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Case Reports
. 2023 Aug 22:16:467-471.
doi: 10.2147/IMCRJ.S421796. eCollection 2023.

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

Girum Assefa  1
Affiliations
Case Reports

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

Girum Assefa. Int Med Case Rep J. .

Abstract

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.

Keywords: acne necrotica; acne vulgaris; anti-inflammatory drugs; folliculitis; hypersensitivity; varioliform scar.

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Conflict of interest statement

The author reports no conflict of interest in this work.

Figures

Figure 1
Figure 1
Crusted umbilicated papules on the anterior hair line and varioliform scarring over nose.
Figure 2
Figure 2
Multiple crusted umbilicated papules on the face and anterior hair line and varioliform scarring over the central face, and a single seborrheic keratosis papule over the right eye brow.
See this image and copyright information in PMC

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