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Acne Conglobata

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Acne Conglobata

What is Acne Conglobata?

Acne conglobata is a rare but severe form of nodulocystic acne. It usually presents with tender, disfiguring, double or triple interconnecting comedones, cysts, inflammatory nodules, and deep burrowing abscesses on the face, shoulders, back, chest, upper arms, buttocks, and thighs

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Acne conglobata (AC) is a rare but severe form of nodulocystic acne. It usually presents with tender, disfiguring, double or triple interconnecting comedones, cysts, inflammatory nodules, and deep burrowing abscesses on the face, shoulders, back, chest, upper arms, buttocks, and thighs.

Acne conglobata is a rare severe form of nodulocystic acne. It presents with groups of multiple comedones and inflammatory papules, pustules, and nodules involving the trunk, limbs, and buttocks. Interconnecting abscesses and draining sinuses become secondarily infected causing pain and malodour.

Exposure to halogenated aromatic hydrocarbons (eg, dioxins) or ingestion of halogens (eg, thyroid medication, hypnotic agents) may trigger acne conglobata in an individual who is predisposed. Other factors that can provoke acne conglobata include androgens (eg, androgen-producing tumors) and anabolic steroids

Exposure to halogenated aromatic hydrocarbons (eg, dioxins) or ingestion of halogens (eg, thyroid medication, hypnotic agents) may trigger acne conglobata in an individual who is predisposed. Other factors that can provoke acne conglobata include androgens (eg, androgen-producing tumors) and anabolic steroids

Women who have AC may benefit from birth control pills or anti-androgen medications. Testosterone is thought to play a role in this type of acne, so certain hormonal drugs could help.

 

How is it diagnosed?

How is it diagnosed?

The key recommendations include the following: Benzoyl peroxide or combinations with erythromycin or clindamycin as monotherapy for mild acne; benzoyl peroxide with a topical retinoid or systemic antibiotic therapy for moderate-to-severe acne

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How is it treated?

Treatment for acute myeloid leukemia is vital. It varies with the patient and stage of the disease. Treatment options include

Two procedures are most favoured. Gross excision and fine trimming by dermabrasion with subsequent secondary reepithelization gives excellent results without scars: If a radical excision is preferred or if cartilage is exposed, a full thickness skin graft has to be applied.

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