Acne conglobata most often appears during adolescence. The course of the disease, even with a benign formation, can lead to serious complications. This is considered one of the most severe forms of acne. This problem is very difficult to treat. Since science has not yet fully understood the mechanism of the disease. Most often, the disease affects the upper layers of the epidermis, but there are severe forms that penetrate the lower layers and damage the tissue.
Symptoms of acne conglobata disease
Multiple acne on the face and throughout the body is a severe form of acne. Small pimples begin to accumulate in the area of the sebaceous glands. But then the clogged glands prevent sebum from being released. As a result, an inflammatory process begins around. If there is a lot of fat, the inflammation develops into an abscess. The size of acne depends on the severity of the disease and the duration of the disease.
If you don't know what acne conglobata looks like, you should consult a dermatologist if suspicious pimples appear on your skin. If an inflammatory process has begun on your skin or suppuration has formed, under no circumstances should you crush the resulting growths.
Doctors believe that acne conglobata is the first stage of pyoderma. In this condition, the patient's health deteriorates. Skin lesions cause hormonal abnormalities.
Standard skin diseases (seborrhea, dermatitis, eczema) provoke the spread of ulcers. Some pimples may come together to form a characteristic blister with pus inside. In this case, the healing process takes much longer. Most often, purulent inflammations can occur on the scalp or neck. Infiltrates can interact with each other through channels (fistulas).
After removal of the abscess and complete recovery of the patient, keloid scars may appear at the site.
Symptoms and signs
Speaking about the symptoms of this disease, the uneven surface of the eel is noted. There is significant infiltration and the formation of a large number of rashes on one area of the skin. Localization is not limited to the face and neck. Possible formation on the neck, back and abdomen.
After the acne opens, fistulas appear - the so-called fistulas, which heal after some time. Diagnosis of acne is carried out by a specialist through a visual examination.
To prescribe the correct treatment, the doctor must send the patient for the following tests: Clinical blood test to determine the severity of the rash.
If a woman suffers from acne, she is sent for a biochemical blood test to rule out a disease such as polycystic ovary syndrome. The test must be taken on the 5th day of menstruation. An analysis is carried out for hormones such as FSH, LH, testosterone. Examinations are carried out for the presence of intestinal dysbiosis.
Source: netpryshhei.ru
Causes
Studies have shown that most often the mechanism of acne manifestation begins with the following moments:
- Genetic hyperandrogenism. Acne begins to appear as soon as the amount of androgens begins to increase. The problem may be a malfunction of the adrenal glands, bloating or polycystic ovaries;
- Impaired globulin ability. If violated, the latter becomes less active. As a result, such an anomaly provokes the development of acne;
- Receptor form of hyperandrogenism. Androgens in this vein may be normal or this indicator may be slightly underestimated. But hair follicles are very sensitive to testosterone (or dihydrotestosterone). At the same time, dihydrotestosterone provokes the accumulation of subcutaneous fat.
The severe form doubles the symptoms.
Propionic bacteria reproduce with the help of bactericidal fungi. Parasites produce lipase, which dissolves fats into glycerol and fatty acids. In this case, various components (phagocytes, eosinophils, monocytes, neutrophils, etc.) begin to enter the blood. This process provokes inflammatory processes in the body. As a result, papules and pustules appear on the skin.
What causes acne
Multiple factors provoke the occurrence of inflammatory processes. This is influenced by factors:
- Stress and depression. In this state, the neurotransmitter P begins to be produced. In this case, a violation of keratinocyte differentiation occurs. This increases the production of sebaceous enzymes. conglobate acne on the back is an example of this;
- Abnormal functioning of the endocrine glands;
- The patient has diabetes mellitus;
- Dietary disorder. Typically, patients eat foods with increased salt content (or iodized salt). Carbohydrates have no less unpleasant consequences. As a result, the amount of insulin increases. This leads to the fact that androgenic hormones begin to be intensively produced. Because of this, subcutaneous fat begins to be produced in excess;
- The patient is taking medications, such as steroids, anticonvulsants, or antituberculosis medications. Halogen-containing agents or antidepressants can provoke acne;
- External factors. Ultraviolet radiation. Clogging of the sebaceous glands due to the settling of dust, industrial oils or gasoline. Exposure to household chemicals. Skin damage.
- Tobacco smoking as one of the factors in the development of acne conglobata. The onset of the disease occurs due to the fact that vitamin E is rapidly disappearing;
- The presence of infectious diseases in the body.
Most popular: Using Solcoseryl ointment to get rid of wrinkles
Acne grades
Like any disease, acne varies in severity. Mild acne (blackheads or clogged pores) only needs to be treated with special products.
Photo 31 - Mild acne can be removed using special products
Photo 32 – Mild acne
Mild acne is characterized by closed acne or acne (comedones); suppuration and pustular-papular lesions do not occur.
Photo 33 - Salicylic acid against acne
First degree rashes can be overcome with salicylic acid, zinc, sulfur ointment, masks with clay or sulsena.
Photo 34 - Zinc ointment before and after use
The appearance of a small number of pustules among the comedones indicates moderate severity of acne.
Photo 35 - Purulent pimples need to be dried
Treatment of second-degree rashes is carried out with the use of bactericidal agents: tea tree, lavender (spot on the pustule), preparations with azelaic acid, tretinoin, benzoyl peroxide, while continuing to use the listed products with sulfur or zinc, which dry and cleanse the skin.
Photo 36 - Tretinoin will dry out a pimple
Nutrition is controlled: sweets, fatty and fried foods are excluded.
Photo 37 - Watch your diet
When the severity of the disease increases - the appearance of suppuration - antibiotic ointments (Zinerit, Dalacin) are added. The occurrence of multiple foci of inflammation: papules, pustules with pus or cysts, in combination with comedones and sebaceous skin, indicates a severe degree of skin damage.
Photo 38 - Zinerit against acne
This is how the beginning of the third degree of acne (or even the fourth) appears. Systemic treatment will be required.
Photo 39 - In a complex case, treatment should be comprehensive
First of all, you need to consult several specialists (dermatologist, endocrinologist, gynecologist and immunologist) to identify the internal root cause.
Photo 40 - Get examined
Depending on the diagnosis, the doctor will prescribe hormonal correction, birth control pills (Jess, Yarina), drugs to boost immunity (immunomodulators) or systemic antibiotics (tetracyclines, erythromycin, clindamycin, chloramphenicol), drugs with isotretinoin (Acnecutane or Roaccutane).
Photo 41 — The doctor will prescribe a drug, for example Roaccutane
A good effect is achieved by taking sorbents, preparations for the gastrointestinal microflora, and vitamin preparations. Externally, skin lesions are treated with antibacterial, disinfectant and regenerating agents with hyaluronic acid, zinc, and sulfur.
Photo 42 - The doctor will recommend effective treatment
Treatment
Treatment of conglobate acne is complex. To achieve this, several treatment methods must be performed.
Nutrition
- It is necessary to reduce the consumption of fatty foods. This list includes fats, smoked foods, lard, etc.;
- Reduce your intake of carbohydrates, which are easily digestible. This provokes the production of insulin, which enhances the ability to produce testosterone, and this provokes blockage of the sebaceous glands;
- Coffee and strong tea begin to increase stress. These drinks affect the nervous system. Therefore, the influence of these drinks provokes blockage of the glands;
- In addition to meat dishes, the diet should include vegetable dishes, herbs, fruits, soy protein;
- The diet must be supplemented with vitamins.
Reducing skin oiliness
In order to artificially reduce oily skin, it is necessary to use alcohol tinctures:
- Medical alcohol;
- Calendula;
- Resorcinol;
- Salicylic acid;
- Sulfur tincture;
- Antibiotics.
Additional treatments
- Autohemotherapy (when the patient is injected with his own blood);
- Electrophoresis (but only with the use of antifagin);
- Diathermocoagulation (cauterization of blisters using electric current);
- Prescription of therapeutic massage;
- Masks, sulfide or salt baths;
- Cryotherapy (removal of acne using liquid nitrogen).
Any type of treatment is prescribed exclusively by a doctor. Do not use medications under any circumstances without your doctor's consent. Otherwise, it may lead to irreversible consequences. Doctors use some folk remedies on patients. But in this case, they are completely contraindicated, because the problem is not fully understood and it is unknown how the body will react to the unknown component.
Retinoids are used as treatment as the latest solution in the fight against acne. These include:
- Kefzol;
- Cefotaxime;
- Isotretinoin;
- Roaccutane.
But they should be used only when the patient has completed the main course of treatment. The duration of the procedure is from 4 to 6 months.
Most popular: Review of the best anti-aging lifting creams
Inflammatory processes on the skin are treated with topical agents. In this case, doctors prescribe creams, ointments or lotions. The composition must include tretinoin:
- Differin;
- Adapalene;
- Clindamycin;
- Retin - A.
The biggest problem for a cosmetologist or dermatologist is the consequences that acne conglobata causes. Even after complete recovery, scars may remain on the code. In order to get rid of this problem, peeling or fillers help. But before you make an appointment, you need to consult with your doctor about the procedure.
Possible complications
After treatment of the disease, the following consequences are possible:
- Remaining keloid scars that can be removed with laser;
- Skin pigmentation disorder;
- Weakening of the immune system.
How to treat
Removal of multiple lipomas
Modern medicine distinguishes three degrees of progression and severity of acne: mild, moderate and severe. The mild form is characterized by the presence of both closed and open acne without symptoms of inflammation. As a rule, about a dozen such elements can be on the skin of the face. In this case, acne can be cured with local therapy. It usually includes ointments, creams and gels based on active anti-comedogenic substances. They are not only able to destroy acne, but, in addition, relieve inflammation and reduce sebum levels.
Such drugs include:
- benzoyl peroxide (medicinal agents OXY5 and OXY10),
- tretinoin (Airol Roche products, as well as Retin-A)?
- and azelaic acid (Skinoren ointment).
What is moderate acne? This is a form in which the number of acne on the face can reach up to 40. If we talk about this form, then in such cases they move from external means of control to internal ones.
In some cases, tetracycline antibiotics may be prescribed. If there is a hormonal imbalance, the doctor will also prescribe a course of sex hormones. The skin surface is cleaned by peeling with acid solutions. This procedure is called chemical peeling or mechanical resurfacing.
The severe form is characterized by a large number of pimples, and this is not a single white pimple. They are usually inflamed and purulent. You can fight it by cleansing the facial skin with a special pinch massage, laser therapy, and surface cryotherapy.
If we talk about surgery to get rid of acne, it is used only in some exceptional cases on the face. Opening problem cavities can lead to permanent scars. If sufficiently severe suppuration is noted, then the acne can be pricked with preparations special for these cases.
If you start treating the disease in a timely manner, it can be resolved in about a year, however, in some cases, this period can last up to several years.
How effective are different treatments?
Taking into account all the specifics of the disease, every year different specialists offer different ways to solve this problem. For example, in 2011, the European Dermatology Forum proposed new treatment methods. All means were sorted by judges in the following order of effectiveness:
- High. The drugs were taken orally at 0.5 mg per kilogram. The active substance was isotretinoin;
- Moderate. Complex therapy. The patient took the drug (the active ingredient was azelaic acid), in parallel with antibiotics;
- Low. Antibiotics are taken together with one of the medications;
- Unclear. This category includes the following techniques (laser correction and Intense Pulsed Light).
If you have at least one of the symptoms of acne conglobata, you should never sunbathe. Therapy should include treatment with antibiotics, antiandrogens, therapeutic light, and external treatment.
