Folliculitis With Scarring Simulating Acne Varioliformis. Presented by Samuel B. Frank, MD, and Wilfred Minkin, MD.
The patient, a 19-year-old college student, has had lesions on her breasts for about 5 years. Menarche occurred at the age of 13 and her menses are regular. The lesions do not flare during menses.There are multiple, discrete, superficially eroded and crusted lesions measuring 5 to 8 mm on both breasts as well as numerous varioliform scars (Fig 1 and 2). Histopathologic examination of a crusted lesion was interpreted by Dr. Arthur B. Hyman as consistent with acne varioliformis or parapsoriasis varioliformis.The patient has been taking tetracycline orally and applying gentamicin cream and 0.5% triamcinolone acetonide cream topically, without noticeable improvement.
DERMATOLOGIC SOCIETY OF GREATER NEW YORK. Arch Dermatol. 1969;100(4):518-520. doi:10.1001/archderm.1969.01610280136033