Acne breakouts

Everyone wants to have smooth facial skin, but after entering puberty, the body's hormones will be secreted in large quantities, which can also cause diseases such as acne. Acne is also called acne, and the chance of developing acne on men's bodies is much higher than that on women. There is another type of acne called explosive acne, which is the most serious form. So what are the treatment strategies for explosive acne?

This disease is the most serious form of cystic acne. Its clinical manifestations are multiple follicular papules, pustules, erosions, and ulcers occurring on the face, neck, chest, and arms, accompanied by systemic symptoms such as fever and joint pain. The prognosis is good, and pigmentation spots and superficial scars are left behind.

Clinical manifestations

It is common in young men, who often have mild to severe acne before, and suddenly develop multiple inflammatory follicular papules, pustules, ulcers, and blood crusts. The rash merges into flakes, and the lesions are mostly on the face, neck, chest, and arms, and the patient feels pain. Prognosis: Superficial scars remain. The disease is accompanied by severe systemic symptoms, including fever, joint pain, myalgia, hepatosplenomegaly, organ failure, etc. Some patients may have osteosynthesis lesions of the clavicle or sternal joint.

Acne fulminans examination

1. Laboratory examination may reveal anemia, increased white blood cell count, increased erythrocyte sedimentation rate, proteinuria, etc.

2. X-rays of the painful area may reveal bone lytic lesions.

3. Histopathological examination showed infiltration of neutrophils in and around the hair follicle wall. Part of the follicle wall was destroyed. Infiltration of multinucleated cells and tissue cells could reach deep into the fat layer. In severe cases, epidermal necrosis could be seen. Subcorneal pustule formation can be seen in some cases.

Acne fulminans treatment

1. For those with mild symptoms, glucocorticoids can be applied topically or injected into the skin lesions.

2. Oral glucocorticoids, such as prednisone, should be gradually reduced after symptoms are controlled.

3. Treat with oral isotretinoin and, if necessary, combined with glucocorticoid treatment.

4. Add sensitive antibiotics for treatment.