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#1
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06-19-2024, 07:53 PM
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Acne Vulgaris
A 15-year-old man, who had been previously diagnosed as having Grade I acne vulgaris, suddenly developed severe worsening of the acne lesions onthe neck, arms, chest and upper back. Associated with cutaneous lesions, he also reported fever, chills, arthralgia and myalgia, whose intensity did not allow locomotion and spontaneous movements in bed. At physical examination, he presented papules, pustules and crusts on the face, neck and upper limbs,and hemorrhagic ulcerations with purulent, thick, yellow adherent crust were scattered on the chest, upperback and shoulders, as shown in figure 1. Laboratory tests revealed abnormal white blood cell counts (23.2x 103/mm3; segments 84.0%, band forms 1.0%, lym-phocytes 13.0%, monocytes 2.0%) and hemoglobin(12.5 g/dl). The pelvic radiography did not reveal any abnormality. After 21 days using oral prednisone 1 mg/kg daily and dapsone (diaminodiphenylsulfone) 100 mg daily, ulcerative lesions began to noticeably decreased and healed with scarring (Figure 2). |
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#10
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06-23-2024, 06:00 PM
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Re: Acne Vulgaris
Imagine how itchy that was? And probably stuck to his shirts having to peel his shirts off. I had a major sunburn last year on my back and there looked like holes in my back with lifted crusty skin, clear yellow smelly pus. I now worry about skin cancer in the future. I'll never learn to put sunscreen on |