Pyoderma faciale is an unusual skin condition occurring
in young adult women. It is also called "rosacea fulminan". It can
resemble severe acne or rosacea but do not have comedones. It is characterized
by the presence of severe, sudden onset acne-like cysts, nodules, and pustules, which are
painful and disfiguring.
Outbreaks of rosacea fulminant would put any acne
flare-up to shame. These breakouts consist of larger nodules and cysts which
are surrounded by patches of inflamed skin. They are dispersed in sizable
numbers across parts of the face in most cases and are very noticeable. In many
cases, these nodules are full of pus and touching them can cause severe pain.
There is currently no
known cause of pyoderma or rosacea fulminans. Extensive testing can
prove no relationship between bacterial or viral infection and pyoderma- faciale.
There have been suggestions that it could result from female hormonal
fluctuations or even too much B12 vitamin consumption, but these theories have
not been proved.
Research about the causes
of rosacea are ongoing, however, findings suggest there may be environmental
and genetic elements that contribute to faciale development.
Individuals with fair complexions and familial history of faciale are
considered at greatest risk for becoming symptomatic.
Unlike acne, pyoderma
persists more than a year or so
not associated with oily skin
not arise from comedones
confined to the face
not affect males
with rosacea, P. faciale:
not associated with flushing
Does not affect eyes
Treatment of pyoderma faciale
fulminans is a severe skin condition that causes pain, inflammation,
disfiguring lesions, and emotional damage. Since the cause of this severe skin
condition is unknown, it is difficult to formulate a treatment plan. However, it can be treated with certain
medications, such as steroid injections and isotretinoin. On average, an individual require treatment for a minimal for 4-6 months
and additional therapy is required based on the response.
The best treatment for
this acne is to wash the area affected twice a day and keep the oils off the
face. In some women, hormonal therapy may sometimes be effective. However, when
the cysts are large and contain fluid or pus, surgical drainage may help. Often
the entire cyst is removed.
Prognosis is good for
p. faciale sufferers, as long as they get prompt medical attention.
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