Be alert when pimples turn into hard lumps

Acne turning into hard lumps may indicate acne nodules or cysts, and one should be alert to infection or scar formation. Common causes include abnormal follicular keratinization, bacterial infection, excessive sebum secretion, endocrine disorders, genetic factors, etc. It is recommended to seek medical attention promptly to clarify the diagnosis and avoid squeezing or self treatment.

1. Abnormal keratinization of hair follicles

Excessive angular keratinization of hair follicles can lead to the inability to expel sebum normally, resulting in closed comedones. When inflammation progresses deeper, it may form hard nodules. In such cases, keep the skin clean, use skin care products containing salicylic acid or fruit acid to help dredge pores, and in serious cases, use vitamin A acid cream, adapalene gel and other drugs to improve keratosis according to the doctor's advice.

2. Bacterial infection

Propionibacterium acnes proliferation can trigger local immune responses, leading to redness, swelling, and hardening. When accompanied by tenderness or pus, it indicates worsening infection. Antibacterial drugs such as fusidic acid cream and clindamycin phosphate gel can be used according to the doctor's advice, and antibiotics such as doxycycline may be taken orally when combined with systemic symptoms.

3. Excessive sebum secretion

Elevated levels of androgens can stimulate excessive sebum secretion in sebaceous glands, leading to increased pressure inside hair follicles and the formation of cysts. This type of hard block is often raised in a hemispherical shape and has elasticity when touched. It is necessary to adjust diet to reduce high sugar intake, and cooperate with doctors to prescribe anti androgen drugs such as spironolactone to control oil secretion.

4. Endocrine disorders

Hormonal fluctuations can easily induce stubborn cystic acne in women before menstruation or when suffering from polycystic ovary syndrome. If accompanied by menstrual disorders or hirsutism symptoms, it is necessary to check six levels of sex hormones. If necessary, under the guidance of a doctor, use short acting contraceptives or traditional Chinese medicine for regulation, such as Danzhi Xiaoyao San and other liver soothing and depression relieving formulas.

5. Scar constitution

Repeated inflammatory stimulation may lead to collagen proliferation, forming hard textured scar tissue. In the early stage, local injection of glucocorticoids can be used to soften and harden nodules, and laser treatment can be considered for old scars. Avoid scratching and stimulation. People with scar constitution should seek medical attention as soon as possible to control the development of inflammation.

Daily attention should be paid to keeping the affected area clean and dry, using mild amino acid cleansing products, and avoiding the use of greasy skincare products. Reduce the intake of dairy products and high sugar and high-fat foods in diet, and increase foods rich in vitamin A and zinc such as carrots and oysters. Ensure adequate sleep, regulate stress, and regulate endocrine through acupuncture and moxibustion or ear acupoint pressing beans when necessary. If the hard lump continues to enlarge, causes pain and suppuration, or is accompanied by fever, it is necessary to immediately seek medical attention from a dermatologist to rule out other skin diseases.