Not acne, but what?

The Journal of Family Practice. 2023 October;72(8):353-355 | doi: 10.12788/jfp.0658

October 12, 2023|Family Medicine

Emory E. Wills, MS-4;Laura Beth Edwards, MD, Pgy-3;Robert T. Brodell, MD;Amy E. Flischel, MD

The diagnosis of this patient’s inflammatory condition required us to dig deeper.

AN OTHERWISE HEALTHY 53-YEAR-OLD MAN presented with a 6-month history of an acneiform eruption on his face. There was no history of teenage acne or allergic contact dermatitis.

Scattered papules and pustules were present on the forehead, nose, and cheeks, with background erythema and telangiectasias (FIGURE 1). A few pinpoint crusted excoriations were noted. A sample was taken from the papules and pustules using a #15 blade and submitted for examination.

Erythematous papules and pustules on the face

WHAT IS YOUR DIAGNOSIS?
HOW WOULD YOU TREAT THIS PATIENT?

References

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