Cystic acne occurs mostly in adolescence (16-18 years), but there are before and after the onset earlier (before and after 10 years of age), and incidence of late (eg, after 40 years of age). Acne are mainly two kinds of lesions: non-inflammatory lesions and inflammatory lesions. Non-inflammatory lesions of acne that is, whether there are openings in accordance with acne is divided into two kinds of blackheads (open comedowns) and whiteheads (closed comedowns). Inflammatory lesions of a variety of performance: papules, pustules, nodules and cysts. Lesions occur in the cheeks, forehead and nasolabial fold, followed by the chest, back and shoulders.

The cause of acne cystic

1. A long-term exposure to grease, asphalt, etc.
2. Exposure to certain chemicals such as chlorine, bromine, etc..
3. The use of certain drugs, such as androgen the sebum hormones, lithium, azathioprine, and revamping.
4. All factors that can increase skin inflammation, such as alcohol, pepper and so on. But there are many factors to be exaggerated or even misunderstanding, one of the major. Oily things and carbohydrate foods generally have little impact of the disease.

Identification of cystic acne

　　A point-like acne blackheads is the main damage of the acne plug in the mouth of the sebaceous hair follicles cheese-like semi-solid, the outer end of the gel in the hair follicle population of black, such as the pressure to squeeze the visible head was black while the body was yellowish-white translucent grease bolt discharge.Papular acne lesions with inflammatory papules, mainly millet to pea hard papules, pale red to dark red. The papules Central may have a blackhead or not darken the top bolt of sebum.

Pustule acne abscess performance pustules grains to the size of the bean, the formation of follicular pustules and papules top pustules break than the viscous pus, shallow scars left behind after healing.

Nodular acne when the inflammation of the deeper parts of the pustules of acne can develop into a wall thickness of the nodules, ranging in size, pale red or purple. Some deeper position, a significant uplift in the hemispherical or conical. They can be a long time or gradually absorbed, some purulent ulceration and the formation of significant scar.

Atrophic acne papules or pustules damage to destroy the gland, caused by the pit-like atrophic scar. The ulceration pustules or natural absorption of papules and pustules can be caused by fibrosis and atrophy.

Sebaceous cyst of the cystic acne formation of varying sizes, often secondary to pyogenic infection, ulceration often out of the bloody jelly pus, inflammation often is not heavy, after the formation of the sinus and scar before.

Acne conglobata is the most serious damage, a, polymorphous lesions, there are a lot of acne, pimples, pustules, abscesses, cysts and sinus scarring, keloid clustering occurs.

Cachexia acne damage millet to the size of broad beans, green, red or purple papules, pustules, or nodules, soft light, and contain pus and blood, their long unhealed, later recovered left a tiny scar, not a sense of pain, infiltration is very small. This type is more common in frail patients.

Check the lesion morphology, distribution, or without papules, pustules, blackheads, nodules, cysts, scar

Treatment

Patient’s supine position, the shop towel wrapped hair. First with warm water to clean the face, and then 10 minutes of steaming noodles made ​​common ultraviolet negative ion spray treatment instrument, facial flushing, and the pores open; has rubbed the affected area with 75% alcohol and normal saline cotton balls, squeeze pin with acne again to remove acne, cysts and other contents, disinfection, attention to the implementation of aseptic operation. Take metronidazole 04g pestle, plus chloramphenicol eye drops 5ml into a paste, applied to the facial lesions at evenly with a cotton swab. Tone mask paste: inverted membrane powder (gypsum powder) 250g, plus 30 ℃ warm water 100ml into a paste. With four layers of wet gauze protect the eyebrows, eyes and lips, in addition to the nostril outside the Ministry of the heap selected tuned mask paste, spread evenly, to retain 25 ~ 30min. Gypsum inverted membrane from cold to hot and then cold, remove the mask with gauze and warm water cleaning. Treatment once a week, a month for a course. Guidance of patients develop proper personal hygiene and eating habits, avoid spicy fried foods, plenty of sleep, maintain defecate unobstructed.

Pick acne

The thinnest want of selected white point of pus or skin to pick Governance: disinfection of skin lesions at the 75% ethanol to clean the black and white head and facial acne , nodules, cysts, pustules , acne needle (after sterilization) , and pick the governance lesions ulceration place the needle site, with a ring curette squeeze acne force should be moderate, pick squeeze practices should be gentle, try to drain the lesions of the contents; larger cystic nodular acne , drain the contents and congestion after extraction of gentamicin sulfate injection using a sterile syringe washing, to prevent residual sebum plug, pus, carrion stimulate the hair follicles acne repeated episodes of acne