Access Dermatology

History

A 44-year-old woman presented with a 2-week history of severe exacerbation of acneiform facial lesions, strong headache and fever, which developed during her spring holidays in Tunis. Her medical history included mild acne for many years, struma, pollinosis and allergy (generalized exanthem) to penicillin. Treatment with oral ciprofloxacin and intravenous corticosteroid injections failed to relieve the skin manifestations.