How is nodular acne treated?

Sep 13, 2022 Source: Cainiu Health

Dr. Liu Wan

Introduction

The main treatment methods for nodular acne are as follows: For individual nodular acne lesions that have formed scars, the most effective treatment may be local injection (intralesional injection), delivering medication directly to the site of the nodule to promote softening and absorption. Multiple nodular acne lesions can be treated with physical therapies. For example, red and blue light irradiation can disinfect the skin surface.

With the improvement of living standards today, people tend to indulge in rich and fatty foods, which can lead to acne breakouts on the skin. How should nodular acne be treated?

How to treat nodular acne

The main treatments for nodular acne are as follows: For isolated nodular acne that has formed scars, the most effective treatment may be local intralesional injection, delivering medication directly into the nodule to promote softening and absorption. Multiple nodular acne lesions can be treated with physical therapies. For example, red and blue light therapy can disinfect the skin surface. If conditions allow, photodynamic therapy may be used to rapidly kill bacteria deep within hair follicles and improve sebum secretion and metabolism. In cases of inflammatory nodular acne, oral tetracycline antibiotics such as doxycycline can be prescribed. Oral vitamin A derivatives, such as isotretinoin soft capsules, are particularly effective for treating nodular and cystic acne.

Nodular acne is a somewhat severe form of acne, clinically characterized by nodules of varying sizes. It is more difficult to treat than common acne, and improper treatment or repeated irritation may result in scarring.

During acne treatment, it's important to maintain a light diet. Eat plenty of fresh vegetables and fruits, and drink ample warm water. Avoid oily and spicy foods. We hope this information helps you. Wishing you good health and happiness.

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How is indurative acne treated?

Nodular acne is treated with topical medications, oral medications, and physical therapies. Also known as cystic acne, it results from inflammatory reactions associated with acne. Anti-inflammatory topical agents—such as fusidic acid cream, clindamycin gel, and erythromycin ointment—may be applied to the affected areas, alternated with benzoyl peroxide gel, to eradicate *Propionibacterium acnes*.

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What does nodular acne look like?

Nodular acne appears as raised bumps, accompanied by mild swelling and pain. It is caused by excessive sebum production that blocks the pores, leading to accumulation of large amounts of keratin and pus cells within the hair follicles, forming lesions similar to comedones. These manifest as red bumps under the skin with underlying hard nodules. Slight pressure causes pain, and prompt treatment is necessary.

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Why do nodular acne keep appearing repeatedly?

Frequent occurrence of nodular acne may be due to hormonal imbalance in the body, improper diet recently, or frequent late-night stays. To address nodular acne, first pay attention to skin cleansing—choose a gentle facial cleanser and wash your face daily with lukewarm water to thoroughly remove excess oil. You should also pay attention to your daily diet; try to avoid foods high in fat and sugar.

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Treatment of Indurative Acne

Nodular acne can be treated with monopolar radiofrequency: the device delivers energy into the nodules to destroy sebaceous glands and rapidly control inflammation. Noticeable improvement is typically observed within several days after the first treatment, and significant symptom relief for severe acne is usually achieved around 10–15 days after the second treatment. However, patients must continue taking medication to prevent recurrence. Alternatively, pharmacological therapy may be used, which helps regulate sebum production, minimize pore size, and reduce inflammation.