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O'Brien's actinic granuloma: response to isotretinoin
R C Ratnavel1, J W Grant, S E Handfield-Jones
1Department of Dermatology, Addenbrooke's Hospital, Cambridge, UK.
Abstract:
We describe a 75-year-old man demonstrating the florid clinical features of actinic granuloma of O'Brien. This rare disfiguring condition is believed to result from a granulomatous reaction of the dermis to solar-induced elastosis and is poorly responsive to topical steroids. Twelve weeks' treatment with isotretinoin prevented the development of new granulomata and produced almost complete resolution of established lesions.
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