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Cystic acne

MedGen UID:
507614
Concept ID:
C0010666
Disease or Syndrome
Synonyms: Acne cystica; Cystic acne vulgaris
SNOMED CT: Cystic acne (13277001); Acne cystica (13277001); Cystic acne vulgaris (13277001)
 
HPO: HP:0033188

Definition

A severe type of acne characterized by the formation of cysts enclosing a mixture of keratin and sebum. [from HPO]

Conditions with this feature

Acute febrile neutrophilic dermatosis
MedGen UID:
43097
Concept ID:
C0085077
Disease or Syndrome
Acute febrile neutrophilic dermatosis (AFND) is an autosomal dominant autoinflammatory disorder characterized by onset of recurrent fever and dermatologic abnormalities in childhood. Laboratory studies show elevated acute-phase reactants and activation of the inflammatory response, particularly IL1B (147720). Additional more variable features may include myalgia and arthralgia (summary by Masters et al., 2016).
Pyogenic arthritis-pyoderma gangrenosum-acne syndrome
MedGen UID:
346801
Concept ID:
C1858361
Disease or Syndrome
Pyogenic sterile arthritis, pyoderma gangrenosum, and acne (PAPA) is a rare autosomal dominant autoinflammatory disease that typically presents with recurrent sterile, erosive arthritis in childhood, occurring spontaneously or after minor trauma, occasionally resulting in significant joint destruction. By puberty, joint symptoms tend to subside and cutaneous symptoms predominate, including pathergy, frequently with abscesses at the sites of injections, severe cystic acne, and recurrent nonhealing sterile ulcers, often diagnosed as pyoderma gangrenosum (summary by Demidowich et al., 2012).

Professional guidelines

PubMed

Parthasarathy V, Shah N, Kirkorian AY
Pediatr Dermatol 2022 Sep;39(5):731-733. Epub 2022 Jun 11 doi: 10.1111/pde.15045. PMID: 35689471
López-Estebaranz JL, Herranz-Pinto P, Dréno B; el grupo de dermatólogos expertos en acné
Actas Dermosifiliogr 2017 Mar;108(2):120-131. Epub 2016 Nov 3 doi: 10.1016/j.ad.2016.10.001. PMID: 27816123
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383

Recent clinical studies

Therapy

López-Estebaranz JL, Herranz-Pinto P, Dréno B; el grupo de dermatólogos expertos en acné
Actas Dermosifiliogr 2017 Mar;108(2):120-131. Epub 2016 Nov 3 doi: 10.1016/j.ad.2016.10.001. PMID: 27816123
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Wilson BB
Prim Care 1989 Sep;16(3):695-712. PMID: 2529576
Olsen TG
Med Clin North Am 1982 Jul;66(4):851-71. doi: 10.1016/s0025-7125(16)31398-0. PMID: 6212727

Prognosis

Meister H, Shihab N, Lebwohl M, Silverberg NB
Pediatr Dermatol 2020 Nov;37(6):1055-1056. Epub 2020 Sep 19 doi: 10.1111/pde.14344. PMID: 32951249
O'Connor M, Silverberg JI, Silverberg NB
J Drugs Dermatol 2020 Jun 1;19(6):637-638. doi: 10.36849/JDD.2020.10.36849/JDD.2020.4938. PMID: 32574013
Chien AL, Qi J, Rainer B, Sachs DL, Helfrich YR
J Am Board Fam Med 2016 Mar-Apr;29(2):254-62. doi: 10.3122/jabfm.2016.02.150165. PMID: 26957383
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Wilson BB
Prim Care 1989 Sep;16(3):695-712. PMID: 2529576

Clinical prediction guides

Patel N, McKenzie SA, Harview CL, Truong AK, Shi VY, Chen L, Grogan TR, Bennett RG, Hsiao JL
J Dermatolog Treat 2021 Jun;32(4):473-475. Epub 2019 Sep 26 doi: 10.1080/09546634.2019.1670779. PMID: 31535587
Bu W, Zhang M, Gong X, Ren G, Fang F
Photodiagnosis Photodyn Ther 2020 Sep;31:101944. Epub 2020 Aug 12 doi: 10.1016/j.pdpdt.2020.101944. PMID: 32800966
On SC, Zeichner J
Dermatol Ther 2013 Sep-Oct;26(5):377-89. doi: 10.1111/dth.12084. PMID: 24099068
Lucek RW, Colburn WA
Clin Pharmacokinet 1985 Jan-Feb;10(1):38-62. doi: 10.2165/00003088-198510010-00002. PMID: 3882304
Lammer EJ, Chen DT, Hoar RM, Agnish ND, Benke PJ, Braun JT, Curry CJ, Fernhoff PM, Grix AW Jr, Lott IT
N Engl J Med 1985 Oct 3;313(14):837-41. doi: 10.1056/NEJM198510033131401. PMID: 3162101

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