Cystic acne may affect people beyond their teenage years. What is cystic acne? Cystic acne is also sometimes known as nodulocystic or severe nodular acne. Cystic acne symptoms include the appearance of large and painful boil-like nodic pustules on the face, neck, arms and chest. Acne cysts tend to be recurrent in the same spot, and you may notice that they increase and decrease in size over time, seemingly on their own.
Acne cysts or nodules usually begin with more extensive follicular ruptures much deeper in the skin and can take literally months to heal. Sometimes two or more adjoining follicles become involved simultaneously and link up to form a monster zit. There is no easy path to the surface, so the inflammation spreads beneath the surface and more dermal tissue is destroyed.
When the nodule eventually does come to a head and open, bits of horny material and other debris are inevitably left behind, prolonging the inflammation and often seeding new secondary comedones. Again, you may have a large pimple, or a colony of them, that seems to rise and fall continuously at the same location.
Persistent secondary comedones, whether small papules or monster cysts, are extremely common in women with acne, frequently found on the chin or along the jawline, and they can be very difficult to eliminate. These cysts are held deep in the skin, the pus cannot be eliminated, and the cysts stay inflamed and may persist for months.
The multiple deep, painful, pus-filled lesions can leave behind crater-like scarring in the skin. The depressions which are left behind are permanent, ranging from shallow dimples to sharply delineated pits, showing where sections of the fibrous collagen network in the dermis have been destroyed. In some cases, the skin responds to its injuries by manufacturing extra collagen to effect a repair. The superfluous tissue builds up on the skin as raised scar.
Hidden follicular ruptures that heal before ever appearing on the exterior leave behind internal scars. These internal scars sometimes are visible on the surface as subtle skin irregularities. Even the most seemingly insignificant and superficial pimples leave their imprint, even if they do not produce an obvious defect.
Healed follicles never return to their precise original size and shape. The experience of harboring an inflamed comedone always permanently distorts the channel to some extent. With cystic acne, the distortion of the channel is more severe. You may not be able to see these tiny anomalies with the naked eye, but over time, as they accumulate, they contribute to the coarse, irregular-appearing texture that characterize acne-prone skin.
Cystic acne is generally resistant to over-the-counter acne treatments. This form of acne typically responds to prescription treatment for cystic acne. It is therefore important to consult a dermatologist ready, as early diagnosis is necessary to prevent scarring.
If you experience the symptoms of cystic acne, seek treatment early. Want to know how to cure adult cystic acne? Mild cases of cystic acne can be treated with a combination of oral antibiotic and topical vitamin A. Your doctor may prescribe oral antibiotics to be taken until the acne-causing bacteria is destroyed and a minimum of 30 days is allowed to pass after the cysts disappear. Your doctor may also recommend the application of topical creams such as Retin-A to the affected skin area to dry up the acne cysts. You may also want to look for a homeopathic remedy for cystic acne.