A SEVERE FORM OF ACNE DEVELOPING IN THE TROPICS

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Abstract
ACNE usually is not considered a disabling disease. In the recent war it was found, however, that such was not the case in the tropics. In this area a severe form of acne developed which was characterized by large pustules, draining sinuses and extensive, disfiguring scars, frequently keloidal. This condition became known among the medical officers as "tropical acne." Because of its severity and the disability it incurred, this form of acne merits further discussion. The importance of this disease is shown in the report of Cohen and Pfaff,1 who stated that acne vulgaris was the most serious problem in the tropics. Other dermatologists with whom they came in contact were in agreement that patients having this disease were permanently unfit for tropical duty. Kley,2 writing on cutaneous disease aboard ship, noted that acne vulgaris was second in occurrence, fungous infections being the first. McLaughlin,

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