Having discussed about acne and some common causes of acne in our previous articles, we will now classify acne medically into five major types.
Type of Acne – Most Common
• The first and most common form is acne vulgaris. This is an eruption, predominantly of the face, chest, and upper back, mainly composed of comedones, papules, pustules and on an inflammatory base. Majority of people develop this condition during puberty and adolescence.
This is caused due to androgenic stimulation of sebum secretion, with plugging of follicles by keratinization, associated with excessive spread of acnes. This type of acne if not treated appropriately could leave behind scars, which might be very difficult to treat.
In severe cases, the person might develop nodules and even cysts that are filled with pus. Acne vulgaris is also called as acne simplex or simple acne. In most cases, Differin is prescribed by the doctor.
• The second form of acne is known as acne rosacea. This is also referred to as acne erythematosa. The person affected with acne rosacea could suffer with chronic vascular and follicular dilation of the nose and adjoining portions of the cheeks.
This may vary from mild to persistent erythema to extensive hyperplasia of the sebaceous glands. This is mainly seen in men as rhinophyma or brandy nose and by deep-seated papules and pustules.
This may be accompanied by telangiectasia at the affected erythematous site. This kind of acne requires specialized treatment and care. Azelaic acid is most commonly used drug for acne rosacea.
• The third form of acne is acne fulminans conglobata. This condition is mainly found in teenaged males where they suffer from severe scarring acne, which can be associated with fever, ulcerative lesions, weight loss, anemia and polyarthralgia.
Accutane is the most prescribed drug for this condition, which is very effective in stopping the breakouts. This, however, is not generally prescribed and is used as a last resort because of the significant side effects that it can cause.
• The fourth form of acne is acne conglobata. This is severe cystic acne, characterized by cystic lesions, communicating sinuses, abscesses, and thick nodular scars usually sparing the face. However, it is more severe as it can leave behind huge scars because of interconnected lesions unlike other forms of acne.
• The fifth type of acne is pyoderma faciale, which is often seen in women aged 18 to 35 years. This form of acne is pretty severe as it involves the presence of sores, nodules and pustules, which eventually lead to scarring.
If treated appropriately, this condition rarely recurs. It is, therefore, important that this is treated at an early stage.
Types of Acne – Other Types of Acne
The above mentioned are five major types of acne. However, there are other types of acne which is not widespread and do not occur more frequently. Let us go through them very briefly.
• Acne medicamentosa – These are acne caused or exacerbated by drugs such as antiepileptic medications, halogens, steroids, and tuberculostatic.
• Acne albida – Caused by small subepidermal keratin cyst, usually multiple.
• Acne artificialis – Acne caused by external irritants such as tar or drugs internally administered, such as iodides or bromides.
• Bromide acne – Follicular eruption on face, extremities, and trunk caused due to bromide ingestion.
• Acne cachecticorum – Acne occurring in persons who have a debilitating disease characterized by large, soft, ulcerative, purulent, cystic, and scarred lesions.
• Acne ciliaris – These are follicular papules and pustules found on the free edges of the eyelids.
• Acne cosmetica – These are low-grade, non-inflammatory acne lesions caused due to repeated application of cosmetics containing comedogenic agents.
• Acne decalvans – A papular or pustular inflammation of the hair follicles of the scalp which is seen mostly in men, resulting in loss of hair and scarring.
• Pomade acne – This acne is commonly found on the temples and forehead of Negro males caused due to prolonged and repetitious application of hair creams.
I am sure this article has thrown light on different types of acne and I am sure this information will help you exactly diagnose the type of acne you are suffering and in turn help in appropriate treatment of the same.