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What Causes Severe Cystic Acne?

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Posted on Fri, 18 Jul 2014
Question: I have very severe cystic acne...one day the skin is clear and the next day they come out to no where. they are very big and reddish with puss and blood. Please help me cure them.
doctor
Answered by Dr. R.G. Joshi (36 minutes later)
Brief Answer:
oral isotretinoin will help.

Detailed Answer:
Hello,

Thanks for writing to healthcare magic.I can understand your concern about disease.

You are having nodulocystic acne.This type of acne mostly requires a prolonged therapy.Oral isotretinoin is the best drug in such cases.However the drug has number of side effects and it is advised to take this drug under the guidance of a dermatologist.

Use a good cleansing lotion like cetaphil for face wash.Avoid application of cosmetic creams ,sunscreens etc.You can apply clindamycin cream over the affected lesions twice daily.

Besides these a number of other cosmetic procedures like peels,lasers etc. are available.They have good results.However,Treatment of choice is isotretinoin.

Hope this will help you.In case of any concern I will be happy to help you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. R.G. Joshi (4 minutes later)
Hi,
Thanks for the advice and i would like to ask few more questions.
Is there any diet that i should follow or any eatables that i should avoid?
Is there any food which may cause the breakouts that i should avoid?
Should i pop the pimple? because most of the times they have puss in it and they become huge? so should i pop the pimple?
doctor
Answered by Dr. R.G. Joshi (5 hours later)
Brief Answer:
never pop out ,avoid junk foods.

Detailed Answer:
Hello,

Thanks for follow up.

1.As such there is no specific diet restriction in acne.However junk foods and chocolates causes flare of acne.

2.Never try to pop out the pimple .This can worsen the condition.Just apply topical antibiotic cream like clear gel.

Hope this will help.Take care.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. R.G. Joshi

Dermatologist

Practicing since :2003

Answered : 733 Questions

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What Causes Severe Cystic Acne?

Brief Answer: oral isotretinoin will help. Detailed Answer: Hello, Thanks for writing to healthcare magic.I can understand your concern about disease. You are having nodulocystic acne.This type of acne mostly requires a prolonged therapy.Oral isotretinoin is the best drug in such cases.However the drug has number of side effects and it is advised to take this drug under the guidance of a dermatologist. Use a good cleansing lotion like cetaphil for face wash.Avoid application of cosmetic creams ,sunscreens etc.You can apply clindamycin cream over the affected lesions twice daily. Besides these a number of other cosmetic procedures like peels,lasers etc. are available.They have good results.However,Treatment of choice is isotretinoin. Hope this will help you.In case of any concern I will be happy to help you.