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Inverse acne is a chronic inflammatory disease that mainly affects men after puberty. The lumps that appear in this condition are often located in unusual places, such as around the anus or the genitals. What are the causes of inverted acne and how is this disease manifested? How are acne lesions treated?
Inverted acne – characteristics
Inverse acne is a chronic disease that occurs on a dermatological basis. The most common onset of this disease is inflammation of the hair follicle, followed by inflammation caused by infection of the apocrine glands. A person struggling with inverted acne notices numerous pimples, pimples, blackheads, and sometimes even ulcers, abscesses or fistulas on their body.
Inverse acne is a condition that affects men and occurs after puberty. Ailments related to inverted acne are the most difficult when they concern the perineum and genital areas. It is estimated that reverse acne affects about 2% of the human population. Among the risk factors for the appearance of this disease, particular attention is paid to obesity and heavy smoking.
Inverted acne – causes
The cause of reverse acne has not been fully diagnosed. However, it is believed that the development of reverse acne is influenced by an abnormal immune system response. Studies on reverse acne have shown that the risk of developing the disease increases if someone in the family has had the condition. Inverted acne can appear at any age, but most often it occurs between the ages of 20 and 25. The incidence of reverse acne drops significantly after the age of 50.
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Inverted acne – symptoms
The skin changes that appear in the case of reverse acne are largely similar to those that occur in acne vulgaris. The most common symptoms of inverted acne include: periventicular inflammation, pustules, blackheads, abscesses, and fistulas. Often, reverse acne is not properly diagnosed, especially when it only appears on the face, on the forehead, nose and chin. The diagnosis of inverted acne is much easier when the skin lesions resemble purulent nodules, which are characterized by great soreness or ulceration. The diagnosis of reverse acne is based on the following specifications:
- the appearance of acne after puberty;
- much more common in the male sex;
- acne lesions around the anus and genitals;
- frequent fistulas;
- the presence of skin lesions without bacterial infection.
Inverted acne – treatment methods
Antibiotic therapy is very often used in the treatment of inverted acne. Unfortunately, drug treatment usually only produces short-term results. Therefore, when diagnosing inverted acne, the most effective method of treatment is surgical removal of the lesions while maintaining healthy tissues. Skin lesions can also undergo cryotherapy with liquid nitrogen. Corticosteroid drugs are used as an auxiliary.