“…Goldschmidt et ah (1977) described acne fulminans which they characterized as a disorder of teenage males in whom a severely infiammatory, tender ulcerative form of acne was accompanied by fever, leucocytosis and other systemic features, including polyarthralgia. A review of the cases reported by other authors (Kelly & Burns, 1971;Lane, Leyden & Spiegel, 1976;Thyresson, 1963;Williamson et ah, 1977;Windom, Sanford & Ziff, 1961;Strom, Thyresson & Bostrom, 1973) confirms the features described by Goldschmidt et ah (1977). A mild form of acne has often been present for several months before undergoing rapid deterioration into a tender ulcerative form or in some cases, acne conglobata.…”