How to treat pustular acne

Everyone loves beauty, especially women, for whom their face is more important than anything else. Once something like acne appears on the face, we will immediately try to find a way to eliminate it. Acne is also a common skin disease. Many teenagers will get acne on their faces, which has a great impact on children's psychology. Some children feel that acne on their faces is ugly and develop psychological inferiority complex, which will have a great impact on their interpersonal relationships.

The main cause of acne is excessive sebum secretion, which leads to blockage of hair follicles. If bacterial infection and inflammation occur together, there will be many acne on the face, especially pustular acne, which not only looks scary but is also difficult to treat. Now let’s take a look at how to treat this type of pustular acne.

1. Daily care

Wash your face with warm water once or twice a day to clean your skin, and avoid squeezing or scratching skin lesions with your hands. Avoid using oily and powdery cosmetics and ointments and creams containing glucocorticoids.

2. Common methods of acne treatment

(1) Topical medications: Retinoic acid (retinoic acid cream, adapalene gel, tazarotene gel), benzoyl peroxide, antibiotics (clindamycin, erythromycin, chloramphenicol, etc.), azelaic acid, sulfur lotion, etc.

(2) The first choice of oral antibiotics is tetracycline (minocycline, doxycycline, etc.), followed by macrolides (erythromycin). Avoid antibiotics commonly used to treat systemic infections such as levofloxacin. The course of antibiotics is usually 6 to 12 weeks.

(3) Oral isotretinoin For severe acne, oral isotretinoin is the standard treatment and currently the most effective method for treating acne. The treatment course aims to achieve a minimum cumulative dose of 60 mg/kg.

(4) Anti-androgen therapy, such as the oral contraceptive cyproterone acetate combined tablets (trade name Diane-35), is suitable for female patients with moderate to severe acne accompanied by symptoms of excessive androgen levels (such as hirsutism, seborrhea, etc.) or polycystic ovary syndrome. Female patients with delayed-onset acne and acne that is significantly aggravated before menstruation may also consider using oral contraceptives.

3. Grading of treatment for acne

(1) Level 1 is generally treated topically, with topical retinoic acid preparations being the first choice.

(2) Level 2: Combined use of topical retinoids and benzoyl peroxide or antibiotics, and oral antibiotics if necessary.

(3) Grade 3 often requires combined treatment, with oral antibiotics combined with topical benzoyl peroxide and/or retinoic acid drugs as the first choice. Antiandrogen therapy may also be considered for female patients where indicated.

(4) Grade 4 oral isotretinoin is the most effective treatment and can be used as first-line treatment. For patients with more inflammatory papules and pustules, systemic antibiotics combined with topical benzoyl peroxide can be used first, and then oral isotretinoin can be used for sequential treatment after the skin lesions have improved significantly.

These are all relevant treatment methods. If you have acne, do not take medicine to treat it yourself. This can easily cause wound infection or inflammation, which will make it troublesome to treat it later. Be sure to go to the hospital for consultation first, follow the doctor's advice, and use the medicine. After persisting in the treatment, I believe your face will return to its original healthy skin.