A case of treatment of convergent acne by steroids.
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Accession number;06A0081411
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| Title;A case of treatment of convergent acne by steroids. |
| Author;
NARITA CHISAKO
(School of Medicine, Tokyo Women's Medical Univ., JPN)
HAYASHI NOBUKAZU
(School of Medicine, Tokyo Women's Medical Univ., JPN)
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Journal Title;Vis Dermatol
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Journal Code:L5212A
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ISSN:
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VOL.5;NO.2;PAGE.130-132(2006)
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| Figure&Table&Reference;FIG.3, REF.3 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The case was in a 28-year-old man. Many irregular red nodes and cicatrices occured and pustules intermingled on the forehead, cheek, back of nose, lower jaw and cervix. Dialysis was introduced for chronic renal insufficiency and kidney transplantation was performed, but re-introduction of dialysis was scheduled by the dysfunction of the transplanted kidney, and eruption appeared on the face during decreasing the immunosuppressive agent. The symptom was not improved by internal and external use of antimicrobial drug, and dialysis has been introduced again. In this case, since there was a lesion mainly of node, subcutaneous induration, cystic tumor and cicatrix on the face, and from recognizing granulomatous change, it was diagnosed as convergent acne. By the bacteria culture of the pus, erythromycin- and clindamycin-resistant .GAMMA.-streptococcus was detected. It was treated by the internal use of prednisolone (PSL) 30mg/day only, and the drainage from fistula was improved. Afterwards, PSL was gradually decreased and suspended and the internal use of vitamin B2 and B6 was continued, and little drainage and new birth of small number of pustules continue. Convergent acne forms various eruptions such as follicular red papule, hypodermic node, cystic tumor, subcutaneous abscess, hypodermic fistula, cicatrix and keloid, on the nucha, precordia, back and shoulder. It is included in the disease concept of acne inversa from the features such as the favorite site different from common acne, adult crisis, and formation of fistula and cicatrix. In the cases with strong inflammation, short-term administration of steroids is effective. Since the internal use of steroid may reversely induce acne, the indication is limited to the most severe cases for which antmicrobials are ineffective, and which are without other complication. |
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