I have reviewed the clinical photograph attached (attachment removed to protect patient identity). Yes, you have developed nodulocystic acne. What did you mean by it has popped last night? Is this same lesion present for one week or it has subsided now since yesterday? If it has just appeared then you will need a course of oral antibiotics to reduce inflammation and infection.
Topically Fusidic acid 2 % cream can be applied twice daily. In most of the cases of nodulocystic acne intralesional steroid injection is given to reduce inflammation and scarring, cryotherapy would also help. Avoid squeezing and touching. In past what medication have you taken?
Thank you doctor,
It first appeared about a week ago. So, it is much smaller now. Just last night though, it popped under the skin. The photo is from this morning. I have never had this happen before, so I wanted to find out if I needed to go to a dermatologist to have it opened and cleaned out to avoid scarring.
At present, you do not need to go urgently to a dermatologist. Just apply Fusidic acid 2 % cream. At first, when it was inflammatory, at that point you could have considered cryotherapy. Now, it is in resolving phase as you mentioned it has decreased in size. Oral antibiotic tablet Azithromycin 500 mg once a day after meal course for three days can be considered if you are not allergic to oral antibiotics medication.
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