Presentation
Enhancing Healthcare Team Outcomes Patients with acne usually present to their primary care provider or nurse practitioner. [statpearls.com]
It usually presents with deep burrowing abscesses that interconnect with each other. Scar formation and disfigurement of the body are common with this type of acne. [pubmed.ncbi.nlm.nih.gov]
The unusual occurrence of all three components in a single patient resistant to medical management is presented with a review of the literature. [insights.ovid.com]
A round cystic swelling, 25 mm in diameter, was present on the right frontal area. [ijdvl.com]
At present, this condition is defined as a primary disorder of follicular keratinization, being part of the triad or tetrad of follicular occlusion. One third of the cases are associated with acne conglobata as a primary event. [scielo.org.co]
Entire Body System
- Agent Orange
Patterson AT, Kaffenberger BH, Keller RA, et al; Skin diseases associated with Agent Orange and other organochlorine exposures. J Am Acad Dermatol. 2016 Jan74(1):143-70. doi: 10.1016/j.jaad.2015.05.006. Epub 2015 Jul 22. [patient.info]
Skin
- Furunculosis
UMLS Acne conglobata, Acne, conglobata images 20 images found for this diagnose related PeDOIA Same page in PeDOIA differential diagnoses Acne Cystica (26) Acne Fulminans (6) Acne, Keloidal Scar (2) Actinomycosis of the Skin (3) Crohn's Disease (5) Furunculosis [dermis.net]
Face, Head & Neck
- Facial Scar
Many young adult males will present to the dermatology clinic complaining of severe acne and facial scars. It is important to seek a thorough history of use of anabolic steroids because discontinuation of these agents is vital for treatment. [statpearls.com]
Workup
Serum
- Lymphopenia
Laboratory analysis revealed leukocytosis (14,000/mm³) with neutrophilia and lymphopenia, moderate anemia (Hemoglobin: 10 g/dL), an elevated ESR (35 mm at the end of one hour) and an elevated C-reactive protein. [ijdvl.com]
Treatment
Additionally, antibiotic monotherapy either for acute treatment or maintenance therapy should be avoided. Systemic Treatments: Other Several other oral antibiotics have been used for the treatment of acne. [dermatologyadvisor.com]
Facial Acne Conglobata Before and After Treatment With Adalimumab A, Study patient with severe facial nodular inflammatory acne. B, Clearance 3 months after initiation of treatment with adalimumab, 40 mg, twice monthly. [jamanetwork.com]
Treatment Isotretinoin (13-cis retinoic acid) is an oral pharmaceutical drug primarily preferred in the treatment of severe nodular acne. [intechopen.com]
Several studies indicated topical 5-aminolevulinic acid photodynamic therapy (ALA-PDT) improved follicular occlusion besides acne treatment. So we attempted to apply ALA-PDT to medicine resistant AC, PCAS and HS. [worldscientific.com]
Prognosis
Prognosis[28] The prognosis is good in patients treated appropriately and recurrence of acne fulminans is rare. Scarring and fibrosis may occur. [patient.info]
The course of AC is chronic and the prognosis is poor. Squamous cell carcinoma has been reported to arise in chronic scars of AC. [9] Treatment is difficult and often ineffective. Intensive antibiotic therapy is necessary. [ijdvl.com]
Prognosis Acne conglobata can produce pronounced disfigurement. Severe scarring produces psychological impairment; individuals with acne conglobata are often ostracized, or they may feel excluded. [emedicine.medscape.com]
Etiology
It is a systemic disease of unknown etiology characterized by necrotizing acne associated with constitutional symptoms and laboratory abnormalities. [nature.com]
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology Histopathology History and Physical Evaluation Treatment / Management Differential Diagnosis Enhancing Healthcare Team Outcomes Continuing Education / Review Questions [pubmed.ncbi.nlm.nih.gov]
This finding suggests that these clinically distinct disorders may share a genetic etiology. Etiology The primary cause of acne conglobata remains unknown. [emedicine.medscape.com]
Etiology It is believed that Propionibacterium acnes, the same organism implicated in acne vulgaris, may play an important role in the disease by changing its reactivity as an antigen. [statpearls.com]
Another theory is that AFs could be associated with an autoimmune etiology and genetic factors 3 4 6. Normally, blood culture tests of AF patients are negative. [bmrat.org]
Epidemiology
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology Histopathology History and Physical Evaluation Treatment / Management Differential Diagnosis Enhancing Healthcare Team Outcomes Continuing Education / Review Questions [pubmed.ncbi.nlm.nih.gov]
Epidemiology It is a rare condition and becoming rarer, due to improved treatment of acne. The typical patient is a young male aged between 13 and 22[24]. [patient.info]
Epidemiology Acne conglobata is not very common. Overall, it is more common in men than women. [statpearls.com]
Acne conglobata and acne fulminans may appear after cessation of testosterone therapy or as a reaction to other medications. [9] Epidemiology Frequency Acne conglobata is an uncommon disease. [emedicine.medscape.com]
Pathophysiology
Abstract The pathophysiology and treatment of hidradenitis suppurativa, acne conglobata, and dissecting cellulitis of the scalp, which constitute the follicular occlusion triad, are reviewed. [insights.ovid.com]
Sections Continuing Education Activity Introduction Etiology Epidemiology Pathophysiology Histopathology History and Physical Evaluation Treatment / Management Differential Diagnosis Enhancing Healthcare Team Outcomes Continuing Education / Review Questions [pubmed.ncbi.nlm.nih.gov]
Furthermore, the pathophysiology of acne indicates the presence of inflammatory markers especially in severe nodulocystic acne rather than it simply being ‘blocked pores,’” says Saxon D. [dermatologytimes.com]
Whether it occurs more frequently in any specific race is not known. [7] Pathophysiology Acne conglobata presents with deep burrowing abscesses that interconnect with each other via sinus tracts. [statpearls.com]
Pathophysiology The primary causes of acne conglobata remain unknown. Chromosomal defects in the XYY karyotype may be responsible for severe forms of acne conglobata. [emedicine.medscape.com]
Prevention
The clinical effects of treatment options for acne conglobata are often unsatisfactory because of a long course of therapy, side effects, the high rate of recurrence, and failure to prevent scar formation. [intechopen.com]
Prevention[5] There is nothing that can be done to prevent this disease but it needs to be treated energetically to minimise the psychological impact and to reduce scarring. [patient.info]
As you see improvements, you’ll need to stick with your treatment plan to make sure your medications keep working to prevent new nodules from forming. Your dermatologist will see you at regular intervals to monitor your treatment. [healthline.com]
Additionally, as they do not affect the formation of both comedones and the microcomedo, therapy needs to be combined with retinoids to prevent future acne. However, it may be a good adjuvant therapy for some patients. [dermatologyadvisor.com]