Cases reported "Acne Vulgaris"

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1/7. Correction of depressed scars on the face by a method of elevation.

    A method of managing depressed scars on the face by elevation of scars and subsequent dermabrasion is described. If the indications for this procedure are correctly established, this method always results in some degree of improvement.
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ranking = 1
keywords = dermabrasion
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2/7. Possible isotretinoin-induced keloids in a patient with Behcet's disease.

    isotretinoin-induced keloid formation has occasionally been reported in patients who have undergone dermabrasion or laser treatment. This report describes a man with Behcet's disease (BD) who was prescribed isotretinoin for nodulocystic acne. After approximately 8 weeks of this treatment, the patient developed extensive keloids. There are no previous reports of possible isotretinoin-induced keloid formation in the setting of BD. This article discusses possible connections between BD, keloid formation and isotretinoin, which may be manifested in this case.
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ranking = 1
keywords = dermabrasion
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3/7. Treatment for pitted acne scarring--postauricular punch grafts followed by dermabrasion.

    A technique is described for treating pitted acne scarring which is not amenable to other forms of therapy. Punch grafts from postauricular skin are used to replace punch-excised facial scars. dermabrasion of treated areas is accomplished 4 to 6 weeks after grafting. Very good results have been attained in three patients, each of whom needed more than 100 transplants.
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ranking = 4
keywords = dermabrasion
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4/7. dermabrasion-Loo-punch-excision technique for the treatment of acne-induced osteoma cutis.

    Three patients with chronic osteoma cutis secondary to acne vulgaris were treated with the dermabrasion-Loo-punch-excision technique. Under regional nerve block with lidocaine-bipuvacaine (50:50) a uniform dermabrasion was performed across the entire face, including the hairline and 1 cm below the jawline. This exposed the foci of osteoma cutis. Then the appropriate sized Loo punch (usually the 2.0- or the 2.5-mm punch) was used to excise the bluish-gray miliary lesions. The majority of the foci were removed in one operation. Following excision, the lesions were closed with 7-0 prolene suture. To prevent crust formation postoperatively, aloe-vera-soaked polyethylene oxide gel dressings (Vigilon) were changed twice daily following an ice water compress. sutures were removed rapidly in 5 to 7 days to prevent the appearance of suture lines. Although one patient required an additional procedure, the cosmetic results were excellent. Only a few small residual blue "dot" lesions remained in these three cases.
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ranking = 2
keywords = dermabrasion
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5/7. Delayed wound healing and keloid formation following argon laser treatment or dermabrasion during isotretinoin treatment.

    We report the observation of delayed wound healing and keloid formation in three patients, following dermabrasion or argon laser treatment administered while they were receiving isotretinoin for acne or rosacea.
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ranking = 5
keywords = dermabrasion
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6/7. Atypical keloids after dermabrasion of patients taking isotretinoin.

    Six patients underwent dermabrasion while on or having recently completed isotretinoin (Accutane) therapy. All patients developed keloids in atypical locations; the keloids eventually responded to topical or intralesional steroid therapy. retinoids have a modulatory effect on connective tissue metabolism, including suppression of collagenase, which may enhance keloid formation. dermabrasion should be delayed in those patients taking or recently on isotretinoin therapy.
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ranking = 5
keywords = dermabrasion
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7/7. Atypical facial scarring after isotretinoin therapy in a patient with previous dermabrasion.

    The increased use of isotretinoin therapy for severe cystic acne has posed new problems for dermatologic surgeons. There have been recent reports in the literature of unexpected "atypical" scarring after dermabrasion in patients who have previously taken isotretinoin. This scarring was considered atypical because it occurred outside the typical "danger zones" (e.g., mandible and malar eminences) where scarring most often occurs after dermabrasion. This is the first reported case of atypical scarring in a patient who began isotretinoin therapy 2 months after dermabrasion.
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ranking = 7
keywords = dermabrasion
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