Acne necrotica
| Acne necrotica | |
|---|---|
| Specialty | Dermatology |
Acne necrotica presents with a primary lesion that is a pruritic or painful erythematous follicular-based papule that develops central necrosis and crusting and heals with a varioliform scar.[1]: 650 [2]: 761
Signs and symptoms
Usually appearing as a cluster of
Causes
In essence, the etiology is unknown. Even though
Diagnosis
Perifollicular lymphocyte infiltrates and lymphocytic spongiosis of the follicular epithelium are features of early lesions. Sebaceous glands, sebaceous ducts, and the infundibulum are all soon engulfed in sebaceous epithelium necrosis. There may be granulomas of foreign bodies. The epidermis may also necrotize. Both extensive corium necrosis and bleeding are major components. Neutrophils typically don't exist or appear later. Finally, fibrosis is visible.[5]
Treatment
Sometimes systemic
See also
- Skin lesion
- Cicatricial alopecia
References
- ISBN 0-07-138076-0.
- ISBN 0-7216-2921-0.
- ISSN 2406-0631.
- ^ ISBN 978-3-540-66751-3.
- ISBN 978-3-642-97236-2.
Further reading
- STRITZLER, CONRAD (October 1, 1951). "ACNE NECROTICA". A.M.A. Archives of Dermatology and Syphilology. 64 (4). American Medical Association (AMA): 464. ISSN 0096-5979.
- Pitney, Lucy K; O'Brien, Blake; Pitney, Michael J (February 27, 2017). "Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under-recognised dermatosis". Australasian Journal of Dermatology. 59 (1). Wiley. S2CID 20770749.