Created: 10th November 2011 | Last Updated: 13th January 2012
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.
- Macrocomedones are effectively large whiteheads
- They are more frequent on the face than the chest
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- 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