Abstract

IBANEZ FRANCO, Elvis Javier et al. Familial acne conglobata. Rev. virtual Soc. Parag. Med. Int. [online]. 2023, vol.10, n.2, pp.138-143.  Epub Sep 30, 2023. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2023.10.02.138.

Acne conglobata is a severe form of acne that produces many inflammatory lesions and scars, marking the patient's life in a negative way.

We present the case of two brothers with acne conglobata, both with 2-year-old skin lesions with the appearance of nodules, cysts, and fistulas in extensive body territory. The first with a recent diagnosis of acute promyelocytic leukemia with plans to start chemotherapy and the second with no underlying pathologies.

The first case received systemic antibiotic treatment due to infectious complications typical of immunosuppression, he also received dexamethasone and transretinoic acid as chemotherapy, and was discharged with the mentioned drugs and prophylactic antibiotic.

The second case received treatment with systemic antibiotic and dapsone. Both cases returned for control at 2 months and significant improvement in skin lesions was observed. The first patient died due to complications inherent to his underlying pathology and the second patient abandoned treatment.

Keywords : acne conglobata; isotretinoin; tretinoin; dapsone.

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