1. What are the characteristics of pustular acne?
Pustular acne is an inflammatory skin disease that manifests itself as a central white or yellow spot with a reddish edge. When the disease is mild, it shows a small number of pustules, which can heal on their own with time. In severe cases, many pimples are clearly visible and need to be treated.
2.What factors can cause pustular acne?
Pustular acne is associated with four factors: (1) excessive secretion of oil; (2) clogged pores; (3) bacterial infection (an overgrowth of a bacteria called Propionibacterium acnes that is parasitic on normal skin); and (4) in order to resist bacterial infection, white blood cells from the body are attracted to gather locally in the infection. Over time, the white blood cells advance toward the surface of the skin, resulting in pustular acne with a white spot in the center surrounded by a red halo. Inside the pustules are some necrotic skin cells, bacteria, and white blood cells.
3. How is pustular acne treated?
At all times, the best treatment is to prevent pustular acne in advance and stop it from happening. Mild pustules can subside with healthy skin care. When pustules and acne are severe, they should be treated as early as possible. You can choose skin care products for acne, such as soaps, lotions, and cleansers that contain active ingredients such as salicylic acid or benzoyl peroxide.
In severe cases, topical creams or lotions recommended by dermatologists for pustular acne are recommended. In severe cases of infection, oral antibiotics are required.
4. Can I squeeze pustular acne?
Do not pick or squeeze the acne.
5.What are the dangers of squeezing out pustular acne?
If you squeeze out the pustules, it will lead to the spread of bacteria and white blood cells in the pus, causing deep skin tissue damage and infection, therefore aggravating acne and leading to skin swelling and scarring.
6. What is the order of smearing several topical medications at the same time for pustular acne?
Topical applications for the treatment of pustular acne mainly include retinoids such as adapalene, tazarotene, and retinoic acid, which have keratolytic and anti-inflammatory effects; antibiotic creams such as clindamycin and benzoyl peroxide, which are mainly used to treat Propionibacterium acnes infection. Since retinoids are photosensitive and lose their activity when exposed to light, they should be well protected from the sun and can be used at night. Antibiotic creams can be used during the day.
7.When treating pustular acne, can oral anti-inflammatory drugs and topical anti-inflammatory drugs be used in combination? Why?
For mild to moderate pustular acne, it can be treated with topical anti-inflammatory drugs alone, such as benzoyl peroxide alone; retinoids alone; a fixed dose of 1% clindamycin and 5% benzoyl peroxide combined; a fixed dose of 0.1% adapalene combined with 2.5% benzoyl peroxide gel; or 1.2% clindamycin and 0.025% retinoic acid gel Use.
Extensive moderate pustular acne or severe pustular acne can be combined with oral anti-inflammatory drugs, such as doxycycline and minocycline, in addition to the above topical medications. This is because topical anti-inflammatory drugs alone are often ineffective and take a longer time, which may lead to drug resistance.
8.Is it necessary to take oral anti-inflammatory drugs to treat pustular acne? How does the treatment work?
For mild to moderate pustular acne, oral anti-inflammatory drugs can be dispensed with; for extensive moderate pustular acne or severe pustular acne, oral anti-inflammatory drugs are recommended. Anti-inflammatory drugs can control the infection of Propionibacterium acnes on the one hand, and have anti-inflammatory effects on the other.
9.Which anti-inflammatory drugs can be taken to treat pustular acne? Can I take cephalosporin? Why?
For the treatment of pustular acne, oral doxycycline, minocycline, clindamycin, azithromycin, etc. can be taken because these drugs can effectively control the infection of Propionibacterium acnes and have anti-inflammatory effects. Cephalosporins are not allowed because they are ineffective against Propionibacterium acnes and have no anti-inflammatory effect.
10.When do I need to take oral anti-inflammatory drugs when treating pustular acne?
(Minocycline) When treating pustular acne, oral anti-inflammatory drugs such as doxycycline and minocycline are needed if topical application is not effective or if the rash is extensive, or if deep-seated cysts or nodules appear.
11.When treating pustular acne, can I use fruit acid peels? Why?
Fruit acid peels can be used because they can be used to get rid of the most superficial skin, which facilitates the drainage of pustules for cleaning, and also helps oil flow out to stop further inflammation from arising.
12. When treating pustular acne, can I use red and blue light treatment? Why?
Red and blue light treatment can be used. Red light treatment can stimulate collagen synthesis, improve skin aging and promote skin healing. Blue light treatment can kill Propionibacterium acnes without damaging the skin.