Dermatology Made Easy is based on the most popular topics from DermNet NZ's vast array of material. The book combines the essential focus of the ‘Made Easy’ book series with the authority and knowledge base of DermNet NZ's unparalleled resources.
Author: Dr Amanda Oakley Dermatologist, Hamilton, New Zealand, 1999. Reviewed by Vanessa Ngan, Staff Writer, February 2014.
Nodulocystic acne is a severe form of acne affecting the face, chest and back. It is characterised by multiple inflamed and uninflamed nodules and frequently, scars. It is more common in males.
The name implies there are nodules (firm lumps) and cysts (fluid-filled cavities lined by epithelium). However, the fluctuant lesions are not true cysts as there is no lining. They are sometimes called pseudocysts.
More images of acne ...
Acne conglobata is an uncommon and unpleasant form of nodulocystic acne in which there are interconnecting abscesses and sinuses (channels under the skin). These result in unsightly hypertrophic (thick) and atrophic (thin) scars. There are groups of large macrocomedones and cysts that are filled with smelly pus.
Acne conglobata is occasionally associated with:
Treatment of nodulocystic acne can be challenging and may require a combination of medicines. Topical treatment is usually ineffective.
The recommended treatment for nodulocystic acne is isotretinoin, which should be commenced early to prevent scarring. The treatment is required for at least five months, and further courses are sometimes necessary.
Patients with acne conglobata often need additional treatments, such as:
© 2018 DermNet New Zealand Trust.
DermNet NZ does not provide an online consultation service. If you have any concerns with your skin or its treatment, see a dermatologist for advice.