September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
Before I start .... a Happy New Year to you all. Now back to business ...
A 34 year-old women presented with a six-month history of asymptomatic 'spots' around her mouth. The spots rarely came to a head.
There was no other relevant skin history.
The patient was on microgynon as a contraceptive but took no other medications. She was a housewife and had no relevant hobbies.
The spots had not responded to topical acne treatment or a three month course of oxytetracycline.
The diagnosis is an uncommon type of acne that is referred to as macrocomedonal acne
The reasons for this type of acne developing in unknown.
It tends to respond poorly to standard acne treatment, and isotretinoin will make symptoms worse.
The treatment for macrocomedones is with gentle cautery given by someone familiar with the technique.
It is important to bear in mind that not all types of acne are the same. For more information on acne variants please use the following links - macrocomedonal acne / prepubertal acne / sandpaper acne / acne conglobata / acne fulminans / acne excoriee
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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