Document Detail


Musculoskeletal syndromes associated with acne.
MedLine Citation:
PMID:  1828308     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The acne conglobata (AC)-, acne fulminans (AF)-, and isotretinoin-associated musculoskeletal syndromes are three distinct clinical entities. The AC-associated musculoskeletal syndrome occurs primarily in black men over the age of 22, who develop sacroilitis with or without a peripheral arthropathy. In contrast, the AF-associated musculoskeletal syndrome is found almost exclusively in white male teenagers. Fever, weight loss, and arthralgias are prominent components of this syndrome. A unique feature of the AF-associated musculoskeletal syndrome is osteolytic lesions that occur most frequently in the clavicle, sternum, long bones, and ilium. The isotretinoin-associated musculoskeletal syndrome occurs with equal frequency in male and female acne patients. Mild, transient myalgias and arthralgias are very common and do not require discontinuation of isotretinoin therapy. Asymptomatic, small, hyperostotic lesions of the spine occur in approximately 10% of acne patients with the isotretinoin-associated musculoskeletal syndrome.
Authors:
R H Knitzer; B W Needleman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Seminars in arthritis and rheumatism     Volume:  20     ISSN:  0049-0172     ISO Abbreviation:  Semin. Arthritis Rheum.     Publication Date:  1991 Feb 
Date Detail:
Created Date:  1991-07-11     Completed Date:  1991-07-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  1306053     Medline TA:  Semin Arthritis Rheum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  247-55     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of Maryland, Baltimore 21201.
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MeSH Terms
Descriptor/Qualifier:
Acne Vulgaris / complications*,  drug therapy,  pathology
Adolescent
Adult
Bone Diseases / chemically induced,  complications*,  pathology
Female
Humans
Isotretinoin / adverse effects,  therapeutic use
Male
Middle Aged
Muscular Diseases / chemically induced,  complications*,  pathology
Syndrome
Chemical
Reg. No./Substance:
4759-48-2/Isotretinoin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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