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Severe Acne Cases

Severe acne cases are rare, but they are a hardship to the people who experience them. Since this condition can be disfiguring and require years of treatment, these cases can have even more psychological effects on the sufferer.

We can find four types of severe acne, as described below:

Acne conglobata - Acne conglobata is an unusual and extraordinarily harsh form of acne characterized by burrowing and interconnecting abscesses and irregular scars, habitually producing pronounced disfigurement. There are groups of large macrocomedones and cysts that are filled with smelly pus. The nodules are habitually found on the chest, shoulders, back, buttocks, upper arms, thighs and face. AC affects males more frequently than females and usually occurs in young adults aged 18-30 years, but infants may develop this condition as well.

Acne fulminans - Acne fulminans, also known as Acne Maligna, is a exceptional and very severe form of acne conglobata related with systemic symptoms and tends to be found in acne prone young males. Symptoms consist of severe lesions, arthritis, fever and failure to respond to antibacterial therapy. Over the past several years, fewer cases of this disease have occurred, possibly because of earlier and better treatment of acne.

Gram-Negative Folliculitis - Gram-Negative Folliculitis also known as hot tub folliculitis and barber's itch is an infection of the hair follicle that is most usually bacterial, but can rarely be caused by fungus. Severe cases may cause permanent hair loss and scarring and can be painful and upsetting. The infection is relatively uncommon and may occur as a problem in patients with acne vulgaris and rosacea and habitually develops in patients who have received systemic antibiotics for extended periods.

Pyoderma Faciale - Pyoderma faciale also known as ‘rosacea fulminans’ is an rare skin condition which affects only young adult women. Pyoderma faciale is described as painful large nodules, pustules and sores which may leave scarring. It begins suddenly, and may occur on the skin of a woman who has never had acne before.

Treatment for Severe Acne Cases

Severe acne requires an insistent treatment regimen and only should be treated by a dermatologist. This cases can require years of treatment and may experience one or more treatment failures. However, nearly every case of acne can be successfully treated.

The methods used by dermatologists to treat severe acne include: isotretinoin, drainage and surgical excision, Interlesional corticosteroid injection, oral antibiotics and oral contraceptives.


Over-the-counter treatment for Acne