Cystic Acne

Cystic Acne happens more in the teenage years. Conforming to US Centers for Disease Control and Prevention (CDC) approximately 2 in every 1,000 people are affected by cystic acne as compared to the 70 in 1,000 who are affected by general acne. This acne cyst is mostly taken as a pimple, but it actually happens when this infection runs deep into the skin, creating a red soft itchy bump that is full of pus. If a cyst bursts out then it can spread more infection and can leave permanent scars on the skin. This severity is more common in men especially on face, chest, upper arms and shoulders, but women also get it on the lower half of the face.

The main cause of cystic acne is not known, but a hormone plays an important role in it i.e., androgens. In the teenage, puberty occurs and androgens level increases leading to increased sebum production level and greater propagation of skin cells. Acne is not related to puberty only, however, other factors are involved too. Pregnancy, birth control, use of hormone therapy, stress all disturb the hormones level.

Cystic acne is very easily diagnosed by a specialist doctor, when five or more cysts are visible in addition to over 100 comedones. Mostly drug treatment i.e., Benzoyl peroxide is effective at preventing cysts and scarring. It is easily available from the nearby pharmacies in two forms ( water based and alcohol based) and both are used according to the skin type. One more drug i.e., Isotretinoin is also prescribed for cystic acne treatment, but it has some side effects and is very dangerous to the unborn child. Moreover, it can cause eye and genital dryness, chapped lips, joint pains, depression and elevated lipid levels. That is the reason, it is only recommended if the acne cyst severity increases. In some cases, steroid injection (corticosteroid) are also applied into the cyst directly to reduce the inflammation for the prevention of scarring. In women, birth control pills with spironolactone drug is prescribed to cure acne cyst. This is a long term treatment that may take 6 to 8 months to clear the skin. However, if potential measures are taken then cystic acne can be avoided easily.

Understanding Cysts

A noncancerous closed sac like pockets of a tissue of an abnormal character in the body that contains squishy, fluid filled mass or other semisolid substances. Cysts can grow anywhere on the skin and have variable sizes. It develops in a result of any infection. Hence, it is a group of cells that are clustered together but this cluster have a shell like outer covering called as cyst wall. This aspect of a cyst is distinctly abnormal in both appearance and behaviour as compared to other cells of the body. Sometimes a collection of pus is also taken as cyst, but no,  a collection of pus is abscess not a cyst. When a cyst is formed in the body most of the time it gets resolved on its own, but if it takes time to finish then it needs a surgical treatment which also depends upon the growth, type and location of cyst in the body.

Types of cysts :

There are various types of cysts i.e.,

  • Acne cyst or Cystic acne: (in the teenage many people get pimples, but if that pimple is large, red and painful breakouts deep in the skin , it could be cystic acne. These acne cysts should be treated early, as it can leave permanent scars on the skin and can affect large area of skin)
  • Arachnoid cyst ( fluid filled sacs located between the brain or spinal cord and arachnoid membrane)
  • Bakers’s cyst or popliteal cyst ( pocket of fluid behind the knee)
  • Bartholin’s cyst ( blockage and inflammation of bartholin’s gland)
  • Breast cyst ( fluid filled noncancerous sacs inside the breasts)
  • Buccal bifurcation cyst (lesion associated with the permanent mandibular first or second molar in children)
  • Calcifying odontogenic cyst( benign tumor of cystic type that affect the anterior areas of the jaws)
  • Ceruminous cyst( feline or cats ear disease)
  • Chalazion cyst( a lump or bump that appears on the eyelid due to blocked oil gland)
  • Chocolate cyst(ovarian cyst)
  • Choroid plexus cyst( cyst in the brain within the choroid plexus)
  • Colloid cyst (slow growing tumor formed near the center of the brain)
  • Cysticercal cyst (crains backs infection caused by larval stage of Taenia species)
  • Dentigerous cyst( odontogenic cyst associated with the crown of an unerupted or partially erupted tooth)
  • Dermoid cyst( abnormal growth in any part of the body including nasal sinuses, ovaries, brain and spinal cord)
  • Epididymal cyst ( painless fluid filled cyst lies above and behind each testicle)
  • Fibrous cyst( breast disease)
  • Ganglion cyst( noncancerous lumps that develops along the tendons or joints of wrist and hands)
  • Glandular odontogenic cyst( jaw bone cyst)
  • Glial cyst( cystic lesions occur anywhere in the neuraxis)
  • Gartner’s duct cyst(benign vaginal lesion that arises from the vestigial remnant of a mesonephric duct or gartner’s duct)
  • Hydatid cyst( parasitic disease of tapeworms)
  • Hydrocele( fluid filled sac surrounding a testicle that causes swelling in the scrotum)
  • Keratocyst( lesion growing in the right mandible)
  • Liver cystic disease
  • Meibomian cyst( cyst affecting the eyelid)
  • Mucoid cyst( overgrowth of a mucus gland)
  • Mucous cyst of oral mucosa
  • Myxoid cyst( small rounded deformities occuring around the fingers and toes)
  • Nabothian cyst( mucus filled cyst on the surface of the cervix)
  • Nasolabial duct cyst(non-odontogenic cyst occuring inferoir to the nasal alar region )
  • Odontogenic cyst(jaw cysts formed from tissues involved in tooth development)
  • Ovarian cyst
  • Pancreatic cyst
  • Paradental cyst
  • Parapelvic cyst( renal cyst)
  • Paratubal cyst( cyst in the adnexa adjacent to the fallopian tube and ovary)
  • Periapical cyst( jaw cyst)
  • Pericardial cyst( uncommon benign congenital anomaly in the middle mediastinum)
  • Peritoneal cyst(disease of lining of the abdominal cavity)
  • Pilar cyst( keratin filled cyst on the scalp)
  • Pilonidal cyst( small cyst in the cleft at the top of buttocks )
  • Renal cyst( kidney disease)
  • Polycystic ovary syndrome
  • Radicular cyst( jaw cyst)
  • Residual cyst( jaw cyst)
  • Sebaceous cyst( swelling of the sebaceous glands in the skin)
  • Skene’s duct cyst( cysts develop adjacent to the distal urethra)
  • Spermatocele(disease of testis)
  • Stafne static bone cyst( cyst of the mandible or lingual salivary gland)
  • Tarlov cyst(fluid filled sacs that affect nerve roots of the spine)
  • Thyroglossal cyst( irregular neck mass developed from cells left over after the
  • formation of thyroid gland)
  • Trichilemmal cyst(same as pilar cyst)
  • Vocal fold cyst(fluid collection that forms inside the vocal cord)
  • Pineal love ( disease of pineal gland in the brain)