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PubMedDate not supplied

Acne rheumatism. Report of a case.

A case of acne conglobata with myo-osteoarticular involvement is described. The occurrence of a subacute, symmetrical polyarthritis with radiological changes was the unique feature of this patient. The immunologic work-up demonstrated impairment of delayed hypersensitivity. Control of the systemic symptoms was obtained initially with corticosteroids and during a relapse with indomethacin. Clofazimin was effective in longterm treatment of the acne. Following cessation of all therapy, there has been no evidence of recurrence of either acne or rheumatic symptoms.

Acne Vulgaris↗

PubMedDate not supplied

Relapsing eosinophilic perimyositis.

Two patients with a syndrome of relapsing myalgia are described. In both cases nonspecific inflammatory features were present and electromyography disclosed a myositic pattern in one. Muscle biopsy in both patients showed a perimysial infiltrate of eosinophils although peripheral eosinophilia was only noted in one patient. In each, relapse occurred after a recovery phase, but eventually recovery was complete, spontaneously in one, and after therapy in the other. The known causes of eosinophilic myositis are reviewed, with emphasis on a companion with the myositis of eosinophilic fascitis (Shulman's syndrome). Because our cases exhibited distinctive features, this new syndrome should be considered in the differential diagnosis of any eosinophilic myositis.

Adult↗