Chronic acneiform eruption with crateriform scars. Acne necrotica (varioliformis) (necrotizing lymphocytic folliculitis)

Zirn,; Ra, Scott; Gw, Hambrick

doi:10.1001/archderm.132.11.1367

Cited by 15 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acne necrotica is a clinically diverse disorder in which recurring crops of pruritic, painful or tender follicular papulonodules proceed through a number of clinico‐pathological stages before resolution, with varying degrees of scarring. Pathologically early lesions are characterised by a necrotising lymphocytic folliculitis .…”

Section: Discussionmentioning

confidence: 99%

Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under‐recognised dermatosis

Pitney

O’Brien

Pitney³

2017

Aust J Dermatology

View full text Add to dashboard Cite

Acne necrotica is a disorder of adults of obscure aetiology, featuring repeated cropping of inflammatory papulonodules which rapidly necrotise, leaving varying degrees of superficial scarring with pathological features in early lesions of a necrotising lymphocytic folliculitis. A perceived diminishing interest in this entity in recent years prompted a prospective study of patients presenting to a dermatology practice over a 3-year period to reassess the prevalence of this disorder in general dermatological patients, leading to the identification of 47 patients (35 female) with features of acne necrotica, with histopathology undertaken in atypical cases. We identified the importance of the recognition of primary lesions (1-2 mm umbilicated erythematous papules), often difficult to find in excoriated areas, as being paramount in the diagnosis both clinically and histologically in our study, which reveals a significantly more prevalent and clinically diverse disorder than featured in previous textbook and academic journal descriptions.

show abstract

Section: Discussionmentioning

confidence: 99%

Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under‐recognised dermatosis

Pitney

O’Brien

Pitney³

2017

Aust J Dermatology

View full text Add to dashboard Cite

show abstract

“…367,369 Seborrheic regions of the face and trunk can also be affected. 367,369,371 Crops of variably pruritic, tender, pinhead to pea-sized, reddishbrown papules or papulopustules indolently appear, umbilicate, and then slowly undergo central necrosis, leaving round hemorrhagic crusts that are shed a few weeks later. Punched-out, depressed scars result, appearing as focal areas of cicatricial alopecia when terminal hair-bearing areas are impacted.…”

Section: Acne Necroticamentioning

confidence: 99%

“…Punched-out, depressed scars result, appearing as focal areas of cicatricial alopecia when terminal hair-bearing areas are impacted. 367,369,371 A few lesions typically appear with each outbreak. 367 Aggravation in the summer has been reported.…”

Section: Acne Necroticamentioning

confidence: 99%

“…Acne necrotica miliaris more completely mimics neurotic excoriations, as the follicular vesicopustules that characterize the disorder are so intensely pruritic that observance of an intact lesion is rare, with all lesions typically showing signs of excoriation upon examination. 367,371 Unlike acne necrotica varioliformis, acne necrotica miliaris is not associated with exclusive involvement of the anterior portion of the scalp and extracranial disease.…”

Section: Acne Necroticamentioning

confidence: 99%

See 1 more Smart Citation

Update on primary cicatricial alopecias

Ross

Tan

Shapiro

2005

Journal of the American Academy of Dermatology

250

323

View full text Add to dashboard Cite

“…352 Clinical improvements have been reported with both culture-determined and empirical antibiotic regimens. 349,351,353 Relapses are common, therefore frequent courses to treat flares, or maintenance therapy, are often required. Some advocate measures such as doxepin, to reduce self-manipulation and trauma to the lesions.…”

Section: Treatmentmentioning

confidence: 99%

Management of primary cicatricial alopecias: options for treatment

et al. 2008

View full text Add to dashboard Cite

Primary cicatricial alopecias (PCAs) are a poorly understood group of disorders that result in permanent hair loss. Clinically, they are characterized not only by permanent loss of hair shafts but also of visible follicular ostia along with other visible changes in skin surface morphology, while their histopathological hallmark usually (although not always) is the replacement of follicular structures with scar-like fibrous tissue. As hair follicle neogenesis in adult human scalp skin is not yet a readily available treatment option for patients with cicatricial alopecias, the aim of treatment, currently, remains to reduce symptoms and to slow or stop PCA progression, namely the scarring process. Early treatment is the key to minimizing the extent of permanent alopecia. However, inconsistent terminology, poorly defined clinical end-points and a lack of good quality clinical trials have long made management of these conditions very challenging. As one important step towards improving the management of this under-investigated and under-serviced group of dermatoses, the current review presents evidence-based guidance for treatment, with identification of the strength of evidence, and a brief overview of clinical features of each condition. Wherever only insufficient evidence-based advice on PCA management can be given at present, this is indicated so as to highlight important gaps in our clinical knowledge that call for concerted efforts to close these in the near future.

show abstract

Chronic acneiform eruption with crateriform scars. Acne necrotica (varioliformis) (necrotizing lymphocytic folliculitis)

Cited by 15 publications

References 0 publications

Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under‐recognised dermatosis

Acne necrotica (necrotizing lymphocytic folliculitis): An enigmatic and under‐recognised dermatosis

Update on primary cicatricial alopecias

Management of primary cicatricial alopecias: options for treatment

Contact Info

Product

Resources

About