Acne Necrotica (Varioliformis) – Case Report

September 2019 in “ Serbian Journal of Dermatology and Venerology ”

Marija Nikolić, Jelena Kostic, Dušan Škiljević

acne necrotica inflammatory papules papulo-pustules scarring cicatricial alopecia necrotizing lymphocytic folliculitis follicular destruction topical erythromycin benzoyl peroxide scarring alopecia topical antibiotics topical benzoyl peroxide

TLDR A rare skin condition causing scarring was successfully treated with topical erythromycin and benzoyl peroxide.

Acne necrotica is a rare condition characterized by inflammatory papules and papulo-pustules that necrotize and can lead to scarring and cicatricial alopecia. A 63-year-old male presented with chronic, relapsing necrotic papules on the frontal hairline, face, and neck. Histopathology revealed necrotizing lymphocytic folliculitis and extensive follicular destruction. The patient achieved complete clinical remission with topical erythromycin and benzoyl peroxide.

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