Many dermatologists and researchers says that there are four main types of severe acne. It depends on the the type of lesions which occurs on the skin and side effects on the patient, for example scarring. Nevertheless severe acne can affect not only the person’s but aslo a social life causing stress, emotional and psychological disorder.
What are the types of severe acne?
1. Acne Conglobata
This is an extreme form of acne vulgaris. Main characteristic is the appearance of large and numerous nodules along with widespread blackheads, inflammation and scarring. Acne conglobata is usually located on the face, back, chest, upper arms, buttocks and thighs. Furthermore it occurs between 18 and 30 years of age and it usually affects men.
The exact cause of acne conglobata is unknown. The bad news is that it can stay active for a long time.
Isotretinoin (Accutane or Roaccutane) is a powerful drug usually prescribed for treatment of all severe acne types. This drug stops the excess oil production of sebaceous glands. Also it assists your body to naturally eliminate dead skin cells, protecting the skin pore from blocking.
Caution: By all means, your doctor or dermatologist.should supervise therapy with Isotretinoin. This drug can cause some very serious side effects. Those are birth defects, depression, suicidal thoughts, hallucinations, severe headache, blurred vision, hearing loss, bone pain, etc. Less serious side effects are joint pain, back pain; dry lips and eyes, itching, rash, dizziness, nosebleeds, etc.
2. Acne fulminans
This type of acne is actually a rapid oncoming of acne conglobata. It typically affects young men. The symptoms are nodulocystic, oftenulcerating and painful acne that can eventually develop into the disfiguring scars.
What makes this severe acne different than other acne are symptoms like fever, painful joints, particularly the knees and hips. Varying degrees of weight loss is also common, but that may vary depending on the individual.
Acne fulminans is usually treated with Isotretinoin (Accutane) because antibiotics do not help.
3. Gram-negative folliculitis
This type of severe acne is rare and extreme type caused by increase of gram-negative bacteria. Gram-negative bacteria like Escherichia coli, Pseudomonas aeruginosa, Serratia marcescens, Proteus mirabilis and Klebsiella. Also, it could appear as a result of long term antibacterial treatments in patients with acne vulgaris or rosacea.
This is a rare condition just like other forms of severe acne. Besides it is still not known whether it is more typical for a women or men. The term gram-negative relates to a type of blue stain used for laboratory testing. Bacteria that don’t stain blue are known as gram-negative.
Once again Isotretinoin (Accutane) is a medicine for gram-negative folliculitis treatment, combined with systemic antibiotics such as cephalosporins.
4. Pyoderma Faciale
Pyoderma Faciale, aslo known as Rosasea Fulminans, is severe facial acne with large painful nodules, pustules and sores which can cause scarring. Also this type of acne affects only women between 20 and 40 years of age and usually forms very quickly. On the other hand it may even occur on face of a woman who never had acne before.
Oily skin does not cause Pyoderma Faciale neither does comedones. Although pyoderma faciale doesn’t last longer than one year, it can cause serious skin damage very quickly.
Combination of Isotretinoin (Accutane) with systemic or topical steroids is the most prescribed medicine for pyoderma faciale. Also these steroids have purpose to decrease inflammation and infection. However long-term use of this steroids can also cause some unwanted side effects.