Majority of people around the globe have experienced this one particular skin condition at least once in their life – acne. It comes in many forms, but most of which plague the adolescents. Such stage in life is when acne usually starts because this is when hormonal changes are known to take place. These changes may then lead to imbalance, which prompts overproduction of acne-causing oils in the skin. There are many types of acne. One kind of acne that exhibits these problems, which could be most irritating to many teenagers, is nodular acne.

This particular type is actually a severe form of the most common acne type, acne vulgaris. The nodules are large hard bumps that form underneath the superficial skin. These are typically very painful and they could remain such growths for months if they are untreated.

They come about due to many factors. One of top causes is the overproduction of oil or sebum, which can be rooted from hormonal changes. The changes are usually in form of surges in hormonal levels. These occur especially when one’s body experiences physiological changes such as during adolescence, pregnancy or menstrual periods.

As the sebaceous glands produce massive amounts of oil, the bacteria propionibacterium acnes or  p.acnes will have sufficient breeding grounds. These bacteria in turn will prompt the hard bumps to grow. Moreover, as the bacteria build up, dead skin cells will shed. These consequently cause the irritation, flare ups and breakouts.

Other factors that may contribute to the occurrence of such severe acne type are heredity and facial cosmetic applications. Experts claim that if one or both parents had this type of acne, the offspring are likely to have it too. Using oily make ups, creams and other similar products may contribute to the oiliness in the skin, thus result to occurrence of acne.

Since it is such a severe form, the treatment for acne would usually require extensive assistance from a dermatologist. Different acne medications can be suggested depending on the severity of the occurrence of the nodules. Also, the medical history of the patient may also be a factor upon designing the treatment system.

Prior to prescription of some acne medications, you might be required to have various tests. This is to ensure that you will not have adverse reactions to the drugs. There are many topical applications and oral medications that could be prescribed for you depending on your unique acne condition.

Some of the common prescribed acne treatments are topical or oral antibiotics, topical acne creams and similar products containing benzoyl peroxide, azelaic acid, sulfur or sodium sulfacetamide. Topical retinoids (vitamin A derivatives) like tretinoin, adapalene or tazarotene may also be recommended. An oral vitamin A derivative most popularly used by many patients is Accutane (isotretinoin).

In most cases, patients who grow very irritated to having the acne tend to squeeze the lesions. This action in turn causes acne scarring in the surface skin. The common treatment for the acne scars will be through medical-assisted therapies such as laser or other light-based scar removal treatments. For severe scarring, dermabrasion, laser resurfacing and collagen injections are recommended.

Extreme caution is advised that none of these treatments, from treating the acne to the acne scars left, must be taken likely without prescription from a doctor.


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