I-Cystic acne ithuthuka lapho izindlala ze-sebaceous zikhiqiza amafutha amaningi, izimbobo zivaleka, futhi amagciwane esikhumba avuse impendulo eqinile yokuvuvukala ejulile esikhunjeni. Ama-hormone, izakhi zofuzo, ukucindezeleka, ezinye izimonyo, nezici zendlela yokuphila konke kunomthelela, kodwa akuvamile ukuthi kube nesizathu esisodwa.
I-Cystic acne ngokwayo ayisiyona eyingozi empilweni, kodwa inobungozi obukhulu bokushiya izibazi ezihlala njalo nezindawo ezimnyama, kanye nomthelela oqinile wengqondo. Izilonda ezivuvukele kakhulu noma ezingelashwa zingaholela ezingxenyeni ezijulile zesikhumba kanye nokucindezeleka okukhulu noma ukudangala.
Ukwelashwa kwe-Cystic acne kuvame ukuhlanganisa amaphilisi kadokotela (afana namagciwane okubulala amagciwane noma i-isotretinoin), amakhrimu wezokwelapha noma ama-gel, nokunakekelwa kwezimonyo okusekelayo. Ngemva kokulawula ukuvuvukala, izinqubo ezifana ne-laser, ama-peels, noma i-microneedling zingasiza ukuthuthukisa izibazi nezindawo ezimnyama.