Case Number : Case 3018 - 31 January 2022 Posted By: Dr. Mona Abdel-Halim

Looks like another case of acne agminata.  We had one recently (7th Jan 22 case 3002). 

My only reservation about this diagnosis is the patient's age, as acne agminata is usually seen in a slightly younger age group.  For that reason I would want to make sure there wasn't an infective cause (ZN, Wade-Fite etc).

2 hours ago, Richard Logan said:

Looks like another case of acne agminata.  We had one recently (7th Jan 22 case 3002). 

My only reservation about this diagnosis is the patient's age, as acne agminata is usually seen in a slightly younger age group.  For that reason I would want to make sure there wasn't an infective cause (ZN, Wade-Fite etc).

Agree. 

On 01/02/2022 at 17:44, Richard Logan said:

Looks like another case of acne agminata.  We had one recently (7th Jan 22 case 3002). 

My only reservation about this diagnosis is the patient's age, as acne agminata is usually seen in a slightly younger age group.  For that reason I would want to make sure there wasn't an infective cause (ZN, Wade-Fite etc).

Agree with above

Indeed it was acne agminata. 

Could anyone please highlight the main finding on the section here that lead to diagnosis of acne agminata, plz ? 

Thanks in advance 

On 06/05/2022 at 10:54, Fatma Hamed said:

Could anyone please highlight the main finding on the section here that lead to diagnosis of acne agminata, plz ? 

Thanks in advance 

 

Tuberculoid granuloma with large areas of central caseation. Absence of pseudoepitheliomatous hyperplasia despite chronic course makes lupus vulgaris unlikely and absence of marked necrosis of overlying dermis and epidermis rules out papulonecrotic tuberculid. CPC (especially lesions on eyelids) favours a diagnosis of acne agminata / lupus miliaris disseminatus faciei (currently included under "Facial Idiopathic Granulomas with Regressive Evolution" FIGURE)