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Nodular acne
Description
All acnes start due to trapped pores. Oil mixed with dead skin cells clogs your pores. And this combination causes blackheads & whiteheads to appear. Nodular acne is the one that involves bacteria called Cutibacterium acnes. This type of bacteria is normally present in your skin, but when it gets trapped in pores together with sebum & dead skin cells leads to a skin infection (acne nodules).
Nodular acne is said to be a severe form of acne & causes large, inflamed & painful breakouts known as acne nodules. They are bigger & more serious than a typical pimple affecting deeper layers of skin. They may appear on the face, back & body. This type of acne doesn’t have a “head” like a less severe pimple, but it can be more painful to touch. As compared to other types of acne like blackheads, acne nodules are not cleared with OTC (over-the-counter) medications.
Causes
It is caused by:
- Overactive sebaceous (or oil) gland
- Abnormal buildup of dead cells in the pore
- Overgrowth of acne-causing bacteria
- Androgen hormones (they increase skin’s oil & change the chemical makeup of skin’s oil)
Risk factors
The risk factors that trigger nodular acne include:
- Common in young men. Teenage boys & young adult males get nodular acne on face & body
- In adult women mostly induced before/when you are about to have periods
- Pregnancy
- Due to genetics i.e., if your parents or siblings have nodular acne, you are more likely to have them.
- Certain medications like corticosteroids, lithium & phenytoin (anticonvulsant)
- Having a high carbohydrate or high glycemic diet
- Skin environment includes greasy or oily cleansers, creams, cosmetics, skin products that clog pores, wearing tight clothes, excessive sweating & friction on skin.
- Stress
Symptoms
Its symptoms in 2 types of nodular acne is:
- Cysts i.e. pus-filled deep under the skin & is painful but not as hard as nodules
- Nodules i.e. a solid lump deep under the skin which is painful & very large
- Inflamed skin over the nodule or cyst
- Redness & swelling
Diagnosis
When you start experiencing the above-mentioned symptoms & skin condition worsens, it is best to consult a dermatologist. These doctors are well specialized in detecting the skin condition & the causes behind them
Management
Nodular acne cannot be treated with home remedies & OTC medications. Prescription medications are best choices in their treatment:
- Oral antibiotics in combination with topical therapy.
- Oral contraceptives are a good option in women with nodular acne
- Oral isotretinoin (vitamin A derivatives)
- Steroid injection (also helps reduce scarring)
- In some cases, doctors recommend draining cysts
When to consult a doctor?
You must schedule an appointment for nodular acne with a dermatologist if you experience:
- Nodular acne forms persistent papules (solid elevation of skin with no visible fluid)
- Inflamed or red bumps
- Painful to touch
Available Medicine for Nodular acne
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