Management Patients with acne conglobata should consult a dermatologist . The recommended treatment for acne conglobata is isotretinoin , which should be commenced early to prevent scarring. The treatment is required for at least five months, and further courses are sometimes necessary. Patients often need additional oral antibiotics and oral steroids . When isotretinoin is unavailable or unsuitable, systemic antibiotics, and in women hormonal therapy , may also be effective.
Topical treatment is usually ineffective.
New Zealand Dermatological Society.