Exogenous inflammatory acne due to combined application of cosmetic and facial rubbing.

Abstract

BACKGROUND:

Exogenous acne refers to acneiform lesions due to external factors such as cosmetic agents, exposure to various oils, skin rubbing or friction or chloracne, now better called metabolizing acquired dioxin-induced skin hamartoma (MADISH). Here we report a new form of severe inflammatory exogenous acne due to the association of two factors: facial friction with cosmetic agents.

OBSERVATIONS:

A 15-, 17- and 19-year-old female presented at the department with severe inflammatory acne. In all cases, the face had been strongly rubbed in a compulsory manner in the previous weeks with cosmetic agents. The disease has not responded to various conventional acne treatments and was well controlled by a combination of oral corticosteroids and low-dose isotretinoin.

CONCLUSION:

Because cosmetic face friction as a cosmetic care becomes more and more fashionable, dermatologists should be aware of this severe clinical condition, which can occur in patients without a personal history of acne.

• Authors: Julien Seneschal, Emeline Kubica, Lucile Boursault, Josette Stokkermans, Christine Labreze, Brigitte Milpied, Khaled Ezzedine, Alain Taïeb
• Journal: Dermatology (Basel, Switzerland) (Dermatology) Vol. 224 Issue 3 Pg. 221-3 ( 2012) ISSN: 1421-9832 [Electronic] Switzerland
• PMID: 22653048 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012 S. Karger AG, Basel.

Chemical References

• Adrenal Cortex Hormones
• Cosmetics
• Dermatologic Agents
• Isotretinoin

Topics

• Acne Vulgaris (chemically induced, drug therapy)
• Adolescent
• Adrenal Cortex Hormones (therapeutic use)
• Cosmetics (adverse effects)
• Dermatologic Agents (therapeutic use)
• Erythema (chemically induced, drug therapy)
• Face
• Female
• Humans
• Isotretinoin (therapeutic use)
• Treatment Outcome
• Young Adult