A case of treatment of electric shock acne.
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Accession number;06A0081415
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| Title;A case of treatment of electric shock acne. |
| Author;
AIBA SHINSAKU
(Yokohamarosaibyoin Hifuka)
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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.140-141(2006)
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| Figure&Table&Reference;FIG.3, REF.2 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;The case was in a 19-year-old man, and acne had been recognized on the face from around 15-year-old. After 4 years, acne of the face rapidly deteriorated, multiple arthralgia of breast clavicle, shoulder and lumbar region occurred, and a fever of nearly 38.DEG.C. continued. Intravenous infusion of antimicrobial drugs and internal use of antiphlogistic analgetics were performed by a regional doctor without effect, and he was examined in the dermatological department of the Yokohama Laborers' Hospital. The case was with fever and multiple arthralgia, and antibiotics and analgesics were ineffective. Erythematous papule and pustule fused to form a phase. From the above, it was diagnosed as electric shock acne (synonym: fulminant acne, AF). Antiphlogistic analgetic drug for fever and arthralgia and antibiotic-including salve for skin symptom were externally used without change, and the administration of prednisolone by 20mg/day was started. After 2 weeks of intake, when prednisolone was decreased to 15mg/day, since CRP turned negative, eruption was drastically improved, but cicatrix remained, and tranilast by 300mg/day was additionally administered. Afterwards, the progress was observed periodically, and after about 8 months, prednisolone internal use was ended, but the exacerbation has not been perceived until present. The clinical feature of AF is that it is mainly observed in the youth of teens to lower twenties, and the most are men. The complicated symptoms are septicemia-like fever, weight loss and general feeling of fatigue. In the musculoskeletal system, there are arthralgias, muscular pain, arthritis and osteomyelitis, and arthralgia and bone lesion are often generated in sternum and articulatio sternoclavicularis. Combination therapy with predonine and azathioprine or isotretinoin shows the effect in the recurrence. |
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