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October 1951

ACNE NECROTICA: Relation to Acne Necrotica Miliaris and Response to Penicillin and Other Antibiotics

Author Affiliations


AMA Arch Derm Syphilol. 1951;64(4):464-469. doi:10.1001/archderm.1951.01570100081013

ACNE NECROTICA miliaris was first described in the American literature by Lane in 1933.1 He quoted Sabouraud, who first described the disease in 19282 as an abortive form of acne necrotica (acne-varioliformis) and the pathological picture as that of acne necrotica. Lane stated that, in his experience, 15 or 20 lesions on the scalp are a large number to find and did not mention finding lesions on the face and back. In 1937 Montgomery3 reported the clinical and pathological picture of 25 cases and stressed the small size of the primary lesions and their number (12 to 100) and noted the histological resemblance to the early stages of acne necrotica described by Gans.4 In 24 of the 25 cases, the lesions were confined to the scalp, the single exception being a few scattered vesicopustules in the bearded region. Ormsby5 described a similar picture under the

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