Acne Necrotica

Stritzler, Conrad; Friedman, Reuben; Loveman, Adolph B.

doi:10.1001/archderm.1951.01570100081013

Cited by 23 publications

(3 citation statements)

References 5 publications

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“…If S. aureus is found, based on susceptibility testing, the appropriate antibiotic must be started, along with treatment of possible concomitant nasal carriage. 6 Stritzler et al 10 reported two cases of AN that achieved remission with 600,000 units of penicillin procaine administered once a week.…”

Section: Discussionmentioning

confidence: 99%

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

Assefa

2023

IMCRJ

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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.

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Section: Discussionmentioning

confidence: 99%

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

Assefa

2023

IMCRJ

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“…The lesions are generally limited to nose, forehead, and anterior scalp, although anterior chest and interscapular areas can also be involved in severe cases [3,4]. It has been proposed that acne necrotica varioliformis represents acquired sensitivity to staphylococcal toxin, with the subsequent formation of necrotic plugs and scars, but recent work in this field is lacking [5]. Further, it was hypothesized that lesions of acne necrotica begin as lymphocytic folliculitis, which are then triggered by Propionibacterium acnes [6].…”

Section: What Is Your Diagnosis?mentioning

confidence: 99%

“…Recurrence of lesions is common on decreasing the dose or on discontinuation of the treatment. The review of the literature on acne necrotica, along with the various therapeutic regimens described in the literature is summarized in Table 1 [3,[5][6][7][10][11][12]. Doxycycline 100 mg oral daily dose was prescribed to the present patient, and some improvement in papular and papulopustular lesions was seen in 4 weeks.…”

Section: What Is Your Diagnosis?mentioning

confidence: 99%