Pityrosporum folliculitis caused by Malassezia furfur may also present on the trunk and upper extremities with pruritic eruptions.
Lesions which are monomorphic (uniform appearance) and dome-shaped develop on the chest, limb and face in patients taking the steroids by mouth or intravenously (in the vein).
If the itching is nocturnal, first-generation antihistamines are recommended because they also induce sleep.There are some cases of acneiform eruptions that may benefit from the use of dapsone. Papules, pustules with the absence of true comedones, are present mainly over trunk and back. Acneiform eruptions often develops in hospitalized patients.Superficial staphylococcal folliculitis is often accompanied by deeper furunculosis (boils) and abscesses. Weather extremes, hot or spicy foods, alcohol, ingestion of a high-dose vitamin B6 and Demodex folliculorum mites can trigger the condition.Papules, pustules with the absence of true comedones, are present mainly over trunk and back.
Time course, distribution and appearance may be helpful in making a more accurate diagnosis.Acneiform eruptions can occur at any age and can affect both genders. It is prevalent from 40 years upwards. If the cause is a fungal infection like pityrosporum folliculitis, then the use of a topical antifungal agent can be helpful like ciclopirox, econazole, and ketoconazole can be helpful Treatment of chloracne is difficult as it may persist for years, even without further exposure.Some patients with eosinophilic pustular folliculitis may benefit from a short course of oral indomethacin.
When the cause is due to a drug eruption, the patient will usually state that the lesions disappear once they discontinue the medication. Acneiform eruptions are a group of dermatoses which are characterized by papules and pustules resembling acne vulgaris (common acne) Acneiform eruptions on trunk are described as folliculitis, which may be due to infection, obstruction, or unknown irritant factors. Associated eye changes include blepharitis, conjunctivitis, iritis, iridocyclitis, hypopyon iritis, and keratitis.
Rosacea tends to affect mid-forehead, nose, medial cheeks and central chin. Lesions that fail to respond to indomethacin may be treated with cyclosporine.The traditional agents used to treat acne vulgaris seldom work in patients with acneiform eruptions, but one may suggest the use of skin cleaners like salicylic acid or benzoyl peroxide to reduce the oily skin.Itching is a very common symptom in patients with acneiform eruptions so that these patients may benefit from the use of antihistamines. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Most patients recover within a few weeks. All patients should be investigated for ophthalmic, neurologic, hepatic, and lipoprotein abnormalities.Chemical like heavy oils, waxes, cutting oils, heavy coal tar derivatives like pitch and creosote, vegetable oil in cosmetics, and cheap pomade oils causes acneiform eruptions.Pressure and friction induce acneiform eruptions over the neck of violin players, under arm bands, bra straps and in orthopedic cases prolonged immobilization.Eosinophilic pustular folliculitis is a disease of allergic hypersensitivity. 1999 Mar;38(3):196-9. Rarely nodulocystic lesions can be seen. Protective clothing and removal of the worker from unsuitable environment also help. _____ patients often have diffuse acneiform eruption resistant to treatment Apert syndrome ______ is an autosomal dominant disorder of synostoses of bones of hands/feet/vertebra/cranium, hyper pigmentation of skin and eyes, nail dystrophy, scaly greasy skin/dandruff 54 The acneiform eruption is dose-dependent; occurs predominantly on the head, neck, and upper aspects of the body; and arises in the first 2 … Sponsored content: melanomas are notoriously difficult to discover and diagnose.DermNet NZ does not provide an online consultation service. Acneiform eruptions are a group of dermatoses including acne vulgaris, rosacea, folliculitis, and perioral dermatitis. Associated skin findings include xerosis, and pigmentary changes are also seen. Erythema, papules and pustules, and telangiectasia are characteristic. There is evidence of mild inflammation with the presence of both neutrophils and eosinophils.Acneiform eruptions can be distinguished from common acne (acne vulgaris) by a history of sudden onset, monomorphic morphology, development of the eruption at any age, affecting trunk more common than the face, not necessarily affecting sebaceous areas of the body with a rarity of cyst formation. Khanna N(1), Gupta SD. Infections which are known to cause acneiform eruptions include secondary syphilis, mycotic infections, cutaneous coccidioidomycosis, and Sporothrix schenckii.Prolonged and increased excretion of causative substances might irritate the follicular epithelium and produce an inflammatory reaction.Acneiform eruptions can also be seen in conditions like nevus comedonicus, eruptive hair cysts, and tuberous sclerosis.This acne can occur due to corticosteroids, anticonvulsants like phenytoin, antidepressants, the antipsychotics olanzapine and lithium, antituberculosis drugs like INH, thiourea, thiouracil, disulfiram, corticotropin, antifungals like nystatin and itraconazole, hydroxychloroquine, naproxen, mercury, amineptine, chemotherapy drugs, and epidermal growth factor receptor inhibitors.Antibiotics like penicillins and macrolides cause acute generalized pustular eruption without comedones.
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