Acne Necrotica in Its Entirety: When It Starts, and After It Evolves.

Int Med Case Rep J

Department of Dermatovenereology, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.

Published: August 2023

Acne necrotica is a rare disease, characterized by recurrent crops of inflammatory papules and papulo-pustules that rapidly become necrotic, leaving varioliform scars of varying extent. Here, I report the case of a 32-year-old male with early-stage disease and a 58-year-old male with late-stage acne necrotica. Both patients had a history of chronic, relapsing, umbilicated, and centrally necrotic erythematous papules and papulo-pustules involving the hairline and face. A diagnosis of acne necrotica was made based on the clinical presentation, and both patients started on topical mometasone furoate cream and doxycycline tablets and responded well. Herein I report this case to reappraise an under-recognized entity of acne necrotica.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10460170PMC
http://dx.doi.org/10.2147/IMCRJ.S421796DOI Listing

Publication Analysis

Top Keywords

acne necrotica
20
papules papulo-pustules
8
report case
8
acne
5
necrotica entirety
4
entirety starts
4
starts evolves
4
evolves acne
4
necrotica
4
necrotica rare
4

Similar Publications

Acne Necrotica in Its Entirety: When It Starts, and After It Evolves.

Int Med Case Rep J

August 2023

Department of Dermatovenereology, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.

Acne necrotica is a rare disease, characterized by recurrent crops of inflammatory papules and papulo-pustules that rapidly become necrotic, leaving varioliform scars of varying extent. Here, I report the case of a 32-year-old male with early-stage disease and a 58-year-old male with late-stage acne necrotica. Both patients had a history of chronic, relapsing, umbilicated, and centrally necrotic erythematous papules and papulo-pustules involving the hairline and face.

View Article and Find Full Text PDF

We report the case of a 25-year-old woman who presented to the outpatient dermatology clinic with a history of systemic lupus erythematosus, systemic sclerosis, and primary hypothyroidism. She complained of a one-year history of cutaneous lesions that were pruriginous and evolved into crusts and weeks later resolved with varioliform scarring. Clinicopathological correlation established a diagnosis of acne necrotica varioliformis.

View Article and Find Full Text PDF

Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under-recognised dermatosis.

Australas J Dermatol

February 2018

Sherwood Road Dermatology, Brisbane, Queensland, Australia.

Acne necrotica is a disorder of adults of obscure aetiology, featuring repeated cropping of inflammatory papulonodules which rapidly necrotise, leaving varying degrees of superficial scarring with pathological features in early lesions of a necrotising lymphocytic folliculitis. A perceived diminishing interest in this entity in recent years prompted a prospective study of patients presenting to a dermatology practice over a 3-year period to reassess the prevalence of this disorder in general dermatological patients, leading to the identification of 47 patients (35 female) with features of acne necrotica, with histopathology undertaken in atypical cases. We identified the importance of the recognition of primary lesions (1-2 mm umbilicated erythematous papules), often difficult to find in excoriated areas, as being paramount in the diagnosis both clinically and histologically in our study, which reveals a significantly more prevalent and clinically diverse disorder than featured in previous textbook and academic journal descriptions.

View Article and Find Full Text PDF

Primary cicatricial alopecia: Other lymphocytic primary cicatricial alopecias and neutrophilic and mixed primary cicatricial alopecias.

J Am Acad Dermatol

December 2016

Department of Dermatology, University of British Columbia, Vancouver, British Columbia, Canada; Department of Dermatology, New York University, New York, New York.

Article Synopsis
  • Primary cicatricial alopecias are complex conditions that challenge both patients and doctors, highlighting the importance of accurate diagnosis for effective treatment.
  • The discussion focuses on various types, including lymphocytic alopecias like pseudopelade of Brocq and central centrifugal cicatricial alopecia, as well as neutrophilic and mixed types such as folliculitis decalvans and dissecting cellulitis.
  • This overview serves as a guide for understanding and managing these specific hair loss conditions.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!