Severe nodulocystic acne

John L. Bezzant,M.D.

This patient has severe nodulocystic acne. Not only does he have acne, but the inflammatory damage to the dermis has induced elevated scars called keloids. These are permanent. Cases this severe are both painful and disfiguring, and can have a profound detrimental psychological effect on the person. This type of acne rarely responds to creams and oral antibiotics, but does respond well to oral Accutane.