores and the oil ducts in the skin, leading to acne. Certain people with food sensitivities are also prone to acne. There are some medications that have acne as a side effect. Squeezing of pimples can actually make acne worse because it allows bacteria to enter the skin causing further inflammation and leading to scarring.

Cystic Acne needs to be treated aggressively because of its propensity for scarring. Dermatologists will usually try a topical regimen of trentinoin accompanied by a topical antibiotic as a first line of treatment for this type of acne. If the patient does not respond to this treatment, then more aggressive medication is used. The doctor will prescribe Accutane, which is very efficacious against this type of acne, but does have some side effects. Pregnant women and women who may become pregnant cannot take Accutane because there is a risk of birth defects when using this drug. However, for other patients, Accutane may just be the solution to resolving the acne and helping prevent scarring.