Department of Dermatology (Drs. Edwards, Brodell, and Flischel) and Department of Pathology (Dr. Brodell), University of Mississippi Medical Center (Emory Wills), Jackson ewills@umc.edu
DEPARTMENT EDITOR Richard P. Usatine, MD University of Texas Health, San Antonio
The authors reported no potential conflict of interest relevant to this article.
The diagnosis of this patient’s inflammatory condition required us to dig deeper.
AN OTHERWISE HEALTHY 53-YEAR-OLD MAN presented with a 6-month history of an acneiform eruption on his face. There was no history of teenage acne or allergic contact dermatitis.
Scattered papules and pustules were present on the forehead, nose, and cheeks, with background erythema and telangiectasias (FIGURE 1). A few pinpoint crusted excoriations were noted. A sample was taken from the papules and pustules using a #15 blade and submitted for examination.
WHAT IS YOUR DIAGNOSIS? HOW WOULD YOU TREAT THIS PATIENT?