Are you one of these people who enjoys watching other doctors and health care providers pop some pimples?

Yes, it's become super popular to watch various physicians and clinicians

extract tiny cysts and poor clogs from patients' face and it

parts of their bodies. Hundreds of millions of uploads and videos later,

some of these doctors even have their own TV shows. Whether it's rock-hard blackheads or oozing cysts or zits that can be pretty

gross, what you have to remember is that it's actually really popular for other people to watch and enjoy vicariously.

And why is it that watching people self-extract, which by the way is the technical term

for popping pimples is so popular?

Well, for one, they get a sense of control and satisfaction from treating themselves.

In other words, this is the equivalent of self-body do it yourself because of course the grotesque aspect is there, but there's also the fascination with seeing the pus removed and seeing that sort of

blemish get better on its own and so yes a lot of people do this but there is a

certain type of pimple or cyst that should not be messed with. That's right. If you're thinking of the same one that I am, it's called a pylenietal cyst. Yes, you know about these, these are the world's worst pimple. It's actually a cyst and a skin infection that usually occurs between the

cheeks of the buttocks often at the upper end of a gluteal fold. So that's what we're going to be talking

about in today's podcast. I'm Dr. Niket Son Paul, your friendly neighborhood internist and

gastrointestinal enterologist here with Island Idol disease, a common condition of the skin and subcutaneous

tissue that typically occurs at the upper part of the natal cleft of the buttocks.

Now the natal cleft also known as the gludial cleft, is basically the groove between the buttocks

that extends from just below the sacrum to the perinium, and it's just above the anus.

But remember, pylonidyl disease can happen in other places.

It can happen anywhere on the umbelicus or even the inter-digital spaces, but the most common

location is just above the tush.

Now, pylenidyl disease isn't that common.

...