Acne miliaris necrotica

Acne miliaris necrotica is a severe form of folliculitis of typically the scalp.[2] It presents as multiple fluid-filled bumps, sometimes occurring as solitary lesions that are usually very itchy.[1] Shortly after appearing, the bumps burst and dry up.[1] There may be scarring.[1]

Not to be confused with Acne necrotica.
Acne miliaris necrotica
Other namesAcne varioliformis[1]
SpecialtyDermatology
SymptomsItchy fluid-filled bumps on typically scalp[1]
ComplicationsScarring[1]
CausesInflammatory reaction to part of the hair follicle and S. aureus[2]
Diagnostic methodVisualisation, culture[1]
TreatmentAntibiotics[1]
MedicationDoxycycline[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

Systemic

Epidemiology

The condition affects all ages.

History

The condition was first described by Sabouraud in 1928.[5]

See also

References
  1. 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.
  2. "Scalp folliculitis". dermnetnz.org. Retrieved 24 April 2023.
  3. "Acne Necrotica (varioliformis)". www.mdedge.com. Archived from the original on 2017-11-09. Retrieved 2017-06-11.
  4. "Acne Necrotica (varioliformis)". Clinical Advisor. 2016-12-20. Archived from the original on 2017-11-09. Retrieved 2017-06-11.
  5. Montgomery, Hamilton (1 July 1937). "Acne miliaris necrotica of the scalp". Archives of Dermatology. 36 (1): 40. doi:10.1001/archderm.1937.01480010044006.
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