Folliculitis necrotizing lymphocytes L70.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

acne necrotica; acne pilaris; acne urticata; Military Acné nécrotique; Necrotizing lymphocytic folliculitis; scalp folliculitis; varioliform acne

History
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Kossard S, 1987

Definition
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Rare, chronic recurrent, inflammatory, necrotizing, acneiform disease of the hair follicles.

Etiopathogenesis
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No relationship to acne (see synonym below). Infections with staphylococci, streptococci or corynebacteria are discussed.

Localization
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Hairline, parietal capillitium; rarely on the stem.

Clinical features
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Itchy, disseminated, papulopustular or papulonecrotic efflorescences up to 0.2-0.5 cm in size, healing with formation of varioliform scars.

Differential diagnosis
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Therapy
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Antibiotic alcoholic solutions, if necessary systemic antibiotics after antibiogram. S.u. Acne vulgaris.

Progression/forecast
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Recurrence predisposition.

Literature
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  1. Kossard S et al (1987) Necrotizing lymphocytic folliculitis: the early lesion of acne necrotica (varioliformis). J Am Acad Dermatol 16:1007-1014
  2. Mild Pet al (1993) Acne necrotica (varioliformis). Necrotizing lymphocytic folliculitis. Dermatologist 44:34-36
  3. Zirn JR et al (1996) Chronic acneiform eruption with crateriform scars. Acne necrotica (varioliformis) (necrotizing lymphocytic folliculitis) Arch Dermatol 132:1367

Incoming links (1)

Acne necrotica;

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Last updated on: 29.10.2020