Can nodular acne heal on its own

Nodular acne, the more severe form of acne, usually does not go away on its own. Its production is related to a variety of factors, including strong secretion of sebaceous glands, abnormal keratinization of pilosebaceous gland ducts, proliferation of Propionibacterium acnes, and inflammatory reactions. These factors work together to cause the formation of nodules buried deep under the skin in the pilosebaceous unit, and the inflammatory reaction is severe.

Without timely intervention, the sebaceous glands will continue to secrete oil, making it difficult to improve the clogged hair follicles, and Propionibacterium acnes will continue to breed, causing inflammation to persist and possibly further aggravate. The nodules may fuse to form larger nodules or cysts, which may even lead to the destruction of skin tissue, leaving severe scars such as acne pits and hypertrophic scars, causing long-term adverse effects on the appearance and texture of the skin.

For the treatment of nodular acne, comprehensive measures need to be taken:

1. Topical drugs, such as fusidic acid ointment, Longzhu ointment, etc., to remove internal inflammatory substances.

2. Oral drugs, such as isotretinoin, spironolactone, etc., can regulate epidermal cell differentiation and oil secretion to achieve therapeutic purposes.

3. Local treatments, such as intralesional injection of triamcinolone acetonide, gentamicin, etc., as well as physical methods such as red and blue light irradiation, laser therapy, can effectively improve nodular acne.

4. Lifestyle adjustments are also crucial. Keeping the skin clean and avoiding spicy and irritating foods can help control the disease.

5. For patients with particularly severe symptoms, surgical treatment may also be considered.

To sum up, nodular acne cannot heal on its own, and it requires professional treatment and the patient's own lifestyle adjustment to improve the condition.