Cystic acne

Cysts present a severe from of acne and require professional advice from a doctor. They are rarely cancerous but addition of inflammation and bacteria through their rupture into the skin can render them painful and pus-discharging. Occasionally bacteria enter the cyst and cause an infection which resembles a boil.

Cystic acne should be consulted with a dermatologist. Small non-acneous cysts don't usually require treatment, but can be readily removed by a minor surgical procedure. Larger ones are usually removed because they are unsightly or because they have been inflamed. Cysts are treated by making an excision in the skin. Cystic acne is usually treated with isotretinoin and oral antibiotic.

Occasional recurrance of cysts needs further treatment.

Acne conglobata is an uncommon and unpleasant form of nodulocystic acne in which there are interconnecting abscesses and sinuses, which result in unsightly acne scarring. There are groups of large "macrocomedones" and cysts that are filled with pus. Addition of oral antibiotic to the treatment of choice is the most appropriate.

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