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Doctor insights on: Cystic Acne Vs Folliculitis

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Dr. Neal Schwartz
166 doctors shared insights

Cystic Acne (Definition)

Acne cysts are large nodules developing deep within the dermis, or second layer of skin. They are painful, disfiguring, and may cause deep scars. There is often a genetic predisposition to cystic acne. Treatment usually requires systemic medication including oral isotretinoin, and should be started early, before ...Read more


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Is cystic acne contagious?

Is cystic acne contagious?

No: Anyone with cystic acne should consider a course of Isotretinoin if they are an appropriate candidate. The microbes that cause acne are ubiquitous and on everybody's skin. ...Read more

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Cystic acne... How to prevent?

Cystic acne... How to prevent?

Wish it were easy...: Even in dermatology, we struggle with cystic acne. Genetics, hormones and bacteria all seem to play a role. Eating a healthy diet, low in sugary, processed foods and eliminating dairy can help some, but may not cure it. Topical and oral antibiotics are often necessary, and Isotretinoin may be needed as well. Sometimes hormonal therapies like spironolactone work wonders. ...Read more

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What to do for cystic acne on jawline?

What to do for cystic acne on jawline?

Acne : Cystic acne is often treated with prescription strength oral medications (antibiotics , Accutane ) and topicals ( retinoid cream). Otc benzoyl peroxide is of limited benefit. See a dermatologist cystic acne. ...Read more

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Is toothpaste bad to use on cystic acne?

Is toothpaste bad to use on cystic acne?

Absolutely: There are ingredients in the toothpaste that can irritate your skin and make things worse. Please use products specifically designed for pimple use. There are hundreds of posts on this site alone asking for advice on chemical burns due to toothpaste. Heed the warning. ...Read more

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What are good ways to prevent moderate cystic acne?

What are good ways to prevent moderate cystic acne?

You can treat it: Usually acne with cysts requires isotretinoin. You can't prevent it from recurring, but you can take multiple courses of treatment (once or even twice a year) and expect a pretty good result. A little-known rx that may also help is spironolactone. Everything else will disappoint you. ...Read more

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Please tell me if there is any cure for cystic acne?

Please tell me if there is any cure for cystic acne?

Don't worry.: Although the term "cure" is misleading for any chronic condition, the answer is yes, you can totally inactivate and prevent cystic acne with or without oral medications. It often times requires a tight relationship between patient and practitioner. This video may give you some hope: https://www.youtube.com/watch?v=ru99pt5uQkc have a great day, -Dr. Neal Schwartz ...Read more

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What's the best way to treat cystic acne on the chin?

What's the best way to treat cystic acne on the chin?

If you have: Acutual cystic acne - you will need more than otc remedies. In this situation, seeing a dermatologist is the plan of action. ...Read more

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Does glyciphage 850 mg taken twice daily aggravates cystic acne?

Does glyciphage 850 mg taken twice daily aggravates cystic acne?

I haven't heard of: I researched on line but i never heard of this correlation. ...Read more

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I recently got my first cystic acne pimple, when will it go away?

I recently got my first cystic acne pimple, when will it go away?

Yes: I hope you do not get a second. If you have any other signs of acne, start using topical benzoyl peroxide, or if you have lots of comedones, retinoic acid. If this does not manage your disease, get with your personal physician. ...Read more

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What to do if I look ugly because of my cystic acne and I hate it?

See dermatolgist: Accutane is a relaible treatment which works for the worst cases of cystic acne. It needs to be prescribed by a dermatologist registered to use accutane. You may respond to laser .The response can becas quick as 2-3 weeks. If laser is not for you or not effective enough Accutane can work well forvsever cases although on occasion it amy need to be repeated in about a year for a milder case. ...Read more

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I was diagnosed with rosacea and cystic acne, are they the same thing?

I was diagnosed with rosacea and cystic acne, are they the same thing?

No: Rosacea is a persistent "rose colored" inflammatory process in the surface skin surrounding the nasal root and cheeks. Cystic acne is an aggressive form of acne with deep cysts.They are chronic skin conditions but not the same thing. ...Read more

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Cystic acne problems. What kind of specialist should I see about this?

Cystic acne problems. What kind of specialist should I see about this?

Cystic acne: It'd be best to see a dermatologist first. Sometimes, though, cystic acne can be a symptom of deeper problem. Sometimes hormonal abnormalties or even just flucuations can cause acne. An endocrinologist (gland specialist) can be helpful. ...Read more

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I look ugly because of my cystic acne and i hate it. What do you recommend?

I look ugly because of my cystic acne and i hate it. What do you recommend?

Accutane: Nothing less will work. It is not pleasant and it has some risks. You owe it to yourself to ask a dermatologist whether this is right for you. ...Read more

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Can someone tell me how long will it take for my cystic acne red marks to fade?

About two months: I trust you are being treated effectively. Cystic acne usually requires isotretinoin. It's only for the brave, but it works. Good luck. ...Read more

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Subsequent to having clear skin my whole life i'm suddenly getting painful, bad cystic acne?

Subsequent to having clear skin my whole life i'm suddenly getting painful, bad cystic acne?

Get it managed: I'm going to assume that the diagnosis is substantiated. There's no explaining this curious disease. It's unrelated to lifestyle or hygiene. Cystic acne requires prescription medication and possibly a dermatology referral. ...Read more

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I have been taking isotritinoin from almost 6 weeks and there has been no cystic acne from past 4 weeks. Can i stop the medicines now.

Stay the course: Congratulations on your good result with the isotretinoin. It's not for the faint-hearted as you've found -- but you've accomplished a major goal. Take the medicine as you've been advised for the duration unless your physician has directed otherwise -- it'll consolidate your gains and give you a good acne-free interval. You know you may eventually need to repeat. Best wishes. ...Read more

Dr. Mike Bauerschmidt
399 doctors shared insights

Folliculitis (Definition)

A condition in which one or more hair follicles are swollen. It can occur anywhere on the skin, and usually occurs when the hair follicles are damaged by friction from clothing, shaving, or blockage of the follicle, and a ...Read more


Dr. Ed Friedlander
2,149 doctors shared insights

Acne (Definition)

A very common skin condition that starts as a blockage of the sebaceous glands followed by inflammation. It occurs in areas where there are lots of sebaceous glands, such as the ...Read more