Acne Necrotica Miliaris
&
Acne Necrotica Varioliformis

Variants of a pustular folliculitis affecting the scalp in adults.

I) Acne Necrotica Miliaris - The superficial form of this disease.

Acne Necrotica Miliaris ( syn proprionibacterium ) The superficial form of this disease presents as numerous small vesico-pustules on the scalp often at the central/posterior vertices associated with staphylococcus aureus, demodex folliculorum (tiny mites which live in the hair-follicle), yeasts of malassez. Pruritus may co-exist. The pustules rupture leaving a crust (often the only diagnostic feature). Patients are often adult males in middle age. Culture may indicate the presence of Corynebacterium (Propioni-bacterium) or Staphylococcus Aureus. Follicular necrosis usually results

Presenting as numerous small vesico-pustules on the scalp often at the central/posterior vertices. Pruritus may co-exist. The pustules rupture leaving a crust (often the only diagnostic feature). Patients are often adult males in middle age. Culture may indicate the presence of Corynebacterium (Propioni-bacterium) or Staphylococcus Aureus. Follicular necrosis usually results.

2) Acne necrotica varioliformis - the deeper scarring form of the disease.

Presenting as inflammatory pruritic follicular papules which rupture leaving a crust and scarring.

 

 

 © The Registrar - The Trichological Society.

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