PMC5726663_01
Case 1 - The young man presented at the first consultation and started usual
acne treatment; two weeks later there was marked worsening, fever and
arthralgia
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Fifteen-year-old male teenager, with comedonal acne for almost 6 months that worsened over the last 2 weeks (Figure 1 a). The patient returned after 3 weeks, with severe worsening of the skin lesions (Figure 1 b).
Case 2 - Extremely necrotizing lesions on the back
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Four weeks before the consultation he suddenly and progressively worsened, with innumerable inflammatory lesions, mainly on the trunk (Figure 2).
Case 3 - Ordinary acne until he was 21 years old, when there was a marked
worsening with high fever and joint pain
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His lesions started 5 months before the consultation and rapidly progressed to the formation of generalized suppurative nodules (Figure 3).
Case 4 - 14-year-old teenager. All the symptoms developed within 30
days
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Since the start, the lesions became very intense, nodular and suppurative (Figure 4).
Case 5 - Another case with intensely necrotizing lesions
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The lesions caused disfiguring scarring, what led to depression and attempted suicide (Figure 5).