A 22 year old male patient suffering for 4 year from severe nodulo-cystic acne and scarring by systemic signs like fever, malaise, polyarthralgia, loss of; weight and leucocytosis was diagnosed as a case of acne fulminans. When there was no response to routine, treatment and even systemic corticosteroid, he-was treated - with a low dose of oral retinoid, isotretinoin. He improved dramatically within 2 weeks, and there was no relapse after 18 weeks follow - UP.
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Acne Fulminans.
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Northwestern University, Department of Dermatology, Chicago, IL. Electronic address:
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Background: Acne vulgaris stands as a prevailing skin condition among adolescents worldwide.
Objectives: The primary aim in addressing acne is to manage it effectively, preventing the occurrence of permanent scarring.
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Article Synopsis
- Acne fulminans (AF) is a severe, inflammatory type of acne that typically appears in adolescents, featuring painful nodules and potentially leading to serious skin lesions and systemic symptoms like fever and joint pain.
- The exact cause of AF is not well understood, but it may be linked to certain medications and often arises in teens beginning isotretinoin treatment.
- Effective treatment generally involves a combination of prednisone and isotretinoin, with an emphasis on early diagnosis to reduce both immediate symptoms and the risk of permanent scarring; further research is needed to improve management strategies.
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