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Understanding Cystic and Nodulocystic Acne

Cystic acne, or nodulocystic acne, is the most severe form of acne vulgaris. Deep, inflamed breakouts develop on the face and/or other areas of the body. The blemishes themselves can become large; some may measure up to several centimeters across.

Although many people use the term "cystic" to describe any type of severely inflamed acne, only those who develop cysts truly have cystic acne. Cysts are the most serious kind of acne blemish. They feel like soft, fluid-filled lumps under the skin"s surface. Cysts can be painful.

Who Gets Cystic Acne?

Cystic acne can affect anyone, but it is more common in teenage boys and young men. Acne seems to run in families. If your parents had cystic acne, you are more likely to experience severe acne yourself.
Causes of Cystic Acne

Cystic acne is caused by the same factors as other forms of acne, which are:
overactive oil glands
excess dead skin cells within the hair follicle (pore), and
a large number of acne-causing bacteria, Propionibacteria acnes
Inflamed acne blemishes develop when the follicle wall ruptures, leaking infected material into the dermis. If this break occurs near the skin"s surface, the blemish is usually minor and heals quickly. Deeper breaks in the follicle wall cause more serious lesions. Nodules develop when the contaminated material infects adjoining follicles.

Like nodules, cysts begin as a deep break in the pore wall. A membrane then forms around the infection within the dermis. Some people are more prone to developing these types of serious breakouts than others.
More About the Causes of Acne

Effects of Cystic Acne


It"s also common for those with severe acne to have feelings of embarrassment, shame, and anger regarding their skin. Some sufferers avoid mirrors, or shy away from social situations. Acne can hurt the self-esteem, and may lead to depression. If you feel acne is greatly affecting the quality of your life, please talk to your doctor. Luckily, with treatment, most people find their self-confidence improves.

Living and Coping with Acne

Psychological Impact of Acne

Signs of Depression

Treatment

nodulocystic acne include:
Oral antibiotics
Accutane (isotretinoin)
Oral contraceptives - for women

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