ACNE vulgaris in patients who have served in the tropics in the interval between 1942 and 1945 has occasionally presented complications consisting of chronic undermining sinuses or undermined bases in the acne zone. Treatment has been difficult as far as permanent cure is concerned. Men who arrived in the South Pacific with acne lesions already present usually noticed aggravation of the lesions within a few months. Many other men who had never before experienced acne had lesions on the face, neck, chest, back, arms and buttocks shortly after arriving in the South Pacific. The increased incidence of acne lesions in American troops in the tropics may possibly be explained by the greater heat and humidity and the resulting increased perspiration, a good medium for bacterial growth. Other factors possibly responsible may have been dietary deficiencies, lowered general resistance, hypersecretion of the sebaceous glands due to the increased heat and the
BERESTON ES, BENTEEN H. TREATMENT OF UNDERMINING ACNE LESIONS BY EXTERIORIZATION. Arch Derm Syphilol. 1947;56(1):7–12. doi:10.1001/archderm.1947.01520070010002
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