Acne Necrotica in Its Entirety: When It Starts, and After It Evolves

Abstract

Acne necrotica is a rare disease, characterized by recurrent crops of inflammatory papules and papulo-pustules that rapidly become necrotic, leaving varioliform scars of varying extent. Here, I report the case of a 32-year-old male with early-stage disease and a 58-year-old male with late-stage acne necrotica. Both patients had a history of chronic, relapsing, umbilicated, and centrally necrotic erythematous papules and papulo-pustules involving the hairline and face. A diagnosis of acne necrotica was made based on the clinical presentation, and both patients started on topical mometasone furoate cream and doxycycline tablets and responded well. Herein I report this case to reappraise an under-recognized entity of acne necrotica.

Keywords:

• varioliform scar
• acne necrotica
• acne vulgaris
• folliculitis
• hypersensitivity
• anti-inflammatory drugs

Abbreviation

AN, Acne necrotica.

Ethics and Consent

Ethical approval was not required.

Written informed consent for publication of their details including patient photograph was obtained from the patients.

Disclosure

The author reports no conflict of interest in this work.

Additional information

Funding

No funding was received.