follow @PCDSUKCreated: 10th November 2011 | Last Updated: 23rd November 2014
Introduction
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Macrocomedones can be regarded as a variant of acne if found in isolation, or part of a more classical acne vulgaris if found with other signs of acne. |
Related chapters |
Clinical findings
- Macrocomedones are effectively large whiteheads
- They are more frequent on the face than the chest
Images
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Figure: 1 Macrocomedones |
Management
- Macrocomedones are best treated by gentle cautery given by someone familiar with the technique
- Patients with associated moderate-severe acne, needing isotretinoin, should get the macrocomedones treated before commencing isotretinoin otherwise a severe inflammatory response can develop