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A Case of Acne Fulminans

Clare Cardo McKegney1, Deanna Schneider2

  • 1Clare Cardo McKegney, Primary Care Pediatric Nurse Practitioner, Pediatric Center, New Providence, NJ; Clare Cardo McKegney, Assistant Professor, Pediatric Nurse Practitioner Program, Columbia University School of Nursing, New York, NY.

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
|July 21, 2022
PubMed

Insights

Acne fulminans (AF), a rare acne condition, can be misdiagnosed, leading to delayed treatment and severe outcomes. This case highlights diagnostic challenges, especially during COVID-19 restrictions.

Area of Science:

  • Dermatology
  • Infectious Disease Epidemiology

Background:

  • Acne fulminans (AF) is a rare and severe form of acne vulgaris.
  • Misdiagnosis is common, potentially leading to significant scarring and psychological distress.
  • COVID-19 restrictions may have impacted timely dermatological assessments.

Purpose of the Study:

  • To present a case report of Acne fulminans.
  • To review AF from a primary care perspective.
  • To highlight diagnostic challenges and management strategies.

Main Methods:

  • Case report presentation.
  • Review of clinical manifestations and physical examination findings of AF.
  • Discussion of AF management in a primary care setting.

Main Results:

  • The case highlights how COVID-19 protocols (masking, isolation) can obscure clinical signs, delaying AF diagnosis.
  • Delayed diagnosis exacerbated patient risk for scarring and psychological distress.
  • The patient had a history of COVID-19 and pneumonia.

Conclusions:

  • Early recognition and diagnosis of Acne fulminans are crucial for effective management.
  • Primary care physicians should maintain a high index of suspicion for AF, even with atypical presentations.
  • Diagnostic delays, potentially influenced by public health measures, can worsen patient outcomes.
Keywords:
Acne vulgarisCOVID-19acne fulminanspediatric primary management of acne

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