Sacroiliitis after use of oral isotretinoin - association with acne fulminans or adverse effect?

Acne fulminans is a rare and severe form of acne that may evolve from acne vulgaris, especially in male adolescents, or occur as an adverse effect of oral isotretinoin. Arthritis is a serious clinical manifestation when the musculoskeletal system is compromised by AF and has been reported as a rare...

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Bibliographic Details
Main Authors: Ariane Silva Bastos Geller (Author), Roberta Ferreira Nazareth Alagia (Author)
Format: Book
Published: Sociedade Brasileira de Dermatologia, 2013-12-01T00:00:00Z.
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Summary:Acne fulminans is a rare and severe form of acne that may evolve from acne vulgaris, especially in male adolescents, or occur as an adverse effect of oral isotretinoin. Arthritis is a serious clinical manifestation when the musculoskeletal system is compromised by AF and has been reported as a rare adverse effect of isotretinoin. Involvement of the sacroiliac joints occurs in 21% of acne fulminans cases. We present the case of a 18-year-old male patient in whom acne fulminans evolved from acne vulgaris grade IV and after inflammation resolution started treatment with oral isotretinoin. Within a 30-day period of retinoid treatment he presented with back pain followed by rapid, progressive inability to deambulate.
Item Description:0365-0596
10.1590/abd1806-4841.20132500