case_images: PMC5726663_01
case_images: Case 1 - The young man presented at the first consultation and started usual
  acne treatment; two weeks later there was marked worsening, fever and
  arthralgia
case_images: abd-92-05-s1-0008-g01.jpg
case_images: PMC5726663_01_abd-92-05-s1-0008-g01.jpg
case_images: f1
case_images: Fifteen-year-old male teenager, with comedonal acne for almost 6 months that worsened over the last 2 weeks (Figure 1 a). The patient returned after 3 weeks, with severe worsening of the skin lesions (Figure 1 b).
case_images: Case 2 - Extremely necrotizing lesions on the back
case_images: abd-92-05-s1-0008-g02.jpg
case_images: PMC5726663_01_abd-92-05-s1-0008-g02.jpg
case_images: f2
case_images: Four weeks before the consultation he suddenly and progressively worsened, with innumerable inflammatory lesions, mainly on the trunk (Figure 2).
case_images: Case 3 - Ordinary acne until he was 21 years old, when there was a marked
  worsening with high fever and joint pain
case_images: abd-92-05-s1-0008-g03.jpg
case_images: PMC5726663_01_abd-92-05-s1-0008-g03.jpg
case_images: f3
case_images: His lesions started 5 months before the consultation and rapidly progressed to the formation of generalized suppurative nodules (Figure 3).
case_images: Case 4 - 14-year-old teenager. All the symptoms developed within 30
  days
case_images: abd-92-05-s1-0008-g04.jpg
case_images: PMC5726663_01_abd-92-05-s1-0008-g04.jpg
case_images: f4
case_images: Since the start, the lesions became very intense, nodular and suppurative (Figure 4).
case_images: Case 5 - Another case with intensely necrotizing lesions
case_images: abd-92-05-s1-0008-g05.jpg
case_images: PMC5726663_01_abd-92-05-s1-0008-g05.jpg
case_images: f5
case_images: The lesions caused disfiguring scarring, what led to depression and attempted suicide (Figure 5).