This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Severe Cystic Acne; Perifolliculitis Capitis Abscedens et Suffodiens. Presented by Dr. Leslie Nicholas.
A well-developed and well-nourished white man, age 23, a salesman, developed mild acne on the nape of his neck in his early teens. At age 18 he developed a sebaceous cyst on his scalp. Pustules and cystic lesions of his scalp and neck continued to recur with greater frequency. In the last two years multiple cystic lesions developed over the angles of his mandible and the submental area. Many of the areas on the scalp healed with such thin and friable tissue that they bleed with even the slightest trauma, such as turning in bed. Several of the draining lesions on the nape of his neck have coalesced. Motion of the head is limited due to involvement of the skin of the neck. Family and past history are negative.Examination shows numerous areas of atrophic and scarred