1. Exogenous Inflammatory Acne due to Combined Application of Cosmetic and Facial Rubbing
- Author
-
Khaled Ezzedine, C. Labreze, Josette Stokkermans, Emeline Kubica, Alain Taïeb, Julien Seneschal, L. Boursault, and Brigitte Milpied
- Subjects
medicine.medical_specialty ,Adolescent ,media_common.quotation_subject ,Cosmetics ,Dermatology ,Young Adult ,Adrenal Cortex Hormones ,Acne Vulgaris ,Personal history ,medicine ,Humans ,In patient ,Isotretinoin ,Acne ,media_common ,Facial rubbing ,integumentary system ,business.industry ,Inflammatory acne ,medicine.disease ,Chloracne ,Treatment Outcome ,Erythema ,Face ,Female ,Dermatologic Agents ,business ,medicine.drug - Abstract
Background: Exogenous acne refers to acneiform lesions due to external factors such as cosmetic agents, exposure to various oils, skin rubbing or friction or chloracne, now better called metabolizing acquired dioxin-induced skin hamartoma (MADISH). Here we report a new form of severe inflammatory exogenous acne due to the association of two factors: facial friction with cosmetic agents. Observations: A 15-, 17- and 19-year-old female presented at the department with severe inflammatory acne. In all cases, the face had been strongly rubbed in a compulsory manner in the previous weeks with cosmetic agents. The disease has not responded to various conventional acne treatments and was well controlled by a combination of oral corticosteroids and low-dose isotretinoin. Conclusion: Because cosmetic face friction as a cosmetic care becomes more and more fashionable, dermatologists should be aware of this severe clinical condition, which can occur in patients without a personal history of acne.
- Published
- 2012
- Full Text
- View/download PDF