Acne miliaris necrotica
Medical condition
From Wikipedia, the free encyclopedia
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]
Other namesAcne varioliformis[1]
ComplicationsScarring[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
The cause may be a result of an inflammatory reaction to part of the hair follicle and S. aureus.[2]
Diagnosis
Treatment
There are multiple medications that are able to treat acne varioliformis.[3][4]
Topical
- Clindamycin 1% lotion or Benzoyl peroxide/clindamycin gel
- Erythromycin 2% gel
- 1% hydrocortisone cream
Systemic
- Doxycycline 50 mg twice daily
- Isotretinoin 0.5 mg/kg daily
History
The condition was first described by Sabouraud in 1928.[5]