Unlike acne, pyoderma faciale:
- Starts abruptly
- Rarely persists more than a year or so
- Is not associated with oily skin
- Does not arise from comedones
- Is confined to the face
- Does not affect males
Compared with rosacea, pyoderma faciale:
- Affects younger women
- Is not associated with flushing
- Does not affect eyes
There are unsightly and painful large red bumps (nodules), pustules and sores on very red areas of the cheeks, chin and/or forehead. The lesions may leave scars.
Despite the severity of the inflammation, there are no internal symptoms. No infective organisms are found in bacterial cultures of the affected skin.
As this condition is rare, it is not certain which is the best medication to use. The following oral medications may help:
Most cases can be expected to clear up with a combination of these medications taken for three to six months. The patient should be under the care of a dermatologist.