Acne deep
It inflamed if the grains are projected into the underlying layer of skin and pus-filled cysts appear to be broken and turned into large abscesses, the disease is called deep acne.
The doctors are doing everything possible to prevent acne scarring characteristic of the deep and usually prescribe an oral antibiotic such as tetracycline, minocycline or erythromycin. Patients with serious acne may need to maintain treatment with one of these medications for weeks, months or even years to avoid a relapse. However, a teenager who uses these antibiotics can develop a vaginal yeast infection that may need to be treated with other drugs. If there is difficulty in controlling the yeast infection, should be suspended the treatment of acne with oral antibiotics.
When antibiotics are unsuccessful, oral isotretinoin is the best treatment. This drug has revolutionized the treatment of acne but can have serious side effects. Isotretinoin can harm a developing fetus, so women who take it should take stringent measures to prevent contraception become pregnant. A sexually active woman should have a pregnancy test before starting therapy with isotretinoin and repeat with monthly intervals during treatment. The contraceptive measures or sexual abstinence should begin a month before starting treatment and should be maintained for the same, extending a month after suspension. Blood tests should be made to ensure that the drug is not affecting the blood cells, liver or values of fats (triglycerides and cholesterol). These tests are performed before starting treatment, repeated after two weeks after you started and then once a month during treatment. Most patients who use isotretinoin are dry eyes and mucous attached to the penis or vagina, as well as the lips fissured. The petroleum jelly can help relieve the dryness of the skin. About 15 percent of patients treated with isotretinoin is suffering from pain or stiffness in the large joints and the lower back, the pain usually disappear when the dose is reduced. Usually the treatment is continued for 20 weeks. If necessary repeat the treatment, should only be restarted at least 4 months after the suspension of the above. Sometimes dermatologists treat the inflamed cysts or abscesses, injecting corticosteroid in it. In some cases the doctor may also make an incision in a cyst or an abscess to open and empty (drained). The Dermabrasion, a procedure of rubbing the skin surface with a metallic abrasive to remove the top layer, it may be useful for small scars.
X-ray therapy to treat acne is not recommended and topical corticosteroids may actually worsen. In women who develop severe acne during their menstrual period, an oral contraceptive can be effective, but it is necessary that the treatment lasts for 4 to 6 months to assess the results.
