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What is Type 4 Acne?

Published in Severe Acne 1 min read

Type 4 acne, also known as nodulocystic acne, is the most severe form of acne. It's characterized by the formation of many large, inflamed pustules that merge together to create painful nodules and cysts deep within the skin.

Understanding Nodulocystic Acne (Type 4)

Nodulocystic acne is a significant inflammatory condition. Unlike milder forms of acne, which may involve primarily blackheads or whiteheads (comedones), type 4 acne presents as:

  • Multiple Pustules: Many pus-filled pimples are present.
  • Coalescence: These pustules join together.
  • Nodule Formation: The merging pustules create solid, raised bumps (nodules) under the skin's surface.
  • Cyst Formation: These nodules can further develop into cysts – larger, fluid-filled sacs.
  • Significant Inflammation and Pain: Type 4 acne is notably painful and intensely inflamed. It often leaves behind scarring.

This severe form of acne requires professional medical intervention. Treatment typically involves a combination of approaches to reduce inflammation, clear existing lesions, and prevent future breakouts. These might include topical and oral medications, as well as procedures to drain cysts or reduce scarring.

Example: Imagine a cluster of interconnected, painful pimples that are deep under the skin and significantly inflamed. This illustrates the characteristic appearance of nodulocystic acne.