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.