Acne Necrotica (Varioliformis) – Case Report

    Marija Nikolić, Jelena Kostic, Dušan Škiljević
    TLDR A rare skin condition causing scarring was successfully treated with topical erythromycin and benzoyl peroxide.
    A 63-year-old male patient with chronic, relapsing acne necrotica presented with umbilicated, centrally necrotic erythematous papules and papulo-pustules on the frontal hairline, face, and neck. Histopathology revealed necrotizing lymphocytic folliculitis, epidermal spongiosis, lymphocytic exocytosis, extensive necrosis, and a dense lymphohistiocytic infiltrate. The diagnosis was confirmed through clinical and histopathological correlation. Treatment with topical erythromycin and benzoyl peroxide resulted in complete clinical remission.
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