Acne conglobata is skin disease caused by inflammatory nodules, draining sinus tracts, comedones, and abscesses. It’s difficult to treat when causing deep scar. Acne conglobata is a rare form of acne, most of the patient between 18 and 30 years old. It is associated with testosterone and thus appears mainly in men.

Signs and Symptoms

• Blackheads acne appears mostly around the face, neck, chest, upper arms and buttocks in groups of two or three.
• Nodes are large and engorged with fluid.
• It’s hurt when touching.
• Acne kept growing until break down and fill with pus
• They left scar after heal.

Causes

• It causes by anabolic steroid abuse
• Acne conglobata appears in some men after stopping testosterone therapy.
• It could also happen to someone who has a tumour that is releasing large amounts of androgens.
• It could be triggered by exposure to aromatic hydrocarbons or ingestion of halogens

Treatment

• The most effective treatment is isotretinoin with combination of prednisone.
• Doctor may also descript antibiotic such as tetracycline or erythromycin
• Carbon dioxide laser treatment is also an optional with follow up topical tretinoin therapy.
• If the large nodes, surgery may be needed.
• Some Doctors may treat acne conglbata by injected with triamcinolone.