Acne fulminans

Question 1

Acne fulminans can occur after _____ and presents with____

Answer 1

-after isotretinoin initiation or dose increase (start low in patients with severe acne!!!)

• presents as severe cystic acne with systemic symptoms
• lesions can have hemorrhagic crust, ulcers, and black eschars
• mostly chest, shoulders, and back (rarely on face)
• fevers, increased WBC and ESR
• sterile osteolytic bone lesions

Question 2

treatment of acne fulminans?

Answer 2

stop isotret if they are on it and start prednisone.

• can restart isotret once inflammation subsides, start low!!!