Article: Severe, sudden acne calls for initial prednisone.(DERMATOLOGY)

LAS VEGAS--Profoundly severe, sudden-onset acne in adolescents should be treated right away, Dr. Fred Ghali said.

These patients exhibit inflammatory and ulcerative acne lesions, often with large, nodular cysts, Dr. Ghali said at a dermatology seminar sponsored by Skin Disease Education Foundation. The face, chest, back, and shoulders are typically involved. And bleeding and associated tenderness are common complaints.

When you see such a patient from across the room, your first inclination may be to wonder why the patient waited so long to seek help, but in fact, these cases may have a sudden onset, said Dr. Ghali, a pediatric dermatologist in private ...

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