Q: My 17-year-old son has been suffering from severe acne since his early teens. A local dermatologist diagnosed him with pyoderma facialis. Could you explain what this is?

A: Pyoderma Faciale (PF) is considered to be mainly affecting women between the ages of 20 and 40 years. Your son is most likely suffering from Severe Nodulocystic Acne, which in its worst form is medically known as Acne Conglobata. It is manifested by sudden onset of acutely inflamed papules, pustules, cysts and painful coalescing nodules appearing on a background of a purplish red erythema on the face. The real cause of PF still remains largely unknown. However, hormonal, immunological and vascular factors have been suspected as a major influence. In many cases, severe form of Extremely Inflamed Rosacea has been considered closely connected with the causation of PF.

The treatment consists of an initial dose of oral antibiotics together with low dose corticosteroids for a couple of weeks. After achieving initially desired suppression of the severely inflamed phase of the condition, we then prescribe the next course of medication.

The treatment protocol needs to be instituted and monitored by a experienced dermatologist.

The treating dermatologist must also continuously and closely observe your son’s psychological status. Youth during their teens are generally very image conscious and can easily get trapped with a feeling of lowered self esteem resulting in mild subclinical depression and in turn certain degree of social isolation.

Dr Ikramullah Al Nasir is a specialist dermatologist and medical director at Dermacare Skin Centre, Dubai. Got a problem? Our fantastic panel of renowned experts is available to answer all your questions related to fashion, well-being, nutrition, finance and hypnotherapy. Email your queries to friday@gulfnews.com.

Read more