Close-up view :
A. Comedonal acne
B. Acne keloidalis nuchae
C. Acneiform eruptions
D. Acne conglobata
Ans:D. Acne conglobata
- It is a highly inflammatory disease presenting with comedones, nodules, abscesses, and draining sinus tracts.
- This condition generally begins between the ages of 18 and 30.
- Although it often occurs where there is already an active acne problem, it can also happen to people whose acne has subsided.
- Although the cause of this type of acne is unknown, it is associated with testosterone and thus appears more commonly in men.
- This condition presents with blackheads appearing around the face, neck, chest, upper arms and buttocks .
- The pimples form around the blackheads. They are large and engorged with fluid and may be sensitive to touch.
- They remain for a while and continue to grow and fill with pus until they finally rupture.
- After the lesion has drained, it fills up again.
- After they rupture, several nodules can fuse together to form larger shapes.
- They form a scab in the center but they continue to spread outwards.
- When the lesions do eventually heal, they leave scars.
- Isotretinoin(most common),prednisone, Antibiotics such as tetracycline or erythromycin ,carbon dioxide laser therapy, followed by topical tretinoin therapy.
- Surgery may be necessary to remove large nodules.