Nodulocystic Acne Vulgris
August 21, 2007

Acne vulgaris is the most common form of acne, the one that affects nearly 85-90 percent of teenagers and young adults. There are many forms of treatment for acne vulgaris, many of these sold over the counter and quite effective, unless the acne develops into a severe form such as nodulocystic acne vulgaris.
Salicylic acid, acts as a keratolytic, which means it can reduce lesions such as warts and other conditions where excess skin is present. Salicylic acid may reduce inflammation as well. . It can cause erythema and skin peeling, however. Benzoyl peroxide can be considerably more effective than other topical agents in trying to fight acne vulgaris, in that it doesn’t meet resistance by bacteria. You can choose soap, a gel, a face wash or a lotion with benzoyl peroxide in various strengths. You may experience dry or peeling skin with this treatment.
Antibiotics can be prescribed for acne vulgaris treatment, to decrease the presence of acne in your skin follicles and reduce inflammation. Common antibiotics for acne include erythromycin, clindamycin and sodium sulfacetamide. You’ll probably be instructed to take or use the antibiotic once or twice a day. Side effects are rare. And, although ingesting antibiotics is contra-indicated if you’re pregnant there is a topic erythromycin you can use without worry. Often this topical agent used with a topical benzoyl peroxide is the most effective.
It’s when your acne vulgaris becomes more severe that you have problems curing it with topical products. Sometimes antibiotics don’t work either. Nudolocystic acne is characterized by an extensive number of comedonal (without inflammation) lesions and pustules and papules that are inflamed. You’ll also see cysts or perhaps abscesses or cysts. When this happens you’ll need a dermatologist or other informed medical professional to prescribe systemic antibiotics. If, after this eight week treatment your nodulocystic acne vulgaris hasn’t disappeared you should treat it with isotretinoin unless you are pregnant or might become so. The alternative would be minocycline, whose brand name is Minocin.
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