Indication

Severe recalcitrant nodular acne

Severe recalcitrant nodular acne is an advanced, treatment-resistant subtype of acne vulgaris affecting the pilosebaceous units of the skin, most frequently involving the face, chest, and back in adolescents and adults. Read more about Severe recalcitrant nodular acne

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About Severe recalcitrant nodular acne.

Severe recalcitrant nodular acne is an advanced, treatment-resistant subtype of acne vulgaris affecting the pilosebaceous units of the skin, most frequently involving the face, chest, and back in adolescents and adults.

It is clinically characterized by widespread, painful, deep-seated inflammatory nodules measuring 5 millimeters or greater in diameter, often accompanied by extensive erythema, cyst-like lesions, and substantial tissue destruction that poses a severe risk of permanent scarring.

Pathophysiologically driven by follicular hyperkeratinization, excess sebum production, and intense immune-mediated inflammation surrounding *Cutibacterium acnes*, the condition is designated recalcitrant due to its persistent failure to improve under conventional systemic antibacterial and topical therapies.

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