Each of the above nine acnes can be dealt with easily enough either by modifying their cause or by applying the”, Acne Cure-and certainly by a combination of both. That leaves four Form of acne that may in some cases require additional medical attention. They are acne conglobata, cystic acne, acne keloidalis nuchae (also called dermatitis papilaris capillitii), and acne fulminans.

There is also one other disease, called acne rosacea, that shows up usually in women, as redness and bumps that look very much like acne . However, it is not acne at all, but a different skin condition. Because its. genesis is quite different, it is not affected by either the basic Acne Cure, or by the approaches to cure intractable acne discussed below.

The most important point to reemphasize about each of these forms of acne is that their development is exactly the same as that of acne vulgaris. The differences are merely ones of initial causation and severity.

For example, acne conglobata is a severe form of acne that tends to run in families and ca uses scarring on the face and back, sometimes to a considerable extent. It is especially common in people with an extra Y chromosome (XYY).

Cystic acne is differentiated only by the fact that a larger percentage of its comedones (compared with normal acne) rupture inward to cause the cysts we have described earlier.

Keloidal acne is largely confined to dark-skinned individuals.once again, it is standard acne but of a type that unfortunately results in larger-than-normal numbers of keloids, particularly on the nape of the neck.

Acne fulminans is a particularly nasty, necrotic form of the disease where the cells in the area surrounding the acne cyst die out, leaving an unpleasant scar. It is accompanied by joint pain and even fever. Fortunately, it is quite rare.

There is no scientific explanation as to why some people fall victim to these more severe forms of acne. However, since all these forms of acne are caused by blockage of the follicular tubes, it follows that the severest cases occur when several different types of acne occur simultaneously-and aggravate one another.