Abstract Acne conglobata is a chronic inflammatory disease of the skin which is characterized by the presence of the constituents of acne vulgaris, such as comedones, papules and pustules, and in addition large elevated fluctuating plaques which are dusky blue and frequently form cutaneous or subcutaneous abscesses and oil cysts, which may perforate and form discharging sinuses, healing very slowly and often leaving keloidal or so-called bridge scars (Brückennarben) of Lang. The lesions closely resemble tuberculodermas of the colliquative type (scrofuloderma). The clinical description and course of acne conglobata place the disease in close relationship to dermatitis papillaris capillitii (Kaposi) and to perifolliculitis capitis abscedens et suffodiens (Hoffmann). If one wishes to classify this condition with the acnes and to draw an analogy, one might believe that acne conglobata stands in the same relationship to acne vulgaris that malignant syphilis does to an ordinary papular syphilid. The literature on acne conglobata References 1. Reitmann, Karl: Acne aggregata seu conglobata , Arch. f. Dermat. u. Syph. 90:244, 1908. 2. Spitzer, Ludwig: Dermatitis follicularis et perifollicularis conglobata , Dermat. Ztschr. 10:8, 1901-1902 3. Dermatitis follicularis et perifollicularis conglobata , Wien. klin. Rundschau , (May 18) , 1902, p. 413. 4. Lang, Edward: Hautkrankheiten , Wiesbaden, J. F. Bergmann, 1902, p. 504. 5. Hartzell, M. B.: Acne Vulgaris , J. Cutan. Dis. 27:262, 1909. 6. Engman and Mook: Two Cases Presented for Diagnosis , Arch. Dermat. & Syph. 18:468 ( (Sept.) ) 1926. 7. Dressler, Wilhelm: Ueber eine Kombination von Acne conglobata und acnieformen Tuberkuliden, zugleich ein Beitrag zur Pathogenese der Tuberkulide , Arch. f. Dermat. u. Syph. 140:189, 1922. 8. Oppenheim, M., and Klaar, J.: Ueber Beziehungen der Tuberculose und Syphilis zur Acne conglobata , Arch. f. Dermat. u. Syph. 153:335, 1927. 9. Zurhelle, E., and Klein, J.: Chronische vegetierende und ulzerierende Pyodermien mit serpiginosen Fortschreiten und flachenhofter Narbenbildung , Dermat. Ztschr. 46:63, 1925-1926. 10. Hoffmann, Heinrich: Ueber einige der Acne conglobata ähnliche Fälle , Arch. f. Dermat. u. Syph. 150:154, 1926 11. Acne conglobata und verwandte Krankheiten . Zentralbl. f. Haut. u. Geschlechtskrankh. 19:1, 1926 12. Tschernoguboff, N.: Zur Frage der chronischen Pyodermie , Arch. f. Dermat. u. Syph. 149:76, 1925 13. Zur Klinik und Pathogenese der Acne conglobata Lang , Acta dermat.-venereol. 9:424, 1928-1929. 14. Friedmann, Martin: Ueber Brücken und Fibromatoids-Bildungen Skrofulodermnarben , Arch. f. Dermat. u. Syph. 134:80, 1921. 15. Barber, H. W.: Relationship of Dermatology to Other Branches of Medicine , Lancet 2:363, 1929. 16. Goldschmidt, W. N.: Die Staphylokokken bei Acne vulgaris , Arch. f. Dermat. u. Syph. 149:575, 1925. 17. Selisky, A. B.: Zur Histologie der Acne conglobata , Arch. f. Dermat. u. Syph. 158:460, 1929. 18. Kogoj, F.: Beitrag zur Frage der chronischen Pyodermien , Arch. f. Dermat. u. Syph. 159:14, 1929. 19. Smith, J. Ferguson: On a Form of Chronic Pyodermia , Brit. J. Dermat. 41:149 ( (April) ) 1929. 20. Ramel, E.: Ueber die Beziehungen der Tuberkolose zur Aetiologie der Acne vulgaris und Acne conglobata , Arch. f. Dermat. u. Syph. 155:263, 1928. 21. Hoffmann (footnote 9, second reference).
Archives of Dermatology and Syphilology – American Medical Association
Published: Jan 1, 1931
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