Acne conglobata is considered the most severe form of acne vulgaris and is more common in males. Acne conglobata is a highly inflammatory form of acne. It is a form of nodulocystic acne in which there are interconnecting abscesses and sinuses, which result in unsightly hypertrophic (thick) and atrophic (thin) scars. There are groups of large “macrocomedones” and cysts that are filled with smelly pus. It can cause severe, irrevocable damage to the skin, and disfiguring scarring. Deep, inflammatory nodules that track under the skin to other nodules characterize acne conglobata. Acne conglobata can cause deep scarring and is difficult to treat. It is occurs on the face, chest, back, buttocks, upper arms, and thighs. The average age for onset for acne conglobata is usually between 18 and 30 years, and the condition can stay active for many years.
The primary cause of acne conglobata is unknown although some things have been identified as possible triggers:
1) Toxic gases like dioxins or halogens
2) Anabolic steroids can induce severe acne in susceptible individuals.
3) Stopping a course of testosterone.
4) It can develop as a result of the deterioration of existing pustular acne
5) It may arise from previous acne that has lain dormant for many years.
Acne usually starts during puberty, the body start to go through hormonal changes. The glands seem to produce too much oil and which leads to a plugging of the pores in our skin. The pores that are now plugged start to be become infected. The infection look like reddish bumps, which and may contain pus, the by-product of the infection.
Not only does our own body do this but we also can help promote the acne. Sometimes the treatments we seek may cause more acne then we had to start with. Makeup can also lead to acne. The diet we have may lead to acne, by the lack of water intake may throw off the natural pH level of our skin. Even some of the hair products we may use on a daily basis can be a contributor to acne, items such as: hairspray, gels, conditioners, all may clog pores.
More in a Medical term of what happens:
Acne caused by three main factors. Abnormal keratinization of the lining of the sebaceous gland caused by androgen stimulation, resulting in plugging of the gland; Increased production of sebum by the sebaceous gland due to androgen stimulation; A bacterium Propionibacterium acnes proliferates within the gland and modifies the sebum. Propionibacterium acne is a bacterium normally found on the skin.
There are rules to dealing with acne, Don’t pop it. Don’t pick it. Don’t squeeze it. This only leads to furthering the inflammatory process of comedones, pustules, and papules. Use“non-comedogenic” cosmetics and toiletries. “Non-comedogenic means that the product does not promote acne.” Wash your face upon awakening, after school or work and again at bedtime times with a mild soap. Washing too much causes dryness. Hard scrubbing irritates the skin which breaks the protective skin barrier which allows for more bacteria to enter the pores creating more acne problems. A good tan will temporarily hide your acne; it is not beneficial for your skin in the long run.
There are different kinds of acne scarring: ice-pick scarring, atrophic scarring, and hypertrophic scarring. Ice pick scars are pitted scars. Atrophic scars are pitted and can have a smooth border around the scar itself, but really deep. Hypertrophic scar, are common on the chest and back areas. The scars look like thick lumpy scars on the skin, but the big difference is the scars are raised on the skin not pitted like the other two.
Now that we have covered some of the rules and what the 3 common scars may look like. We need to understand that a lot of the over the counter prescriptions may appear to work with little to no true results of getting rid of your scars. You may want to seek out your dermatologist or find to discuss the proper course of action with dealing with the acne scars.
Baby acne is common in newborns; sometimes you may see them as early as shortly after birth or 2 months of age. The baby acne might even last to 6 months of age. What cause the unique skin condition may start with the environment or hormonal changes in the infant. They can look like little red bumps on or around the face, back, legs and even the arms.
Things that you shouldn’t do are use oils, creams, or even wash the child’s skin too much. Washing the child’s skin may make even more irritated. The best method would be to wash with a mild baby soap such as “JOHNSON’S® HEAD-TO-TOE® Baby Wash” then lightly pat dry the child.
You might want to seek your pediatrician if the acne last for a long period time to see whether or not the child has baby acne or it may be totally different skin condition all together. The child have a skin condition called eczema, but only your doctor may determine that.
1.Tetracycline: One of the first available acne antibiotics that was changed for topical use. Discoloration of the skin is a possible side effect.
2.Sulfonamide: Popular treatment for acne and skin inflammation. One of the oldest antibiotics to date.
3.Clindamycin: a semisynthetic antibiotic that is similar in nature to erythromycin.
4.Erythromycin: Active to a large and diverse grouping of bacteria. Its topical use is for the treatment of common acne vulgaris. It is an antimicrobial and anti-inflammatory medication.
5.Azelaic acid: Adapted for acne treatment. Applied as a cream. Useful for treating certain acnes by antimicrobial approaches. Process can take several months to be effective. Over use may result in increased or in some cases permanent redness of the skin.
The main problem encountered with antibiotic use is the need to change antibiotics frequently as bacteria mutate and become resistant to an antibiotic usually in 3 to 5 months. This is the reason you often hear people on antibiotic therapy say, it used to work but now it no longer controls my acne.
Molecules in the Vitamin A family. Popular for anti-acne meds because of their proven effectiveness. Proven to lessen abnormal growth of cells around the sebaceous follicles.
Retinoids, while effective, also have side effects. Among these are redness, dryness, itching and cracking of skin. However, in systemic retinoids, chance of birth defect can be a major issue. A teenager or female acne sufferer should first consult a doctor before using these systemic treatments to evaluate if the possible risks outweigh any possible benefits.
Retinoids are used topically and may also be used in pill form. Here is a list of the ones available in the United States. Some are topical and some are systemic:
1.Tretinoin: Vitamin A acid. Derived from the Vitamin A family. Topical acne medication.Gel form is generally stronger than the cream form. Also known as Retin-A, Renova, Adaplene and Differin. Prolonged use may lead to another skin condition called rosacea.
2.Isotretinoin (brand name Accutane) is an oral retinoid best known for treating severe cystic acne. Retinoids all carry the risk of causing birth defects in developing fetuses if the mother is using the drug, women who take them must wait a certain amount of time before safely attempting to become pregnant as Accutane can stay dormant in the fat cells for seven (7) years. People taking oral retinoids should not take vitamin supplements containing vitamin A. Accutane has now been linked with a long list of serious side effects, which are frequent, varied and at times severe such as depression and suicide. The Food and Drug Administration has been considering removing it from the market due to the above factors.
Over the counter Acne Products:
The most common over-the-counter medications used to treat acne contain one of the following ingredients: Benzoyl peroxide, resorcinol, salicylic acid, zinc or sulfur. Each works a little differently. These acne medications are available in many forms, such as gels, lotions, creams, soaps or pads.
Many of these over-the-counter acne medications may cause side effects such as skin irritation, burning or redness. These products can take between 4 and 8 weeks before you notice an improvement in your skin. If an over-the-counter acne product doesn’t seem to help after 2 months, get advice from your doctor. Likewise tell your doctor if you have side effects that are severe or that don’t go away over time.
To be effective, an over the counter acne medication needs to have the right concentration and combination of helpful ingredients to avoid causing further damage to the skin. Sometimes “Less is More”.
To find the proper blending of ingredients in an acne treatment that can calm the skin while providing the necessary antimicrobial benefits, in a non-inflammatory preparation should be the goal of all acne sufferers.
To learn more about acne and the treatment of acne we suggest the following website references:
Acne blackheads are small, dark spots (about the size of a pinhead) caused by discoloration of the surface of a small plug in the opening of a follicle (pore). The acne blackheads are open and dark in color. Blackheads are follicles that have a wider than normal opening due to the large amount of clogged sebum. They are filled with plugs of sebum and sloughed off cells and have undergone a chemical reaction resulting in the oxidation of melanin. This gives the acne prone material in the follicle the typical black color that could lead to an acne eruption and scarring. This black color is due to melanin pigment and not always dirt and sebum oil. Squeezing a blackhead often leads to the acne irritation and potential scarring causing permanent signs of acne. Blackheads can be more numerous on the face and shoulders than acne red bumps filled with pus.
Whiteheads are like blackheads, but do not have an opening to the skin surface to allow air to reach the follicle and oxidize it. Good consistent acne skin hygiene and Acne-Ltd can help prevent acne blackheads and whiteheads.
Adult acne appears as white or red bumps that are painful to touch.
Adult acne whiteheads are formed due to trapped oil and debris within the acne prone hair follicles of the skin.
If adult acne whiteheads are formed in the deeper layers, a soft mass called cystic acne appears.
Acne blackheads are open and dark in color. This is due to melanin pigment and dirt that discolors the acne blackhead.
The plugged wall of the acne prone follicle ruptures on to the skin surface, and can get infected by acne bacteria and form adult acne.
Small red acne bumps are called whitehead. Larger red bumps are called nodules or pustules (with acne pus).
An acne pustule is a whitish yellow squeezable spot due to the accumulation of pus or acne inflammation inside. After the lesions heal, they leave behind scars that form permanent acne scars on the skin. An advanced acne skin care product is certainly needed for an acne solution.
Cystic adult acne, whether chronic or intermittent, needs an acne solution by an advanced acne product. Cystic adult acne often causes acne scarring. Acne care is needed as cystic acne is one of the most frustrating types of adult acne that most acne treatments fail to treat and an ugly acne picture results for years. Cystic Adult acne needs not be difficult as an acne remedy can provide a solution. Cystic acne can be painful, however, cystic acne can have acne skin care very easily preventing acne scarring but the extent of damage of cystic adult acne is capable of inflicting often goes beyond the reach of most acne treatment. Cystic acne is typically triggered by the lack of estrogen, therefore the normal skin care is not the best. An advanced acne treatment is needed during this period. Acne oil glands becomes engorged, and hardened with the excess acne prone oil. The extra oil plugs the lining of the hair follicle. This causes acute acne inflammation and irritation, and leads to cystic acne. As these acne oil lesions start deep in the skin, acne scarring is side effect.
Acne cosmetica is a mild and relatively common form of acne is caused by cosmetics. Since it’s triggered by topical products, it can strike anyone — even people who are not prone to acne. It typically consists of small, itchy or rashy pink bumps on the cheeks, chin and forehead, developing gradually over the course of a few weeks or months. It may persist indefinitely, but usually does not cause scarring.
To avoid acne cosmetica, you may need to change some of the cosmetics you use. All cosmetics should be oil free; when in doubt, read the label. Products that are labeled as non-comedogenic (does not promote the formation of closed pores) should be used; in some people, however, even these products may cause acne. Products used to treat oily hair may come in contact with the forehead, causing closed comedones. Hair sprays, gels and styling products can also cause clogged pores and care should be taken to avoid having these products come in contact with the facial skin.
Acne-Ltd is non-comedogenic, and can even be used as an invisible, oil-free makeup base. Learn more about Acne-Ltd at our Introducing Acne-Ltd page.