Saturday, December 31, 2011

4 Things to Know About Cystic Acne


As a young adult, you may be concerned about changes in your skin. Some of the problems you may face are common and are a result of hormonal changes in your body. Other skin changes are more serious and may be due to infectious agents. Consult a dermatologist to diagnose any troublesome skin lesions you may have so they can be effectively treated.

Molluscum Contagiosum

Molluscum contagiosum is a pox virus that causes a small, raised, skin-colored bump, called a papule, with a central dimple. Clusters of these papules may form anywhere on the body, except for the palms and soles. It is usually diagnosed by the appearance of the papule and can be confirmed by viewing the cells through a microscope. The lesions are generally harmless to health and the infection should resolve in six to 12 months without intervention. Molluscum contagiosum can be transmitted by close contact, which can include sexual contact. Swimming pools also may play a role in transmitting the virus. Molluscum contagiosum is often seen in patients with HIV due to their weakened immune systems.

Cystic Acne

In cystic acne, sebaceous glands begin producing increased sebum. As a result, hair follicles may become blocked with the sebum and form a cyst. Bacteria found on the skin called Propionobacterium acnes causes inflammation within the cyst. Usually the disease is mild and does not lead to scarring, but in a small percentage of people, the cysts become quite large and can result in significant scarring.

Treatment

An antiviral medication called cidofovir may be helpful in eliminating the papules associated with Molluscum contagiosum. Cidofovir is given as an injection intravenously and it works by preventing the virus from multiplying. Cryosurgery may also be used to manually remove the papules. Treatment of cystic acne is aimed at eliminating the cysts, reducing sebaceous gland activity and decreasing the population of Propionobacterium acnes. Physicians often prescribe topical agents such as retinoic acid and benzoyl peroxide. Those with severe cystic acne may benefit from oral tetracycline or minocycline.

Prevention

You should avoid scratching the papules of Molluscum contagiosum. Cover any exposed papules with water-tight band aids. Do not share personal clothing or towels. Practicing safe sex might prevent transmission of Molluscum contagiosum if the papules are on the genitals. To prevent cystic acne, you should practice good hygiene. Friction from headbands, chin straps and heavy cosmetics may aggravate cystic acne. Some medications, such as oral contraceptive pills, lithium, steroids, phenytoin and phenobarbital, may trigger episodes of cystic acne.

 
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