title: Severe vulval apocrine acne successfully treated with prednisolone and isotretinoin.
abstract: Apocrine acne, otherwise known as hidradenitis suppurativa, is a chronic inflammatory scarring disease affecting the apocrine gland-bearing skin. We present a case of a 34-year-old woman with severe vulval apocrine acne who was successfully treated initially with prednisolone and then maintained on long-term isotretinoin. This case indicates that long-term treatment with isotretinoin may be more successful than the usual 4-6 months treatment regime.
authors.affiliation: Department of Dermatology, Chelsea and Westminster Hospital, Imperial College School of Medicine, London, UK.
authors.forename: L A
authors.initials: LA
authors.lastname: Fearfield
authors.forename: R C
authors.initials: RC
authors.lastname: Staughton
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D017497:Hidradenitis Suppurativa / Q000188:drug therapy*; D006801:Humans; D007641:Keratolytic Agents / Q000627:therapeutic use*; D011239:Prednisolone / Q000627:therapeutic use*; D014212:Tretinoin / Q000627:therapeutic use*; D014847:Vulvitis / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; D007641:Keratolytic Agents; D014212:Tretinoin; D004917:Erythromycin; D011239:Prednisolone