TITLE:
Effective Treatment of Acne Fulminans with Oral Corticosteroids
AUTHORS:
Ichiro Kurokawa
KEYWORDS:
Acne Fulminans, Treatment, Systemic Symptoms
JOURNAL NAME:
Journal of Cosmetics, Dermatological Sciences and Applications,
Vol.10 No.3,
August
28,
2020
ABSTRACT: An 18-year-old man had
numerous multiple painful nodulocystic lesions, pustules, and necrotic hemorrhagic
ulcerative lesions with crusts on the face, back, chest and upper arm two weeks
ago. Systemic symptoms such as fever, general fatigue and arthralgia were not
observed. Laboratory findings revealed an elevated white blood cell count with
a neutrophilia and C-reactive protein. Oral antimicrobials did not respond.
Consequently, oral prednisolone (20 mg/d) for two weeks induced remarkable
improvement promptly. A case of acne fulminans without systemic symptoms
successfully treated with oral corticosteroids has been reported.