Acne ConglobataAcne conglobata is a chronic and severe form of acne vulgaris, characterized by: -o- Deep draining abscesses -o- Extreme damage to the skin -o- Severe Scarring Blackheads, known as open comedones, are typically obvious and widespread—often developing on the face, neck, upper body, upper arms and/or rear In acne conglobata, inflammatory nodules form all around a number of comedones, steadily growing in size until they break down and discharge pus. Serious ulcers may form under the nodules, leading to keloid-type scars, and crusts may form over deeply ulcerated nodulesBurrowing abscesses commonly result in deep, abnormal scarring damage.Acne conglobata may be preceded by acne cysts, papules or pustules that do not mend, but rather quickly degrade. In some instances, acne conglobata flares up in cystic acne that had been inactive for quite a few years.Men are more likely than women to have acne conglobata; the age group of onset is usually between 18 and 30 years. The cause of the affliction is not fully understood.Treatment. Isotretinoin is the usual treatment method of choice for acne conglobata. Antibiotics may also be prescribed by doctors. Several programs of treatment may be essential over a period of years. Even after successful treatment, the affected individual will need to have regular examinations by a health-care professional for any signs of recurrence. A dermatologist can also treat the scars.Acne FulminansAcne fulminans is a sudden onset of highly damaging irritation. It appears abruptly in a man or women with inflamation related acne and is characterized by: -o- Signs and symptoms of serious and typically ulcerating acne breakouts -o- Fever -o- Inflammation and tenderness of joints, mainly hips and knees A man or women who develops acne fulminans may have had unsuccessful treatment method for yet another type of intense acne, acne conglobata.Treatment. Corticosteroids or non-steroidal anti-inflammatory prescription drugs may possibly be provided to lessen redness. Episodes of acne fulminans may recur, and the affected person may develop acne that needs long-term treatment with isotretinoin. Nodulocystic AcneCysts tend to be fairly uncommon in acne; however, this form of severe acne is indicated by cysts, which often may measure several centimeters in size.Growths may develop singly or be widespread.Cysts may occur singly, or be widespread over the face, neck, scalp, back, chest and shoulders. And, they can be unpleasant.The nodular cyst of acne is not a genuine cyst—an abnormal dilatation of a normal skin structure. Acne cysts are nodules of irritation. The cysts may well occur from a papular or nodular acne lesion, or from time to time from a type of cyst that evolves in the outer layer of the skin—a variety of cyst not really usually associated with acne. A cyst may appear to be filled with thick, yellow pus-like fluid. This is ordinarily an inflamed and infected cyst. If an attempt is made to drain this kind of a cyst, it should be done in a doctor’s office under sterile and clean conditions, definitely not in front of a bathroom mirror.Cysts occurring close together may coalesce, producing soft areas undermined with tunnels, cell destruction and swelling, resulting in an additional form of intense acne, acne conglobata.Treatment. Nodulocystic acne typically requires an intense treatment regimen that may include isotretinoin and prescription medication, or intralesional corticosteroids that “melt” the cyst over a period of 3 to 5 days. Some very large follicular cysts that do not respond to drugs may demand drainage and surgical excision