Skip to main content

A Rare and Severe Variant of a Common Disease

  • Chapter
  • First Online:
Challenging Cases in Dermatology
  • 276 Accesses

Abstract

A 37-year-old male presented with recurrent and persistent folliculitis associated with suppurative nodules and pyoderma gangrenosum-like ulcers, for duration of 20 years. Lesions were most extensive on the trunk (Fig. 56.1). Other involved areas were the face, upper arms, and the root of the penis (Figs. 56.2, 56.3, and 56.4). Lesions were associated with fever, bone pain, weight loss. He had renal failure 5 years prior to presentation and there was a history of severe nodulocystic acne.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Bibliography

  • Allison MA, Dunn CL, Person DA. Acne fulminans treated with isotretinoin and “pulse” corticosteroids. Pediatr Dermatol. 1997;14(1):39–42.

    Article  PubMed  CAS  Google Scholar 

  • Choi EH, Bang D. Acne fulminansand 13-cis-retinoic acid. J Dermatol. 1992;19:378–83.

    PubMed  CAS  Google Scholar 

  • Cunliffe WJ, Gollnick H. Acne fulminans. In: Cunliffe WJ, Gollnick H, editors. Acne: diagnosis and management. London: Martin Dunitz Ltd; 2001. p. 84–6.

    Google Scholar 

  • Gordon PM, Farr PM, Milligan A. Acnefulminans and bone lesions may present to other specialties. Pediatr Dermatol. 1997;14(6):446–8.

    Article  PubMed  CAS  Google Scholar 

  • Heydenreich G. Testosterone and anabolic steroids and acne fulminans. Arch Dermatol. 1989;125(4):571–2.

    Article  PubMed  CAS  Google Scholar 

  • Honma M, Murakami M, Iinuma S, et al. Acne fulminans following measles infection. J Dermatol. 2009;36(8):471–3.

    Article  PubMed  Google Scholar 

  • Jansen T, Plewig G. Acne fulminans. Int J Dermatol. 1998;37:254–7.

    Article  PubMed  CAS  Google Scholar 

  • Jansen T, Romiti R, Woitalla S, et al. Eruptive acne vulgaris with infectious mononucleosis. Br J Dermatol. 2000;142:837–8.

    Article  PubMed  CAS  Google Scholar 

  • Lane JM, Leyden JJ, Spiegel RJ. Acne arthralgia. J Bone Joint Surg Am. 1976;58:673–5.

    Google Scholar 

  • Palatsi R, Oikarinen A. Hormonal analysis and delayed hypersensitivity reactions in identical twins with severe acne. Acta Derm Venereol. 1979;59(2):157–60.

    PubMed  CAS  Google Scholar 

  • Placzek M, Degitz K, Schmidt H, Plewig G. Acne fulminans in late-onset congenital adrenal hyperplasia. Lancet. 1999;354(9180):739–40.

    Article  PubMed  CAS  Google Scholar 

  • Seukeran DC, Cunliffe WJ. The treatment of acne fulminans: a review of 25 cases. Br J Dermatol. 1999;141(2):307–9.

    Article  PubMed  CAS  Google Scholar 

  • Tan BB, Lear JT, Smith AG. Acne fulminans and erythema nodosum during isotretinoin therapy responding to dapsone. Clin Exp Dermatol. 1997;22:26–7.

    Article  PubMed  CAS  Google Scholar 

  • Williamson DM, Cunliffe WJ, Gatecliff M, et al. Acute ulcerative acne conglobata (acne fulminans) with erythema nodosum. Clin Exp Dermatol. 1977;2(4):351–4.

    Article  PubMed  CAS  Google Scholar 

  • Zaba R, Schwartz R, Jarmuda S, Czarnecka-Operacz M, Silny W. Acne fulminans: explosive systemic form of acne. J Eur Acad Dermatol Venereol. 2011;25(5):501–7. doi:10.1111/j.1468-3083.2010.03855.x.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

El-Darouti, M.A. (2013). A Rare and Severe Variant of a Common Disease. In: Challenging Cases in Dermatology. Springer, London. https://doi.org/10.1007/978-1-4471-4249-2_56

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-4249-2_56

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4248-5

  • Online ISBN: 978-1-4471-4249-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics