What is acne conglobata?
Acne conglobata is an uncommon but severe form of acne associated with the development of multiple nodules and cysts that are so numerous that they join beneath the skin surface giving rise to large areas of painful, tender swelling. It usually affects the face but can also affect the chest and back.
Acne conglobata can lead to severe scarring over the counter treatments and topical treatments on their own are ineffective and it will usually require a powerful oral medication such as isotretinoin prescibed by a dermatologist to get control. In some cases steroid tablets (prednisolone) may be used in conjunction with isotretinoin to reduce inflammation.
How can I help
I see patients in person in central London. An in person consultation allows me to examine the skin directly including features that are difficult to capture in a photograph such as 3-dimensional changes and textural change. This is the better option where the diagnosis is uncertain, where previous treatment has not been effective, or where a procedure is being considered. For more straightforward conditions such as acne and rosacea a remote consultation with clear photographs can be a good option.