Acne miliaris necrotica
Acne miliaris necrotica is a rare condition consisting of follicular vesicopustules, sometimes occurring as solitary lesions that are usually very itchy.  The condition affects middle aged and elderly individuals.  Affected areas can include the scalp, frontal hairline, face, and chest.

Causes
It has been hypothesized that the body overreacts to an organism such as the S. aureus bacterium.

Diagnosis
Treatment
There are multiple medications that are able to treat acne varioliformis.

Topical
Clindamycin 1% lotion or Benzoyl peroxide/clindamycin gel
Erythromycin 2% gel
1% hydrocortisone cream

Systemic
Doxycycline 50 mg twice daily
Isotretinoin 0.5 mg/kg daily

See also
List of cutaneous conditions

References


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