Department of Dermatology and Pediatric Dermatology, National Center for Rare Skin Disorders, Saint André Hospital, Bordeaux, France.
Dermatology. 2012;224(3):221-3. doi: 10.1159/000338694. Epub 2012 May 29.
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.
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.
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.
外源性痤疮是指由于化妆品等外部因素、接触各种油类、皮肤摩擦或摩擦或氯痤疮引起的痤疮样损害，现在更好地称为代谢性获得性二恶英诱导的皮肤错构瘤（MADISH）。在这里，我们报告了一种新的严重炎症性外源性痤疮形式，原因是两种因素的结合：面部摩擦与化妆品。
一名 15、17 和 19 岁的女性因严重炎症性痤疮到皮肤科就诊。在所有情况下，面部在前几周都曾被强制性地用化妆品强烈摩擦。该疾病对各种常规痤疮治疗无反应，口服皮质类固醇和低剂量异维 A 酸联合治疗可很好地控制病情。
由于作为美容护理的面部摩擦化妆品变得越来越流行，皮肤科医生应该意识到这种严重的临床情况可能发生在没有个人痤疮病史的患者中。
