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Acne fulminans and myositis.

K M Leiferman, R V Groover, C H Dicken

    Cutis
    |September 1, 1984
    PubMed
    Summary

    Acne fulminans, a severe skin condition, can present with unusual muscle inflammation (myositis). This case highlights significant electromyographic changes in a patient with acne fulminans and myositis.

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    Area of Science:

    • Dermatology
    • Rheumatology
    • Neurology

    Background:

    • Acne fulminans is a rare, severe form of acne characterized by sudden onset of inflammatory nodules, ulcerations, and systemic symptoms.
    • Systemic manifestations can include fever, arthralgias, and leukocytosis, but myositis is an exceptionally rare association.

    Observation:

    • This report details a patient presenting with classic acne fulminans lesions.
    • The patient also exhibited significant muscle weakness, rendering them unable to walk.
    • Electromyographic (EMG) studies were performed to investigate the neuromuscular involvement.

    Findings:

    • The case demonstrates a concurrent presentation of acne fulminans and myositis.
    • EMG studies revealed substantial abnormalities, indicating significant muscle inflammation and dysfunction.
    • This finding suggests a potential link between the inflammatory processes in acne fulminans and skeletal muscle.

    Implications:

    • This case expands the spectrum of systemic manifestations associated with acne fulminans.
    • It underscores the importance of considering neuromuscular involvement in patients with severe acne.
    • Further research is warranted to elucidate the pathophysiology linking acne fulminans and myositis.

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