Wolf R, David M, Feuerman E J
Cutis. 1981 Aug;28(2):210-11, 215-6.
A 17-year-old girl, hospitalized because of severe cystic acne of six weeks' duration, developed symptoms of systemic disease, with fever, accelerated erythrocyte sedimentation rate, leukocytosis, thrombocytosis, arthralgia and anemia. Extensive investigation ruled out other possible causes for the systemic involvement, and there was a prompt response to steroid therapy. This case had features similar to those associated with "acute, febrile, ulcerative conglobate acne with poly-arthralgia," except that there was an absence of ulcerative lesions: nonetheless, the dominant picture was that of cystic involvement. We believe that the use of the term "acne fulminans" for this and similar cases would be appropriate.
一名17岁女孩因持续六周的重度囊性痤疮入院治疗，出现了全身疾病症状，包括发热、红细胞沉降率加快、白细胞增多、血小板增多、关节痛和贫血。广泛检查排除了全身受累的其他可能原因，且对类固醇治疗反应迅速。该病例具有与“伴有多关节痛的急性、发热性、溃疡性聚合性痤疮”相关的特征，只是没有溃疡性病变：尽管如此，主要表现为囊性病变。我们认为将“暴发性痤疮”这一术语用于此病例及类似病例是合适的。
