Globular acne
Globular acne is a severe form of acne that persists into adulthood. The disease is characterized by the fusion of individual comedones, which form dense infiltrates of purplish-blue color and spherical shape; the opening of such skin elements is accompanied by the discharge of purulent fluid. Globular acne forms dense scars after its resolution. Basically, the diagnosis is based on the clinical manifestations of the disease and on the results of bakposev. Additionally, concomitant disorders of the hormonal, immune system and somatic diseases are detected.
The content of the article:
Signs of globular acne
Features of the appearance of globular acne
Diagnosis of globular acne
Treatment of globular acne
Globular acne
Therapy of globular acne consists of:
mandatory use of antibiotics;
hormonal drugs;
injection with vitamins of groups A and E;
taking drugs to strengthen immunity;
opening and treatment of acne rashes;
physical therapy.
Globular acne, according to the accepted classification in the field of dermatology, refers to the skin manifestations of adulthood, together with late and inverse acne. Acne eruptions appear during puberty and persist until the age of forty and even longer. Most often, globular acne appears in males with a set of XYY chromosomes (an additional Y chromosome) and is combined with diseases such as seborrhea and seborrheic dermatitis. Some dermatologists believe that globular acne, in view of its extensive purulent process, is one of the variants of pyoderma (purulent skin disease).
The appearance of globular acne contributes to:
permanent nervous and mental stress;
hormonal failures (ovarian dysfunction, hyperandrogenism);
weakened immunity;
impaired normal functioning of the gastrointestinal tract (intestinal dysbiosis, pancreatitis, gastritis);
various infectious diseases (sinusitis, chronic tonsillitis, chronic cystitis, bronchitis, pyelonephritis, etc.).
Signs of globular acne
Globular acne is a severe form of acne, which is characterized by a long course and relapses. Acne is formed by merging into one large formation of several comedones, which is why they began to be called conglobate or piled up.
Globular acne is a large dense painful inflammatory nodes. Such skin elements have an uneven surface that protrudes above the level of the skin and a bluish-purple color. Over time, the nodes soften and open with the release of a thick purulent liquid that resembles cream. Then the healing process begins, often ending with the formation of an atrophic, coloid or hypertrophic scar. Scarring has uneven borders and a whitish hue. Often they resemble “bridges”, being thrown on the skin. Attempts to remove them surgically most often lead to the fact that scar tissue grows even more.
Features of the appearance of globular acne
Acne formations are located on any areas of the skin, except the surface of the feet and palms. More often, globular acne appears on the face and back, less often — on the limbs, abdomen and chest. Patients with rashes of globular acne most often complain of intense and constant painful sensations and a feeling of tight skin. Trying to shift or gather the skin into a fold, it is possible to reveal its stiffness. The chronic form of the disease leads to the appearance of dense infiltrated nodes, opened globular acne and scarring changes that are located on one area of the skin.
Diagnosis of globular acne
The typical appearance of spherical acne eruptions, as a rule, allows a specialist to diagnose them during an initial examination. In order to get ahead of the prevalence of the lesion, a hardware study is carried out, in some cases, an ultrasound examination of individual elements. Bacteriological seeding of the separated skin elements is performed, revealing the sensitivity of the pathogen to antibiotic drugs, in order to select an adequate treatment for globular acne. Diagnosis of parallel background diseases may include consultation with specialists such as an endocrinologist, urologist, gastroenterologist, gynecologist; examination for the state of immunity and hormones, bacteriological sowing of smears from the urogenital tract and pharynx, analysis for dysbiosis, ultrasound examination of the abdominal cavity, kidneys and bladder.
Treatment of globular acne
The therapy of globular acne consists in the mandatory use of antibiotics, sometimes even in the form of injections. The choice of drugs is carried out in accordance with the results of the antibioticogram obtained during the back-sowing of the separated globular acne. If necessary, measures are taken to strengthen immunity, treatment of parallel gastrointestinal diseases, therapy of foci of infection. In women, additional treatment with such drugs as progesterone, dimestrol, synestrol, “Diana-35” gives a positive effect. Therapy with antibiotics and hormonal drugs should be combined with injections of vitamins A and E.
For resorption of infiltrates, local use of UHF and paraffin applications is prescribed. The softened formations are opened with purging of pus and treatment with antibacterial agents. Also, Vishnevsky ointment, ichthyol ointment and syntomycin ointment are used as external preparations.
