top of page
image (2)_edited_edited.jpg

Dr. Alpana Mohta Ranka, MD, DNB, IFAAD, is a triple-board-certified dermatologist with over 100 research publications in peer-reviewed scientific journals.


Understanding Acne Fulminans: Causes, Symptoms, and Effective Treatment Options

Updated: Jun 25

This article aims to demystify the causes, symptoms, and treatment options available for this severe form of acne called Acne Fulminans.

As a dermatologist, I have successfully treated numerous patients dealing with this condition.

Though rare, this condition can significantly impact one's quality of life. Let's dive into the key aspects of Acne Fulminans to gain a deeper understanding.


Table of Contents


What is Acne Fulminans?

Acne Fulminans, also referred to as "acute febrile ulcerative acne," is an extreme and sudden onset of severe acne. It often manifests as large and painful nodules, pustules, and ulcers on the face, chest, and back.

Unlike typical acne, Acne Fulminans is accompanied by systemic symptoms such as fever, joint pain, and malaise. Its sudden and aggressive nature can cause substantial physical discomfort and emotional distress.

Causes of Acne Fulminans: Unveiling the Triggers

The exact cause of Acne Fulminans remains elusive, but various factors are believed to contribute to its development:

  1. Genetics: Evidence suggests a genetic predisposition to Acne Fulminans, as it tends to run in families.

  2. Hormonal Fluctuations: Hormonal imbalances, especially increased testosterone levels, can trigger the onset of Acne Fulminans.

  3. Underlying Inflammatory Conditions: Individuals with pre-existing inflammatory conditions such as Crohn's disease or ulcerative colitis might be at a higher risk of developing Acne Fulminans.

  4. Previous Acne Treatment: Ironically, some acne treatments like isotretinoin, if not properly monitored, can lead to the sudden development of Acne Fulminans.

  5. Immunological Factors: Abnormal immune responses have also been linked to the development of this severe form of acne.

Recognizing the Symptoms: Is it Acne Fulminans?

Identifying Acne Fulminans involves looking out for a unique set of symptoms:

  1. Sudden onset of painful nodules and ulcers.

  2. Severe inflammation with a risk of scarring.

  3. Systemic symptoms like fever and joint pain.

  4. Rapid deterioration of skin within days.

  5. Abrasions on the skin surface due to ulceration.

Treatment Strategies: Reclaiming Your Skin

Addressing Acne Fulminans requires a multi-pronged approach involving medical intervention and lifestyle adjustments:

  1. Medical Treatment: Dermatologists often prescribe oral steroids, non-steroidal anti-inflammatory drugs (NSAIDs), and antibiotics to control inflammation, infection, and pain.

  2. Pain Management: Over-the-counter pain relievers can help manage discomfort and inflammation associated with Acne Fulminans.

  3. Topical Treatments: Topical antibiotics and wound care products may aid in the healing process.

  4. Lifestyle Adjustments: Adopting a healthy diet, stress management techniques and proper skincare routines can contribute to recovery.

Here's a table that tackles the pros and cons of the treatment approaches (don't worry, your dermatologist will take care of this):

Table containing the pros and cons of some treatment approaches for acne fulminans

Needless to say, medical interventions should always be under the supervision of a dermatologist.

Navigating the Path to Clearer Skin

Acne Fulminans might be a rare and challenging condition, but managing it is possible with the correct information and guidance.

Acne and its effects are a part of life. If you are interested in reading about other forms of acne, you may want to read the following articles:

  • Acne Excoriée. It's an interesting skin condition where psychology plays an important role. You can read all about it here: Acne Excoriée - Treatment and Causes

  • Comedones vs Fungal Acne: These are two very similar-looking forms of acne. Learn about how they are different.

  • Are you worried about the spots that acne generally leaves? Don't be! You can accelerate the rate at which they disappear from your skin by using various OTC products and lifestyle modifications. The article "How to Remove Dark Spots Caused by Pimples" talks all about that.

If you found the above useful, feel free to share this content with anyone.


bottom of page