Acne is something that bothers many of us. Sometimes it comes as small pimples and goes away in a couple of days. But there are some types of acne that develop into large, painful lumps under our skin that can last for months. One such severe type of acne is called 'Nodular Acne'. This is not like regular acne, but something that needs a little special attention.
What is nodular acne?
Simply put, this is the worst form of acne . These are hard, painful bumps that form deep under your skin. They look like red, raised bumps on the surface. But most of the time, there is no whitehead or blackhead in the middle of these bumps. Think of it like a small pebble stuck under your skin, and that's what it feels like.
These bumps can sometimes last for weeks, sometimes even months. They are also very painful . The main reason for this is that a type of bacteria called ``Cutibacterium acnes`` (``C. acnes``) that lives on our skin gets trapped inside these bumps, causing infection and inflammation. This is why they hurt so much.
This condition, called nodular acne, should definitely be treated by a dermatologist . Because, if not treated properly, these bumps can cause permanent, severe scarring . Therefore, starting treatment as soon as possible can reduce the risk of these scars.
How common is nodular acne?
Acne is actually one of the most common skin conditions in the world. However, nodular acne is a severe, inflammatory type of acne. About 20% of people with acne develop this type of severe acne . This means that it doesn't happen to everyone, but it can happen to a small number of people.
Why does nodular acne occur? What are the causes?
This severe form of acne develops in the same way as other common acne. That is, it occurs when the pores in our skin become blocked . These pores become clogged with dead skin cells, hair follicles, and sebum (an oil that our body produces to keep our skin moisturized). Then, the bacteria called `C. acnes` that naturally lives on the skin gets trapped inside these pores, causing infection, inflammation, and pain.
Okay, now let's see what are the main reasons for clogged pores:
- Excessive oil (sebum) production in the body: Some people's bodies naturally produce more oil, which makes pores more likely to become clogged.
- Not cleansing the skin properly: If you don't properly remove the dirt, dust, and dead cells that accumulate throughout the day, pores can become clogged.
- Excessive sweating: When you sweat, your skin becomes wet. This makes you more prone to developing acne, especially if you wear tight clothing that doesn't absorb sweat. People with a condition called ``Hyperhidrosis``, which causes excessive sweating, are more likely to develop this type of nodular acne.
- Genetics: If someone in your family has had severe acne, you are more likely to develop it. This is genetic.
- Hormones: This is a very important issue.
- Puberty: As we age, our hormone levels change. In particular, levels of hormones called androgens increase. These hormones can cause the skin to produce more oil, which can clog pores more quickly. Young boys have more of these hormones, so they are more likely to get acne.
- For women: Nodular acne can develop due to hormonal changes during pregnancy, menstruation, and menopause.
- Certain medications: Certain medications, such as corticosteroids, can worsen nodular acne.
- Skincare products: Some lotions, creams, and makeup can clog pores. Using them can also cause these bumps and pimples.
- Stress and anxiety: Don't be surprised, when stress increases, our body increases the production of the "stress hormone" called ``Cortisol.'' This can also cause the body to produce more oil (sebum) and cause acne.
"Imagine, our skin is like a small city. That city has roads (pores). If these roads get clogged with dirt (dead cells, oil), the vehicles (bacteria) get stuck, and problems arise. That's how acne is."
What are the symptoms of nodular acne?
You may have one lump alone. Or you may have several lumps that come together in a cluster. Because they start under the skin, doctors sometimes call them 'blind pimples.' The main symptoms are:
- Acne nodules: These feel like lumps when touched. They are most commonly found on the face, jawline, chin, back, or chest.
- Pain or sensitivity: It hurts a lot when touched or pressed. Sometimes, you may feel pain even when just standing still.
- Raised bumps: These usually appear red, but can sometimes be the same color as your skin.
You may have heard doctors talk about 'nodular acne' and 'cystic acne' together. Sometimes it's also called 'nodulocystic acne'. Cystic acne is also a type of lump that forms under the skin. However, cystic acne lumps are softer , like water-filled blisters. Nodular acne lumps are firmer , feel more like lumps, and are more painful. Some people can develop both types at the same time.
How is nodular acne diagnosed?
To diagnose this, you should definitely see a dermatologist . He or she will examine your skin and ask you about your symptoms. He or she will ask you questions like how painful the bumps are and where they are located. You will also need to tell them what medications you are taking and whether anyone in your family has a history of acne.
This can usually be diagnosed by external examination alone. Special tests are rarely needed.
How to treat nodular acne?
This is the most important thing. Nodular acne should definitely be treated by a dermatologist . Over-the-counter acne creams will not work for this. Never squeeze, squeeze, or "pop" these bumps. Doing so will only make them worse and increase the risk of severe scarring .
Okay, now let's see what kind of treatment a dermatologist might recommend for this:
- Oral medications:
- For severe acne, medications such as ``Isotretinoin`` may be recommended (you should discuss the side effects of this with your doctor).
- Antibiotics like Tetracycline and oral contraceptives can help reduce inflammation and heal acne.
- The drug ``Spironolactone`` can reduce the production of hormones that cause acne or block their action.
- Prescription topical treatments:
- These include things like benzoyl peroxide, salicylic acid, and prescription-strength retinoids.
- The doctor will give you these as a cream, gel, or foam to apply to your skin.
- Cortisone injections:
- To shrink very large, painful, or long-standing lumps, your doctor may recommend cortisone shots.
- The dermatologist injects a steroid medication directly into the bump with a fine needle. This reduces inflammation and helps it heal faster.
Remember, these treatments should only be done under the supervision of a doctor. Don't make the situation worse by doing whatever you feel like doing.
Can nodular acne be prevented?
It may not be completely preventable, as there are genetic and hormonal influences. However, following good hygiene practices can reduce the risk of developing it.
- Keep your skin clean: Wash your skin thoroughly with a gentle cleanser in the morning, at night, and after sweating. Avoid using harsh soaps, which can dry out your skin and cause more problems.
- Manage stress: Try to reduce stress through things like breathing exercises and meditation.
- Use quality cosmetics: Avoid using makeup and lotions that clog pores (`comedogenic`). Choose products that are labeled ``non-comedogenic``. This means they won't clog pores.
- Eat a balanced diet: reduce sugary and oily foods, eat more vegetables and fruits, and drink plenty of water.
- Change pillowcases and towels frequently: These can harbor bacteria.
What should I expect if I have nodular acne?
Don't forget that if left untreated, these acne bumps can cause serious scarring . Many people find relief after treatment by a dermatologist. However, it can take some time for these bumps to completely heal. Maybe several months.
Also, remember that finding the right treatment for you may require a combination of treatments or medications. Your doctor will often prescribe both topical and oral medications. If you are taking a medication like Isotretinoin, you may need to take two courses of medication to fully clear your skin.
The important thing is to be patient with treatment. Don't expect an overnight cure.
When should you see a doctor about nodular acne?
If you or your child has symptoms of nodular acne, see a dermatologist as soon as possible. It is important to start treatment as soon as possible to prevent serious scarring. You cannot treat this type of acne on your own or with over-the-counter creams. It definitely requires medical advice and treatment.
How do you stay mentally strong in this situation?
When you have severe acne, some people may feel depressed, embarrassed, and disappointed in themselves . This is very normal. If your acne is bothering you or affecting your self-esteem, talk to your doctor about it. He or she can give you advice on how to get the help you need, perhaps by referring you to psychotherapy or, if necessary, medication.
Nodular acne can affect your quality of life, self-confidence, and mental well-being. But remember, there are effective treatments for it.
Take-Home Message
Okay, so from what we've discussed, I hope you've gained a better understanding of nodular acne. Here are some of the most important things to remember:
- Nodular acne is a type of acne that causes severe, painful, and deep-seated lumps .
- It is essential to seek immediate treatment from a dermatologist , otherwise permanent scarring may result.
- Never squeeze or press on these bumps. That will only make the condition worse.
- Use the treatments (medications, ointments) prescribed by the doctor exactly as prescribed, for the duration of time.
- Keep your skin clean, reduce stress, and use cosmetics that don't clog pores.
- If you are feeling psychologically distressed by this situation, talk to your doctor about it as well.
If you have this problem, don't panic. It can be cured with proper treatment. The main thing is to seek help from the right place and at the right time.
` Nodular acne, nodular acne, acne, dermatology, skin diseases, hormones, acne treatment
💬 අදහස් (0)
තවමත් කිසිදු අදහසක් පළ කර නොමැත. ඔබේ අදහස පළමු වරට මෙහි එක් කරන්න.
ඔබේ අදහස එක් කරන්න