Acne miliaris necrotica
| Acne miliaris necrotica | |
|---|---|
| Other names: Acne varioliformis[1] | |
 | |
| Specialty | Dermatology |
| Symptoms | Itchy small fluid-filled bumps on typically scalp[1] |
| Complications | Scarring[1] |
| Causes | Inflammatory reaction to part of the hair follicle and S. aureus[2] |
| Diagnostic method | Visualisation, culture[1] |
| Treatment | Antibiotics[1] |
| Medication | Doxycycline[1] |
Acne miliaris necrotica is a type of folliculitis of typically the frontal hairline of the scalp.[2] It presents as multiple small fluid-filled bumps, sometimes occurring as solitary lesions that are typically very itchy and sore.[1][2] Shortly after appearing, the bumps burst and dry up to form crusts.[1] There may be scarring.[1]
Causes
The cause may be a result of an inflammatory reaction to part of the hair follicle and S. aureus.[2]
Diagnosis
Diagnosis is by visualisation and culture of the lesions.[1]
Treatment
There are multiple medications that are able to treat acne varioliformis.[3][4]
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
Epidemiology
The condition affects middle aged and elderly individuals.
History
The condition was first described by Sabouraud in 1928.[5]
See also
References
- 1 2 3 4 5 6 7 8 9 10 James, William D.; Elston, Dirk; Treat, James R.; Rosenbach, Misha A.; Neuhaus, Isaac (2020). "13. Acne". Andrews' Diseases of the Skin: Clinical Dermatology (13th ed.). Elsevier. p. 245. ISBN 978-0-323-54753-6. Archived from the original on 2023-04-24. Retrieved 2023-04-24.
- 1 2 3 4 "Scalp folliculitis". dermnetnz.org. Archived from the original on 1 March 2023. Retrieved 24 April 2023.
- ↑ "Acne Necrotica (varioliformis)". www.mdedge.com. Archived from the original on 2017-11-09. Retrieved 2017-06-11.
- ↑ "Acne Necrotica (varioliformis)". Clinical Advisor. 2016-12-20. Archived from the original on 2017-11-09. Retrieved 2017-06-11.
- ↑ Montgomery, Hamilton (1 July 1937). "Acne miliaris necrotica of the scalp". Archives of Dermatology. 36 (1): 40. doi:10.1001/archderm.1937.01480010044006. Archived from the original on 18 August 2022. Retrieved 24 April 2023.
External links
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