Acne Miliaris Necrotica

Acne miliaris necrotica is a rare condition consisting of follicular vesicopustules, sometimes occurring as solitary lesions that are usually very itchy. The condition affects middle aged and elderly individuals. Affected areas can include the scalp, frontal hairline, face, and chest.

Causes

It has been hypothesized that the body overreacts to an organism such as the S. aureus bacterium.

Diagnosis

Treatment

There are multiple medications that are able to treat acne varioliformis.

Topical

• Clindamycin 1% lotion or Benzoyl peroxide/clindamycin gel
• Erythromycin 2% gel
• 1% hydrocortisone cream

Systemic

• Doxycycline 50 mg twice daily
• Isotretinoin 0.5 mg/kg daily

See also

• List of cutaneous conditions