Acne miliaris necrotica is a severe form of folliculitis of typically the scalp. It presents as multiple fluid-filled bumps, sometimes occurring as solitary lesions that are usually very itchy. Shortly after appearing, the bumps burst and dry up. There may be scarring.
Causes The cause may be a result of an inflammatory reaction to part of the hair follicle and S. aureus.
Diagnosis Diagnosis is by visualisation and culture of the lesions.
Treatment There are multiple medications that are able to treat acne varioliformis.
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.
See also List of cutaneous conditions
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