Cystic acne is a type of abscess that is formed when oil ducts become clogged and infected. Cystic acne affects deeper tissues of the skin which forms a more superficial inflammation from common acne. Cystic acne is most common on the face and typically occurs in adolescence. Not only painful cystic pimples, but the extent of damage they can inflict is often beyond the scope of products applied topically.
A bacterium called Propionibacterium acnes is a normal inhabitant of the skin. This bacterium uses sebum as a nutrient for growth, therefore increases in follicles during puberty. It is said by doctors that people with acne have more Propionibacterium acnes in their follicles than people without acne. Now, after reading all this, it is quite clear that the root formation of acne is within the pilosebaceous follicle is essentially a hair follicle with sebaceous glands attached. Androgens increase sebum production significantly. So it is the reason why the rate of formation increases at puberty, cystic acne because the hormones increase sebum production.
The sebum cannot be that dangerous to form acne but which accelerates the process of acne is the event of the formation of an oil-plug leads, known as a micro-comedo. Behind this plug acne bacteria proliferate, metabolize sebum and create an inflammatory reaction. What happens is that the presence of bacteria attracts white blood cells to the follicle. These cells produce an enzyme that damages the follicle wall, leaving the contents of the follicle to enter the dermis. Rupture of the gland connected causes of cystic acne.
It is highly recommended that people with cystic acne should visit a dermatologist. If the patient suffers from moderate cystic acne then he / she can take antibiotics that tend to kill the bacteria, but about 30% -45% of the strains from cystic acne today are resistant to or more common antibiotics, rendering them useless. In addition, the long-term use of antibiotics is associated with increased risk of cancer. Many dermatologists these days give oral medications such as Accutane and sulfa-based antibiotics for cystic acne. Oral antibiotics such as tetracycline and minocycline are also more effective for cystic acne because they work systemically. However, they can cause side effects such as photosensitivity (higher risk of sunburn), upset stomach, dizziness and skin discoloration, and should be taken as long as four to six months.
If the patient is interested in use of therapies for cystic acne cure then the most important therapy is the use of retinoid (Retin-A). The reason for the use of vitamin A because it is a comedolytic. It thins the outer layer of the skin and slowly over months reverses the formation of keratin plugs of sebum, which leads to the rupture of the follicle sebaceous but one of the side effects is a persistent redness is seen in many patients on Retin-A. Some areas of the face such as the chin are easily irritated with retinoid and frequency of use may be limited to every two or three days until your skin adjusts.