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Acne miliaris necrotica


FieldValue
nameAcne miliaris necrotica
synonymsAcne varioliformis
fieldDermatology
symptomsItchy fluid-filled bumps on typically scalp
complicationsScarring
causesInflammatory reaction to part of the hair follicle and S. aureus
diagnosisVisualisation, culture
treatmentAntibiotics
medicationDoxycycline

Acne miliaris necrotica is a severe form of folliculitis of typically the scalp. It presents as multiple fluid-filled bumps, sometimes occurring as solitary lesions that are usually very itchy. Shortly after appearing, the bumps burst and dry up. There may be scarring.

Causes

The cause may be a result of an inflammatory reaction to part of the hair follicle and S. aureus.

Diagnosis

Diagnosis is by visualisation and culture of the lesions.

Treatment

There are multiple medications that are able to treat acne varioliformis.

Topical

  • Clindamycin 1% lotion or Benzoyl peroxide/clindamycin gel
  • Erythromycin 2% gel
  • 1% hydrocortisone cream

Systemic

  • Doxycycline 50 mg twice daily
  • Isotretinoin 0.5 mg/kg daily

History

The condition was first described by Sabouraud in 1928.

References

References

  1. "Scalp folliculitis".
  2. (2020). "Andrews' Diseases of the Skin: Clinical Dermatology". Elsevier.
  3. "Acne Necrotica (varioliformis)".
  4. (2016-12-20). "Acne Necrotica (varioliformis)". Clinical Advisor.
  5. (1 July 1937). "Acne miliaris necrotica of the scalp". Archives of Dermatology.
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