<\/span><\/h2>\nFulminant acne is a rare and very serious form of acne conglobata associated with systemic<\/span> Symptoms Almost always affects teenage boys.<\/p>\n\n<\/span>Fulminating acne<\/span><\/h5>\n<\/section>\n\n\n
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Severe acne of the forehead<\/p>\n
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Severe acne on the back<\/p>\n
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Crusted facial acne<\/p>\n<\/p><\/div>\n<\/section>\n
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<\/span>What are the clinical characteristics of fulminant acne?<\/span><\/h2>\nFulminant acne is characterized by:<\/p>\n
\n- Abrupt start<\/li>\n
- \nInflammatory<\/span> and ulcerated nodular<\/span> acne on the chest and back, which is painful<\/li>\n
- Bleeding crusts on the ulcers<\/span> in the upper trunk<\/li>\n
- Scars from severe acne<\/li>\n
- Fluctuating fever<\/span>\n<\/li>\n
- Painful joints, including sacroiliac joints in 20% of cases, ankles, shoulders and knees.<\/li>\n
- \nDiscomfort<\/span> (i.e. the patient feels bad)<\/li>\n
- Loss of appetite and weight loss.<\/li>\n
- Enlarged liver and spleen.<\/li>\n<\/ul>\n
Tests generally reveal:<\/p>\n
\n- \nAnemia<\/span> (gone down hemoglobin<\/span> tell)<\/li>\n
- High white blood cell count<\/li>\n
- High erythrocytes<\/span> sedimentation rate (ESR<\/span>) and C-reactive protein<\/span> levels<\/li>\n
- X-rays can show osteolytic bone lesions.<\/li>\n<\/ul>\n
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<\/span>What causes fulminant acne?<\/span><\/h2>\nFulminant acne has been associated with an increase androgens<\/span> (male hormones), autoimmune<\/span> complex disease and genetic<\/span> predisposition<\/span>. It may be related to an explosive. hypersensitivity<\/span> reaction to the surface bacteria<\/span> (Cutibacteria acnes<\/em>) Fulminant acne can be precipitate<\/span> by:<\/p>\n\n- \nTestosterone<\/span> and anabolic steroids (legally prescribed or taken illegally to improve muscle growth)<\/li>\n
- Oral isotretinoin.<\/li>\n<\/ul>\n
the syndrome<\/span> SAPHO (synovitis, acne, Pustulosis<\/span>, Hyperostosis and osteitis) can be a serious complication of fulminant acne.<\/p>\n<\/span>What is the treatment for fulminant acne?<\/span><\/h2>\nPatients with fulminant acne should consult dermatologist<\/span> urgently. Management can be difficult, and multiple medications are generally required for several months or more. These may include:<\/p>\n\n- Systemic corticosteroids such as prednisone (20\u201360 mg \/ day)<\/li>\n
- \nAnti-inflammatory<\/span> medicines like salicylates (aspirin)<\/li>\n
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Dapsone 50\u2013100 mg \/ day<\/li>\n
- Cyclosporine<\/li>\n
- High doses of oral antibiotics such as erythromycin (2 g \/ day) for secondary infection<\/span>\n<\/li>\n
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Isotretinoin started at low doses after control<\/span> has been obtained with systemic steroids\n<\/li>\n- \nTumor<\/span> necrosis<\/span> alpha factor inhibitors (TNF-\u03b1), such as infliximab.<\/li>\n<\/ul>\n
Current<\/span> Acne medications are not helpful.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"\u00bfQu\u00e9 es el acn\u00e9 fulminante? El acn\u00e9 fulminante es una forma rara y muy grave de acn\u00e9 conglobata asociado con sist\u00e9mico s\u00edntomas Casi siempre afecta a los varones adolescentes. Acn\u00e9…<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-6722","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6722","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=6722"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/6722\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=6722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=6722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=6722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}