Acne Fulminans
uRare form of extremely severe cystic acne uTeenage boys, chest and back uRapid degeneration of nodules leaving ulceration uFever, leukocytosis, arthralgias, myalgias are common uLytic changes can be seen on x-ray uTx;  oral steroids, ABX, and isotretinoin
This febrile 26-year-old white male was hospitalized prior to the availability of isotretinoin and treated with prednisone  dapsone  and Vleminckx's compresses.