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May 1985

Acne Fulminans With Osteolytic Lesions

Author Affiliations

From the Departments of Dermatology (Drs Nault and Lassonde) and Microbiology (Dr St-Antoine), University of Montreal and Notre-Dame Hospital, Montreal.

Arch Dermatol. 1985;121(5):662-664. doi:10.1001/archderm.1985.01660050114028

• Multifocal lytic bone lesions were found in a patient with a severe form of acne. The clinical presentation was suggestive of "acne fulminans." Propionibacterium acnes was isolated from a subculture of bone tissue. The association of acne fulminans and osteolytic lesions is rare and the pathophysiology is unknown. However, the use of corticosteroids for systemic effect combined with local measures seems to give excellent treatment results.

(Arch Dermatol 1985;121:662-664)