Severe Acne Treatment
Acne in any form at any age can cause not only a lot of physical
discomfort but also is a cause of lot of mental stress and agony stemming from social ridicule. While mild and
moderate acne can be cured completely by undergoing a routine treatment cycle, consuming the right medication
and following a stringent skin care regime, it is a different ball game altogether for severe acne.
It is prudent to consult an experienced dermatologist at the very nascent stage unless there is a risk of the acne
aggravating and getting extremely critical. Severe acne treatment is a sustained and long-term therapy that calls
for a lot of patience and endurance, during the treatment as well as the healing period.
There has been a lot of medical breakthrough as far as severe acne treatment is concerned and identifying the
right category and treatments is the first step towards a prolonged and rather painstaking process. There are five
different medical procedures ranging from surgical operations to prescribed drugs namely Isotretinoin,
Interlesional corticosteroid injection, Drainage and surgical excision, oral antibiotics and oral contraceptives to
treat severe scars.
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Severe acne is the extreme level of acne which is further divided into four categories: Acne
Conglobata, Acne Fulminans, Nodulocysric acne and Gram Negative Folliculitis. Mostly seen in males, Acne Conglobata
surfaces either as massive boils, multiplying blackheads in several body parts and can cause indelible blemishes if
not treated at the right time.
Isotretinoin which is considered as one of the most effective severe acne treatment procedures currently
prevalent is the preferred choice for Acne Congobata. It is a laboratory developed retinoid, a type of Vitamin A
that arrests the abnormal growth of epithelial cell. Isotretinoin addresses the root cause of all acne outbursts
-excessive oil or sebum secretion, clogging of skin pores due to dirt and pollution and the resulting overgrowth of
anaerobic bacteria called P. acnes (Propionibacterium acnes).
Interlesional corticosteroid injections are applied to people suffering from Acne Fulminans which displays
symptoms in the body like ulcerating acnes, running high temperature, and chronic swelling of joints. A mild dose
of these steroid hormones injected into the abscess helps in a gradual melting of the acne.
Drainage and surgical excision referred to as ‘acne surgery’ is the best suitable method for some large and hard
pustules that are resistant to medication. This should be strictly treated by professional dermatologists. Patients
should abstain from squeezing the lesion or jabbing it with any sharp objects which would aggravate the acnes to a
huge extent.
Oral antibiotics and oral contraceptives also help in protecting the skin and warding off unwanted acne. While
the oral antibiotics wage war against the P. acnes restricting their proliferation, oral contraceptives controls
excess sebum secretion in women thus preventing the recurrence of acne.
Patients must consult a dermatologist before embarking on any severe acne treatment therapy as these treatments
are not devoid of potential side-effects. Application of Isotretinoin therapy in pregnant women can lead to
disastrous results like congenital disorder apart from the patient developing nauseating tendencies, severe
headache, fuzzy vision, clinical depression etc.
So it is crucial to weigh the pros and cons of each and every therapy, analyze the stage, type and severity of
the acne and take a judicious decision or there is a risk of the treatment backfiring and disfigure the patient’s
appearance.
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