DefinitionThis section has been translated automatically.
Rare, but particularly severe form of acne infantum with nodules and abscessing fistula ducts. Endocrinological disorders frequent; clarification necessary!
LocalizationThis section has been translated automatically.
Confined to the face.
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Clinical featuresThis section has been translated automatically.
papules, pustules, nodules and abscessed fistula ducts.
LaboratoryThis section has been translated automatically.
Clarification: Total and free testosterone, dehydroepiandrosterone (DHEA and DHEA-S), LH, FSH.
Differential diagnosisThis section has been translated automatically.
Complication(s)This section has been translated automatically.
Retracted fistulas.
External therapyThis section has been translated automatically.
Benzoyl peroxide (e.g. acne oxide) in lowest concentration, e.g. 1-2%, under observation for a few minutes, if necessary adapalene 0.1% (Differin gel/cream). Alternatively azelaic acid (e.g. Skinoren cream) can be tried. Deeply inflammatory efflorescences can be treated locally or intralesionally with glucocorticoids for a short time.
Internal therapyThis section has been translated automatically.
- In the case of highly inflammatory components, antibiotics, especially erythromycin, e.g. paediathrocin 2 times/day 125 mg p.o., can be given systemically.
- In pronounced, therapy-resistant cases, systemic treatment with isotretinoin should be considered in individual cases (0.36-1.0 mg/kg bw/day for 2-4 months). Cave! When treating with isotretinoin, no simultaneous administration of tetracyclines. Note the side effect profile of tetracyclines!
Progression/forecastThis section has been translated automatically.
Risk of considerable scarring, possibly continuation of the symptoms into adulthood.
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Incoming links (1)
Acne infantum;Outgoing links (9)
Acne infantum; Antibiotics; Azelaic acid; Benzoyl peroxide; Erythromycin; Glucorticosteroids topical; Isotretinoin; Panniculitis (overview); Pyoderma;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer