Acne Archives

Acne Cyst vs. Sebaceous Cyst (Walt)

[ Acne Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!
 
        

Acne Cyst vs. Sebaceous Cyst (Walt)

Posted by kmd on March 06, 2002 at 15:03:57:

Would it be true to say the ONLY difference between an acne cyst and a sebaceous cyst is that an acne cyst will eventually go away and a sebaceous cyst never does (so has to be surgically removed)?




Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by Walt Stoll on March 07, 2002 at 09:39:32:

In Reply to: Acne Cyst vs. Sebaceous Cyst (Walt) posted by kmd on March 06, 2002 at 15:03:57:

Hi, kmd.

Acne cysts are hormonally caused sebaceous cysts. They occur in the areas where the largest sebaceous glands are found. That means that they also have the largest ducts!

If one can keep the ducts clear, the cysts will tend to correct themselves. The larger the ducts the easier to keep them clear.

This is why, finally (after 10 years of recommending it on this BB), the world literature is reporting the "new discovery" that the EFAs are a major metabolic factor in the treatment of acne. They allow the manufacture of runnier sebum and thus smaller ducts will pass it without becoming blocked.

Hope this helps.

Walt



Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by kmd on March 07, 2002 at 15:50:26:

In Reply to: Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.) posted by Walt Stoll on March 07, 2002 at 09:39:32:

So, are you saying the determining factor of whether a sebaceous cyst will go away on its own is the size of the ducts? Wouldn't that depend on the location of the body since the skin and pores differ?

If keeping the ducts clear is the difference, why can't somebody with sebaceous cysts make existing ones go away with EFAs? Why do they have to go to surgery?

I have gotten large acne cysts in different areas that I would think have small pores and ducts, including the neck, jawline and in and under my ears. It takes them sometimes 4-6 weeks to disappear but they always do. Even before I knew about EFAs.

I'm still not having the "ah ha!" experience of getting this.




Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by Walt Stoll on March 08, 2002 at 11:04:03:

In Reply to: Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.) posted by kmd on March 07, 2002 at 15:50:26:

Hey, kmd.

You need to look at any anatomy atlas for the distribution of hormonally activated sebaceous glands distribution. They are in the groin, under the arms, face and neck, upper chest and upper back. These glands have the largest ducts.

Once a cyst has formed, the hormonal cause of abnormal sebum production becomes the second most inmportant factor maintaining the problem. The structural deformity of the duct, from the pressure inside the gland inverting it, is now the most important. This is why surgery is usually the only solution.

It IS possible that the EFAs might resolve established cysts but I would sooner have someone be pleasantly surprised than upset because I predicted something that did not happen.

Any "ah ha's" yet?

Namaste`

Walt



Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by kmd on March 08, 2002 at 13:41:36:

In Reply to: Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.) posted by Walt Stoll on March 08, 2002 at 11:04:03:

Sorry Walt,

Not an "ah ha" but more like an "aaaaauuugh!!!!!!!!!"

I appreciate your trying but maybe I'll never get it. I just don't understand the critical difference and why sebaceous cysts have to be removed surgically and acne cysts eventually go down on their own. Is it because acne, being hormonally caused, responds to the hormonal fluctuations positively as well as negatively?

I also don't get why sebaceous cysts of the armpits from antiperspirants would require surgery if they are included in the body areas that have "large ducts". Is it a matter of size? So if a cyst reaches a critical size then the duct is too deformed to recover?

You wrote: "The structural deformity of the duct, from the pressure inside the gland inverting it, is now the most important. This is why surgery is usually the only solution." Does this mean that, for some reason, acne cysts do not cause the degree of deformity to the duct that seb cysts do?

If a patient goes to a doctor with some cysts, what are the determining factors of the diagnosis (acne vs. sebaceous)? Would location be one? Would the length of time it has been present? It's size? Does the size have to reach a "point of no return"?




Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by Walt Stoll on March 09, 2002 at 09:54:08:

In Reply to: Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.) posted by kmd on March 08, 2002 at 13:41:36:

Hi, "aaaaauuugh" :>)

First of all, all of us are just learning about this so, perhaps, there is no perfect answer to all your questions, YET. NOW, having said that, my responses:

First question--Possibly.

Next--antiperspirants are SO effective in blocking the ducts that they quickly are irreversible short of stopping the chemicals and surgical removal. Yes, it is frequently a matter of size AND how long they have been there. Acne tends to move quickly from gland to gland and not stay in one gland long enough to cause the ductal mechanics.

Next--acne does not tend to stay in the same gland long enough.

Yes. Location, history, size, and YES---but those sizes are even variable from gland to gland and person to person.

Aaaaauuugh?

Walt




Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.)

Posted by kmd on March 09, 2002 at 14:56:29:

In Reply to: Re: Acne Cyst vs. Sebaceous Cyst (Walt) (Archive in acne.) posted by Walt Stoll on March 09, 2002 at 09:54:08:

Thanks Walt,

Ow, my head!!

:o)

Follow Ups:


[ Acne Archive ]
[ Main Archives Page ] [ Glossary/Index ]
[ FAQ ] [ Recommended Books ] [ Bulletin Board ]
   Search this site!