Acne is a chronic inflammatory disease of the skin. A number of factors influence acne, including overproduction of sebum and keratin, the buildup of bacteria in the skin, and the inflammatory response. They are extremely disfiguring and can cause psychological effects on the sufferer. Five types of severe acne acne conglobata , acne fulminans , gram negative folliculitis , nodulocystic acne and Pyoderma faciale. Severe acne is characterized by deep cysts, inflammation, extensive damage to the skin and scarring. It requires an aggressive treatment regimen and should be treated by a dermatologist.

Acne fulminans is a sudden onset of highly hurtful inflammation. It appears suddenly in a person with inflammatory acne. Symptoms of severe acne nodulocystic, often ulcerating acne, aching joints and fever are apparent. A person who develops acne fulminans may have had unsuccessful treatment for another form of severe acne, acne conglobata. Another types of Acne gram-negative folliculitis. Gram-negative folliculitis is a complication of abused and long- term use of antibiotic. Patients with this type of acne are usually treated with accutane since it is known to be effective against gram- negative bacteria. Pyoderma faciale is the type of acne that affects females mainly belonging to the 20-40 age groups. Physical methods and prescription medications that dermatologists use to treat severe acne

Treatment

Isotretinoin is the usual treatment of choice for acne conglobata. Antibiotics may also be prescribed. Several courses of treatment may be necessary over a period of years. Even after effective treatment, the patient should have regular checkups by a dermatologist for any signs of recurrence. A dermatologist can also treat the scars.

Laser and light therapy. Laser- and light-based therapies reach the deeper layers of skin without harming the skin's surface. Laser treatment is thought to damage the oil (sebaceous) glands, causing them to produce less oil. Light therapy targets the bacterium that causes acne inflammation. These therapies can also improve skin texture and lessen the appearance of scars, so they may be good treatment choices for people with both active acne and acne scars.