What does it mean when a pimple has a hard lump?
Apr 20, 2023
Source: Cainiu Health
Dr. Liu Wan
Introduction
Pimples with hard lumps may be associated with conditions such as hypertrophic scars, nodular acne, or folliculitis. It is also possible that they are caused by other conditions like boils. It is recommended to visit a dermatology clinic at the hospital as soon as possible for an accurate diagnosis and appropriate treatment. Treatment mainly includes daily skincare, medication, and physical therapies. During treatment, it's important to maintain good skin hygiene.
When acne has a hard lump, it could be due to hypertrophic scarring, nodular acne, folliculitis, or other conditions. Specific analyses are as follows:
1. Hypertrophic Scarring
This may result from squeezing pimples during breakouts. The scar tissue typically rises above the surface of normal skin, varies in appearance, and may be accompanied by symptoms such as redness, swelling, and itching. Treatment options at a hospital include cryotherapy (freezing) or intralesional steroid injections.
2. Nodular Acne
If a hard lump appears without having squeezed the pimple, it might be nodular acne. This condition is characterized primarily by deep subcutaneous nodules and is classified as severe acne. It's important to adjust your diet, favoring light and non-irritating foods, and maintain good skin hygiene.
3. Folliculitis
This may be caused by low immunity, bacterial infection, or fungal infection. In the early stages, it appears as red papules that eventually develop into pustules. A hard lump may be felt upon touch. Under medical guidance, topical treatments such as mupirocin ointment or fusidic acid ointment can be used.
In addition to the above causes, hard lumps could also be related to conditions such as boils (furuncles). It is recommended to promptly visit a dermatologist for an accurate diagnosis and appropriate treatment. During treatment, avoid scratching the skin with hands to prevent breaking the skin and causing secondary infection.
