Courouge-Dorcier D, Reguilhem O, Brucher C, Delaunay M M, Geniaux M
Service de Dermatologie, Hôpital Pellegrin, Bordeaux.
Rev Rhum Mal Osteoartic. 1987 Oct;54(10):637-42.
Certain severe forms of acne vulgaris may be accompanied by disorders of the locomotor system. Fulminant acne is manifest as an acute disorder with an alteration of general health and with fever, the onset of painful, necrotic skin lesions, myalgia and arthralgia with arthritis of one or more joints. Acne conglobata, a chronic disorder, is defined by the presence of comedones in sebaceous gland ducts and its progression to form nodules and pustules, leaving indelible scars. Osteoarticular involvement which occurs during the course of acne conglobata, and whose incidence is difficult to determine, is characterized by the frequent presence of sacroiliac inflammation. However, these two forms of acne are often confused and the authors outline differences between them. A more accurate identification of cutaneous manifestations would perhaps provide an eventual classification of "rheumatic disturbances of acne" whose nosological category has not yet been determined.
某些严重形式的寻常痤疮可能伴有运动系统紊乱。暴发性痤疮表现为一种急性病症，伴有全身健康状况改变和发热，出现疼痛性、坏死性皮肤损害、肌痛以及一个或多个关节发生关节炎伴关节痛。聚合性痤疮是一种慢性病症，其特征是皮脂腺导管内出现粉刺，并逐渐发展形成结节和脓疱，留下难以消除的疤痕。聚合性痤疮病程中发生的骨关节受累，其发生率难以确定，其特征是经常出现骶髂关节炎症。然而，这两种痤疮形式常被混淆，作者概述了它们之间的差异。对皮肤表现进行更准确的识别或许最终能对“痤疮的风湿性紊乱”进行分类，其疾病分类尚未确定。
