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Acne Fulminans is a severe, complex and advanced condition of acne. It is an advanced condition of acne vulgaris. This type of acne also develops due to the side effect of the acne conglobata treatment.
This is a very painful disorder, which usually affects the torso of the body, avoiding face completely. This type of acne and acne conglobata are reversely proportional to each other.
It is also known as acne maligna. Its primary features can be characterized by the sudden onset of fever, swelled lymph nodes, joints inflammation, and failure response of antibacterial therapy. It is a dermatological manifestation of SAPHO – synovitis acne pustulosis hyperostosis osteitis.
- What are the Symptoms of Acne Fulminans?
- Fluctuating Fever
- The counts of white blood cells increase.
- Painful joints with swelling
- Weight loss and lack of appetite
- Feeling of malaise
- Abrupt Onset
- Severe acne scarring
- Ulcerated and inflammatory acne on back and chest
- Decline in physical activity
- Who Gets Acne Fulminans?
It is a plagriastic condition of acne conglobata. This condition is more likely to develop in individuals, who have not suffered from acne conglobata so far. This condition is more likely to develop in individuals, who have undergone some steroid treatment or misusing the heavy steroids for some other purpose. Generally, males with thirteen to twenty two years of age, with the history of acne are more prone to develop acne fulminans.
- What Causes It?
It is a systematic, uncommon and immunologically induced disorder where propionibacterium acnes are believed to be the triggering antigen. It has also been noted that pathogenesis of this acne play an important role in elevating the blood level of testosterone.
Genetic factor also plays an important role in developing acne fulminans. It causes heavy swelling in lymph nodes and joints. The swelling causes extreme pain in the joints making the person totally unable to move. In this condition, immediate hospitalization is also required.
There is also rigidity in the neck, which leads to discomfort in breathing and mobility. When the condition is untreated or ignored for longer time, the acne becomes open sores, making them more prone to infections. These scars and sore can sometimes leave stains on the sheets and clothes.
Over an extended period of time, restriction of limbs may result in the loss of bone and muscles mass. Also, due to the restriction in breathing caused by swelling of lymph nodes, results in crimpling the internal organs. The lack of oxygen causes the damage of internal organs. The pain in this condition is constant and quite unbearable. That causes extreme discomfort to the patient.
- How This Form of Acne Can Be Treated?
- Oral Steroids and Isotretinoin
- Surgical Care
- Home Remedies
One of the most recommended and preffered treatment for acne fulminans is the combination of isotretinoin and oral steroids. To avoid the adverse effect of prolonged course, oral steroid is given and slowly reduced over 6 weeks. Isotretinoin is given for four weeks (0.25mg/kg) daily and to achieve the complete clearence, it is gradually increased.
There are rare chances of relapses. During the whole course of 4 weeks the total recommended dose of isotretinoin is 120mg/kg. Patients are also treated with the combination of supplemental intralesional therapy and oral steroids.
What are the Prescribed Medicines for Acne Fulminans Treatment?
- Sulfone Antibiotics
- Retinoids is vitamin A derivative. They are antiproliferative,serve as immunomodulators and persuade cellular differentiation.
- Corticosteroid has essentail metabolic effect. It has immunosuppressive and anti-inflammatory properties.
- Sulfone antibiotics prevent the formation of folic acid by inhibiting bacterial growth.
Surgical Treatment is done when the condition of acne fulminans becomes worst and situation is out of your hand. With the help of laser and and other techniques the surgical treatment is done effectively.
Is Fulminans a Serious Condition?
Diet plays an important role in treating the acne fulminans. You need to follow the restricted dietary pattern advised by your doctor. With the help of medicines and diet you can control the growth of this type of acne.
Some herbal therapies are also available in the market, but the results will be shown after the longer and regular use of the therapies.
The treatment should be immediately sought, to avoid hospitalization. Before the whole body system degrades, all precautionary measures should be taken into consideration.
If the condition persists, hospitalization will be the only option left. If this acne is not treated on time then total skeletal structure changes permanently, and patient may suffer from several digestive system disorders.
Careful application of steroids or medicines is the primary and the most important treatment for acne fulminans. To alleviate the symptoms of this type of acne, there is no over the counter solution. The condition needs to be handled by medical professionals effectively. The discomfort is generally causes, due to the effects of anti-inflammatory steroids. The temper of the ailment increases with the immune suppressive effect. There is no fast or rapid solution for the treatment of fulminans.
The medicines and other precautionary measures show their effect over the period of time. Many laser treatments are available for the advanced stage of this acne type when granulated tissues are highly exposed. The laser treatment is bit expensive compare to medications.
Acne fulminans is a very serious condition, if untreated. Therefore, it requires immediate medical intervention. It restricts in breathing, movement of neck and limbs is also restricted. These restrictions lead to other secondary complications. Out of which, the most important one is slow damage of internal organs. Loss of muscle and bone mass, dejection of organ system also results in this for of acne.
The mobility decreases, making the patient totally unable to work. The open scars and sores leads to several sanitation hazards. Although, acne fulminans is not a contagious disorder, but precautionary measures needs to be under taken immediately to maintain the hygienic condition. Therefore, this type of acne is a disorder that cannot be ignored or taken lightly.
From the above discussion, it has become very clear to all of us that, it is a dangerous disorder. Several options are available to control the growth of it. It is now your choice, which one to opt for, to control the growth of acne fulminans.