Like other diseases of the follicular occlusion tetrad, acne conglobata can be difficult to treat. We describe the successful use of modern external beam radiation for acne conglobata in the case of a 53-year-old man with long-standing and disfiguring acne conglobata and hidradenitis suppurativa. For patients with severe acne conglobata resistant to more accepted therapies, modern external beam radiation may be a viable alternative on the therapeutic ladder.
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| http://dx.doi.org/10.1016/j.jaad.2009.06.031 | DOI Listing |
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Association of childhood obesity or weight change with early-onset follicular occlusion triad among children.
Br J Dermatol
October 2024
Laboratory of Intestinal Mucosa and Skin Immunology, Seoul, Republic of Korea.
Background: The effects of childhood obesity or weight gain on the development of early-onset follicular occlusion triad (FOT) among children, which includes hidradenitis suppurativa (HS), acne conglobata (AC), and dissecting cellulitis of the scalp (DCS), remain unknown.
Objectives: To investigate the association between body mass index (BMI) or its changes and early-onset FOT development.
Methods: This nationwide population-based longitudinal cohort study included a cohort of 2,012,928 Korean children who underwent two consecutive health examinations at 30-36 months and 42-48 months of age between 2009 and 2020.
Determinant Factors of Disease Severity for Patients With Hidradenitis Suppurativa Evaluated in a Spanish Hospital Over a 5-Year Period.
Actas Dermosifiliogr
January 2025
Department of Dermatology, Hospital Universitario Doctor Peset, University of Valencia, España.
Article Synopsis
- * Conducted in a Spanish hospital, the retrospective study analyzed data from 322 patients diagnosed with HS over five years.
- * Key findings indicated that delays in diagnosis, certain comorbidities like acne conglobata and cardiovascular issues, as well as perianal or truncal involvement, were linked to more severe cases of HS, while psychiatric conditions showed no significant relationship.
Determinant Factors of Disease Severity for Patients With Hidradenitis Suppurativa Evaluated in a Spanish Hospital Over a 5-Year Period.
Actas Dermosifiliogr
January 2025
Department of Dermatology, Hospital Universitario Doctor Peset, University of Valencia, Spain.
Article Synopsis
- - A study was conducted on 322 patients with hidradenitis suppurativa (HS) at a Spanish hospital to find out which factors indicate more severe cases of HS and may require aggressive treatment.
- - Results showed that longer diagnostic delays, conditions like acne conglobata, certain cardiovascular risk factors, and perianal or truncal involvement were linked to more severe HS.
- - Interestingly, psychiatric comorbidities did not influence HS severity, while being female and having a family history of HS were associated with an earlier onset of the disease.
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- The study aimed to analyze ultrasound features of facial hidradenitis suppurativa (HS) and identify concurrent cases of acne vulgaris (AV).
- Researchers examined ultrasound images from 33 patients diagnosed with facial HS and used specific scoring and staging systems to categorize their conditions.
- Results indicated that HS lesions often contained hair tract fragments, while only a small percentage of patients presented with both HS and AV, highlighting differences in lesion characteristics that can aid in diagnosis and treatment.
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- Acne fulminans (AF) is a severe type of acne characterized by painful, bleeding pustules and ulcerations, which may involve systemic symptoms and lab abnormalities.* -
- A review of 98 relevant articles revealed that different variants of AF present unique clinical features, with androgen-induced AF showing more nodules and cysts, while "miscellaneous AF" tends to have more ulcerations and erosions.* -
- Understanding the different presentations of AF is important for developing personalized treatment plans, leading to a proposed classification based on associated factors.*
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