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]
| Acne miliaris necrotica | |
|---|---|
| Other names | Acne varioliformis[1] |
| Specialty | Dermatology |
| Symptoms | Itchy 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] |
Causes
editThe cause may be a result of an inflammatory reaction to part of the hair follicle and S. aureus.[2]
Diagnosis
editDiagnosis is by visualisation and culture of the lesions.[1]
Treatment
editThere are multiple medications that are able to treat acne varioliformis.[3][4]
Topical
edit- Clindamycin 1% lotion or Benzoyl peroxide/clindamycin gel
- Erythromycin 2% gel
- 1% hydrocortisone cream
Systemic
edit- Doxycycline 50 mg twice daily
- Isotretinoin 0.5 mg/kg daily
Epidemiology
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History
editThe condition was first described by Sabouraud in 1928.[5]
See also
editReferences
edit- ^ a b c d e f g h i j 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.
- ^ a b c "Scalp folliculitis". dermnetnz.org. 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.