What is Acne Necrotica?
Acne necrotica is a chronic form of acne vulgaris. Acne necrotica consists of very painful papule lesions as a primary symptom, which results in internal necrosis and very severe scarring. It is one of the more painful forms of acne, as well as one of the more potentially disfiguring strains, and should be treated with extreme prejudice.
The papules are based on swollen, irritated follicles, as are all acneiform conditions. What sets acne necrotica apart from other acne conditions is the death of the dermal cells within the papule, creating a necrotized nodule that oozes, crusts, and eventually scars over as its form of healing, leaving behind what are known as varioliform scars. These varioliform scars are very deep and very dark.
Who gets Acne Necrotica?
There are no preconditions that predispose one to acne necrotica. It is a condition that develops incidentally, in response to environmental stimuli, not based on genetic traits or other base conditions. Acne necrotica frequently begins as acne vulgaris, so individuals more prone to a breakout of acne vulgaris might be considered more likely to contract acne necrotica, but in reality there is no condition attached to acne vulgaris that will make acne necrotica itself more likely.
What causes Acne Necrotica?
Acne necrotica is caused by the death and necrosis of the skin within an acne pustule. This death is caused by the isolation of the skin cells from oxygen. This necrosis is what sets acne necrotica apart from other forms of acne, and is the root of the entire ailment after the initial pustules form. Acne necrotica may form on its own or chase a severe case of acne vulgaris. Acne vulgaris is not, by any stretch, a frequent cause of acne necrotica, but the prescence of acne vulgaris does make acne necrotica a more likely occurance.
What does Acne Necrotica cause?
Acne necrotica causes intense pain and scarring. The necrotization of tissue is very painful, and this pain persists until the underlying papule heals. Acne necrotica carries with it all the risks and secondary effects of acne vulgaris made far worse. Acne necrotica scarring heals in what are known as varioliform scars. These scars are very deep and very dark, precluding natural healing. They are most prominent on the face, chest and back. Acne necrotica scarring is effectively permanent without medical intervention, and may require the intervention of laser therapy.
In addition to the necrosis of the flesh, the pustules are far more likely to become infected with bacteria, which will have every chance to fester and grow. This bacterial infection is what makes acne necrotica prone to spread unless isolated and destroyed.
Acne necrotica is very painful, and the list of tertiary conditions that can result from the presence of necrotic flesh is quite long. The very presence of necrosis is what lends acne necrotica much of its gravity, even discounting its disfiguring effects.
Acne necrotica causes acute alocepia, or hair removal (or, better phrased, hair destruction). The deep necrotic tissue of acne necrotica undermines and destroys hair follicles from within and without. This results in broken or shorn hairs, an absence of hair, tufted and ingrown hair, etc. Additionally, the scar tissue that forms prevents these follicles from healing. This destruction can be quite permanent, and is most notable and damaging when acne necrotica on the forehead spreads upward and begins to invade the hairline and the vulnerable follicles there. Alocepia becomes a greater threat when acne necrotica is allowed to spread further and deeper: acne necrotica can and frequently will invade the whole of the scalp if unchecked.
How serious is Acne Necrotica?
Acne necrotica is a very serious chronic acne condition. It cannot be overlooked or made light of to any extent. It is painful by any standard, and frequently disfiguring. Left alone it will heal very, very slowly, and scarring will definitely occur. The only recourse for acne necrotica involvse the intervention of a professional dermatologist to stop acne necrotica in its tracks and to repair the damage afterward. If the damage from alocepia manages to spread to the scalp, the damage may not actually be reparable; hair replacement therapy may be required if healing is necessary. Acne necrotica must be treated with the utmost caution, and while panic is never advisable, symptoms resembling acne necrotica are in fact due cause for alarm. A physician should be contacted immediately if any sign of necrotized flesh is observed.
What does Acne Necrotica treatment look like?
Acne necrotica treatment involves the application of a very aggressive antibiotic regimen to purge the infected tissue. Anti-staphyloccal antibiotics are the preferred strain as these will actively assist with the necrotic tissue. Anti-bacterial shampoos can help relieve discomfort in the scalp if it has spread to the scalp. Isotreitonin may be applied to arrest the activity of the sebaceous glands to prevent the further spread of acne necrotica and provide some relief. Additional topical antibiotics have also seen successful use.
Alocepia treatment is very similar to acne necrotic treatment, and involves the use of heavy antibiotics, applied topically, to purge bacteria and promote healing. Permanently damaged or destroyed follicles may require hair transplantation.
The aftermath of acne necrotica is the deep, pervasive varioliform scarring it leaves behind. The scarring itself can be painful, and the scar tissue rarely heals on its own. Laser treatment may help to relieve the scarring, and at least lighten the darkest of the scars present. Certain skin cremes may also be of use to alleviate the pain and work through the scar tissue, although the efficacy of this will depend largely on how deep the necrosis penetrated.
Acne necrotica treatment is very aggressive. Acne necrotica is not a benign condition by any stretch. It spreads, and where it spreads, it causes disfiguring damage. The full brunt of the side effects of antibiotics are to be expected, including extreme nausea and vomiting. Even so, a gentle hand is almost impossible to maintain if acne necrotica is to be cut off.
How do I know if I have Acne Necrotica?
Acne necrotica is a very distinct form of acne. It is extremely difficult to mistake acne necrotica for other forms of acne from the deep pain alone. Acne necrotica lesions are frequently darker than acne vulgaris lesions, and are more prone to ooze and crust. Any dark grey or blackened skin can be assumed to be the product of necrotized tissue below, and indicates a case of acne necrotica. Anything involving necrosis must be brought before a physician immediately. Acne necrotica is not a benign condition and it will spread if given the chance. Any step that can be taken to cut it off should be taken immediately.
What is the Recommended Acne Treatment?
There are many treatments available for acne of all types. However, in our experience, the most effective is Dermisil For Acne. Dermisil for Acne is a unique treatment option that approaches the problem of acne from a different angle, and can effectively supplement all other forms of treatment, or be used on its own.