ACNE CONGLOBTA

Filiz Canpolat, Gökçe Işıl Kurmuş, Müzeyyen Gönül

Abstract


Acne conglobata is a severe form of acne which is most commonly seen in teenage males, but also in females and into adulthood. Conglabate means a rounded shape mass or ball. Acne conglobata is a mixture of comedones, papules, pustules, nodules, abcesses, and finally scars. It can be seen in all main parts of the skin, but especially on the back, buttocks and chest. Comedones often have multiple openings. The inflammatory lesions are mostly large, tender and dusky-colored. The draining lesions may have a foul-smelling serous, purulent, or mucoid discharge. After healing, lesions become an admixture of depressed and keloidal scars. The management of these patients is usually difficult and the effectiveness of treatment is often temporary. Several medications have been used, including intensive high dose antibiotics, glucocorticoids, surgical incision and excision. The use of isotretinoin has produced good results in some of these patients. Some of these lesions may be more ressistant to monotherapies and a concomitant therapy is sometimes needed. 


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