eMedicine Specialties > Dermatology > Diseases of the Adnexa

Acne Conglobata: Multimedia

Author: Robert A Schwartz, MD, MPH, Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, UMDNJ-New Jersey Medical School
Coauthor(s): Ryszard Zaba, MD, PhD, Director, Department of Dermatology, Professor, Department of Dermatology and Venereology, Poznan University School of Medical Sciences, Poland
Contributor Information and Disclosures

Updated: Jun 4, 2009

Multimedia

Nodules on the back. Courtesy of Emanuel G. Kufli...
(Enlarge Image)
Media file 1: Nodules on the back. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
Nodules on the back. Courtesy of Emanuel G. Kufli...

Nodules on the back. Courtesy of Emanuel G. Kuflik.

Nodules on the face. Courtesy of Emanuel G. Kufli...
(Enlarge Image)
Media file 2: Nodules on the face. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
Nodules on the face. Courtesy of Emanuel G. Kufli...

Nodules on the face. Courtesy of Emanuel G. Kuflik.

A closer view of nodules and pustules on the back...
(Enlarge Image)
Media file 3: A closer view of nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
A closer view of nodules and pustules on the back...

A closer view of nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.

A close-up view of nodules and pustules on the fo...
(Enlarge Image)
Media file 4: A close-up view of nodules and pustules on the forehead. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
A close-up view of nodules and pustules on the fo...

A close-up view of nodules and pustules on the forehead. Courtesy of Emanuel G. Kuflik.

Nodules and pustules on the back. Courtesy of Ema...
(Enlarge Image)
Media file 5: Nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
Nodules and pustules on the back. Courtesy of Ema...

Nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.

A close-up view of nodules and pustules on the ba...
(Enlarge Image)
Media file 6: A close-up view of nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.
[ CLOSE WINDOW ]
A close-up view of nodules and pustules on the ba...

A close-up view of nodules and pustules on the back. Courtesy of Emanuel G. Kuflik.

More on Acne Conglobata

Overview: Acne Conglobata
Differential Diagnoses & Workup: Acne Conglobata
Treatment & Medication: Acne Conglobata
Follow-up: Acne Conglobata
Multimedia: Acne Conglobata
References
[ CLOSE WINDOW ]

References

  1. Patterson WM, Stibich AS, Dobke M, Schwartz RA. Mutilating facial acne conglobata. Cutis. Aug 2000;66(2):139-40. [Medline].

  2. Wollenberg A, Wolff H, Jansen T, Schmid MH, Rocken M, Plewig G. Acne conglobata and Klinefelter's syndrome. Br J Dermatol. Mar 1997;136(3):421-3. [Medline].

  3. Schackert K, Scholz S, Steinbauer-Rosenthal I, Albert ED, Wank R, Plewig G. Letter: HL-A antigens in acne conglobata: a negative study. Arch Dermatol. Sep 1974;110(3):468. [Medline].

  4. Yeon HB, Lindor NM, Seidman JG, Seidman CE. Pyogenic arthritis, pyoderma gangrenosum, and acne syndrome maps to chromosome 15q. Am J Hum Genet. Apr 2000;66(4):1443-8. [Medline].

  5. Melnik B, Jansen T, Grabbe S. Abuse of anabolic-androgenic steroids and bodybuilding acne: an underestimated health problem. J Dtsch Dermatol Ges. Feb 2007;5(2):110-7. [Medline].

  6. Leybishkis B, Fasseas P, Ryan KF, Roy R. Hidradenitis suppurativa and acne conglobata associated with spondyloarthropathy. Am J Med Sci. Mar 2001;321(3):195-7. [Medline].

  7. Velez A, Alcala J, Fernandez-Roldan JC. Pyoderma gangrenosum associated with acne conglobata. Clin Exp Dermatol. Nov 1995;20(6):496-8. [Medline].

  8. Ehrenfeld M, Samra Y, Kaplinsky N. Acne conglobata and arthritis: report of a case and review of the literature. Clin Rheumatol. Sep 1986;5(3):407-9. [Medline].

  9. Vasey FB, Fenske NA, Clement GB, Bridgeford PH, Germain BF, Espinoza LR. Immunological studies of the arthritis of acne conglobata and hidradenitis suppurativa. Clin Exp Rheumatol. Oct-Dec 1984;2(4):309-11. [Medline].

  10. Ziff M, Maliakkal J. Acne conglobata and arthritis. Ann Intern Med. Mar 1983;98(3):417. [Medline].

  11. Roldán JC, Terheyden H, Dunsche A, Kampen WU, Schroeder JO. Acne with chronic recurrent multifocal osteomyelitis involving the mandible as part of the SAPHO syndrome: case report. Br J Oral Maxillofac Surg. Apr 2001;39(2):141-4. [Medline].

  12. Birnkrant MJ, Papadopoulos AJ, Schwartz RA, Lambert WC. Pyoderma gangrenosum, acne conglobata, and IgA gammopathy. Int J Dermatol. Mar 2003;42(3):213-6. [Medline].

  13. Perez-Villa F, Campistol JM, Ferrando J, Botey A. Renal amyloidosis secondary to acne conglobata. Int J Dermatol. Mar 1989;28(2):132-3. [Medline].

  14. Shimomura Y, Nomoto S, Yamada S, Ito A, Ito K, Ito M. Chronic glomerulonephritis remarkably improved after surgery for acne conglobata of the buttocks. Br J Dermatol. Aug 2001;145(2):363-4. [Medline].

  15. el-Shahawy MA, Gadallah MF, Massry SG. Acne: a potential side effect of cyclosporine A therapy. Nephron. 1996;72(4):679-82. [Medline].

  16. Sterling JB, Hanke CW. Dioxin toxicity and chloracne in the Ukraine. J Drugs Dermatol. Mar-Apr 2005;4(2):148-50. [Medline].

  17. Ena P, Zanetti S, Sechi LA. Mycobacterium chelonae I infection mimicking acne conglobata in an immunocompetent host. Clin Exp Dermatol. Jul 2004;29(4):423-5. [Medline].

  18. Tan BB, Lear JT, Smith AG. Acne fulminans and erythema nodosum during isotretinoin therapy responding to dapsone. Clin Exp Dermatol. Jan 1997;22(1):26-7. [Medline].

  19. Shirakawa M, Uramoto K, Harada FA. Treatment of acne conglobata with infliximab. J Am Acad Dermatol. Aug 2006;55(2):344-6. [Medline].

  20. Bolz S, Jappe U, Hartschuh W. Successful treatment of perifolliculitis capitis abscedens et suffodiens with combined isotretinoin and dapsone. J Dtsch Dermatol Ges. Jan 2008;6(1):44-7. [Medline].

  21. Hasegawa T, Matsukura T, Suga Y, et al. Case of acne conglobata successfully treated by CO(2) laser combined with topical tretinoin therapy. J Dermatol. Aug 2007;34(8):583-5. [Medline].

  22. Leyden JJ, Mills OH, Kligman AM. Cryoprobe treatment of acne conglobata. Br J Dermatol. Mar 1974;90(3):335-41. [Medline].

  23. Weinrauch L, Peled I, Hacham-Zadeh S, Wexler MR. Surgical treatment of severe acne conglobata. J Dermatol Surg Oncol. Jun 1981;7(6):492-4. [Medline].

  24. Jeong S, Lee CW. Acne conglobata: treatment with isotretinoin, colchicine, and cyclosporin as compared with surgical intervention. Clin Exp Dermatol. Nov 1996;21(6):462-3. [Medline].

  25. Hasegawa T, Matsukura T, Hirasawa Y, et al. Acne conglobata successfully treated by fractional laser after CO laser abrasion of cysts combined with topical tretinoin. J Dermatol. Feb 2009;36(2):118-9. [Medline].

  26. Harth W, Hillert A, Hermes B, Seikowski K, Niemeier V, Freudenmann RW. [Suicidal behavior in dermatology]. Hautarzt. Apr 2008;59(4):289-96. [Medline].

  27. Champion RH, Burton JL, Burns DA, Breathnach SM, eds. Rook/Wilkinson/Ebling Textbook of Dermatology. Oxford, England: Blackwell Science; 1998:1967, 1979.

  28. Cunliffe WJ. Acne. 3rd ed. London, England: Martin Dunitz Publishers; 1993.

  29. Jansen T, Burgdorf WH, Plewig G. Pathogenesis and treatment of acne in childhood. Pediatr Dermatol. Jan-Feb 1997;14(1):17-21. [Medline].

  30. Plewig G, Kligman AM. Acne and Rosacea. Berlin: Springer-Verlag; 1993:351-5.

  31. Zaba R. Pathogenesis and treatment of acne vulgaris. Postepy Dermatol Alergol (Postepy). 2001;18:131-140.

[ CLOSE WINDOW ]

Further Reading

[ CLOSE WINDOW ]

Keywords

acne conglobata, AC, pyoderma gangrenosum, aseptic arthritis, PAPA syndrome, acne fulminans, AF

[ CLOSE WINDOW ]

Contributor Information and Disclosures

Author

Robert A Schwartz, MD, MPH, Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, UMDNJ-New Jersey Medical School
Robert A Schwartz, MD, MPH is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American College of Physicians, and Sigma Xi
Disclosure: Nothing to disclose.

Coauthor(s)

Ryszard Zaba, MD, PhD, Director, Department of Dermatology, Professor, Department of Dermatology and Venereology, Poznan University School of Medical Sciences, Poland
Disclosure: Nothing to disclose.

Medical Editor

Shyam Verma, MBBS, DVD, FAAD, Adjunct Clinical Assistant Professor, Department of Dermatology, University of Virginia, State University of New York at Stonybrook, Penn State University
Shyam Verma, MBBS, DVD, FAAD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

Pharmacy Editor

David F Butler, MD, Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic
David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa
Disclosure: Nothing to disclose.

Managing Editor

Jeffrey Meffert, MD, Assistant Clinical Professor of Dermatology, University of Texas Health Science Center-San Antonio
Jeffrey Meffert, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Association of Military Dermatologists, and Texas Dermatological Society
Disclosure: Nothing to disclose.

CME Editor

Catherine Quirk, MD, Clinical Assistant Professor, Department of Dermatology, Brown University
Catherine Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology
Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD, Director, Department of Dermatology, Geisinger Medical Center
Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.