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November 1996

Chronic Acneiform Eruption With Crateriform Scars

Author Affiliations

New York Hospital-Cornell Medical Center, New York, NY

Arch Dermatol. 1996;132(11):1370. doi:10.1001/archderm.1996.03890350113020

REPORT OF A CASE  A 52-year-old white woman presented to our clinic with a 35-year history of a recurrent, follicular-based eruption involving her face and scalp. She first noted the onset of these occasionally painful lesions in late adolescence. The lesions would characteristically present as crops of acneiform lesions on the forehead, temples, ears, nose, and posterior aspect of the neck. They would then evolve through hemorrhagic crusts to form depressed scars over the course of several weeks. Occasional lesions were noted on the chest and upper abdominal area, especially during severe outbreaks. No constitutional symptoms were described in association with these eruptions. Multiple cultures of representative lesions typically yielded Staphylococcus aureus, and antistaphylococcal antibiotic therapy adequately controlled recurrent outbreaks. Discontinuation of systemic antibiotic therapy usually resulted in a recrudescence of the lesions. The remainder of the patient's medical history was unremarkable except for occasional migraine headaches, which were controlled

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