Acne Nodulocystic

Introduction

Cystic acne, also known as nodulocystic acne, is a severe form of acne characterised by large, painful cysts and nodules on the skin. Unlike milder forms, such as acne vulgaris, cystic acne requires a more complex therapeutic approach. Understanding its peculiarities is key to effective treatment and prevention of long-term effects, such as scarring.

Symptoms of cystic acne

Cystic acne manifests itself through large, painful lesions that are often deeply embedded under the skin. Unlike other forms of acne, such as juvenile acne, these lesions can leave permanent scars. It is important to be able to recognise these symptoms at an early stage so that appropriate treatment can be implemented more quickly and potential complications reduced.

Causes of cystic acne

Hormonal factors

Hormones, particularly androgens, play a key role in the development of cystic acne. Increased sebum production and excessive sebaceous gland activity can lead to clogged pores and cyst formation.

Genetics

Genetic predisposition also plays an important role. People whose parents or grandparents suffered from severe forms of acne are more likely to develop cystic acne.

Impact of diet and lifestyle

Although diet is not a direct cause, it can influence the severity of symptoms. Foods with a high glycaemic index or dairy products can worsen skin conditions.

Diagnosis of cystic acne

When to see a dermatologist

If cystic acne is suspected, a visit to a dermatologist is essential. The specialist will assess the skin condition and recommend appropriate tests or treatment. Early diagnosis and treatment helps to minimise the risk of scarring.

What tests may be required

Often the dermatologist may order additional tests, such as hormone tests, to better understand the individual causes of acne. The results of these tests can help tailor treatment to the individual patient.

Treatment of cystic acne

Pharmacotherapy

Pharmacotherapy is the mainstay of treatment for cystic acne. Retinoids are used to help remove keratinised epidermis and antibiotics to reduce bacterial infections. Hormonal medication is often recommended to balance androgen levels.

Dermatological treatments

Treatments such as chemical peels and laser therapy can be used to reduce scarring and improve the overall appearance of the skin. These treatments are often complementary to pharmacotherapy, increasing the effectiveness of the overall treatment.

Natural treatments

Some patients opt for natural methods, such as the use of essential oils or herbs. While these can provide relief, they should be used as a complement to, rather than a replacement for, conventional methods.

Preventing cystic acne

Daily skin care and a healthy lifestyle play a key role in preventing the recurrence of cystic acne. Regular facial cleansing, avoidance of stress and a balanced diet can significantly reduce the risk of new lesions developing.

Cystic acne and scars

Scars from cystic acne are often deep and difficult to remove. Scar reduction methods range from laser treatments to microneedling. It is important to start scar treatment as soon as possible to get the best results.

Cystic acne in adults

Although acne is often associated with adolescence, adults can also suffer from it. Hormonal changes, stress and inadequate skin care can lead to cystic acne in adults. Treatment in this case is sometimes more complicated and requires an individual approach.

Psychological aspects of cystic acne

Cystic acne can significantly affect patients' self-esteem and quality of life. Psychological support, including participation in support groups, can be invaluable in the treatment process. It is worth remembering that mental health is as important as physical health.

Summary

Cystic acne is a serious skin condition that requires a comprehensive therapeutic approach. Early recognition of symptoms and implementation of treatment to help minimise the risk of scarring and improve the patient's quality of life is crucial.

FAQ

What are the most common questions about cystic acne?

• **Does diet affect cystic acne?**Yes, a high glycaemic index diet can exacerbate symptoms.
• **Can cystic acne be completely cured?**Acne can be controlled, but it requires consistent treatment and care.
• **How long does it take to treat cystic acne?**Treatment time is individual, but usually takes several months to a year.