Abstract
A 19-year-old male patient presented with a 2-week history of right hip and buttock aches. His past medical record was unremarkable, except for severe diffuse acne, for which he was recently started on isotretinoin. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans displayed changes consistent with active sacroiliitis. While therapy with non-steroidal anti-inflammatory drugs achieved no benefit, prednisone led to remarkable recovery. The acute presentation, the severe acne, the temporal association with the use of isotretinoin, and the response to corticosteroids are compatible with the diagnosis of acne fulminans. Abbreviations: CT: Computed Tomography; MRI: Magnetic Resonance Imaging.
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