• | because involvement of apocrine (as well as of eccrine glands) represents a secondary phenomenon and is the result of extension of the inflammatory process into deep structures |
• | double (open) comedone is characteristic |
• | usually undergoes a spontaneous remission with age (over 35) |
• | ddx: sinus tracts and fistulae associated with ulcerative colitis |
Treatment:
• | intralesional triamcinolone (3 to 5 mg/mL) |
• | (Ken Greer, MD) tetracycline 1.5 to 2g/day (divided BID to QID) |
see Follicular Disease
|