患者男,21岁。因面部丘疹、脓疱1年余,于2008年4月18日来我院就诊。1年前无明显诱因患者眶周、颊部出现绿豆大淡红色丘疹、脓疱和结节,皮损逐渐增多,局部稍有痒感,部分结节可自行破溃,曾在外院诊断为痤疮,予以维胺酯、甲硝唑口服,外用阿达帕林凝胶等治疗无明显疗效。既往体健,否认肝 Patient male, 21 years old. Due to facial papules, pustules more than 1 year, in April 18, 2008 to our hospital. 1 year ago, there was no obvious incentive in patients with periorbital, cheek mung big pink papules, pustules and nodules, skin lesions gradually increased, the local a little itchy sense, some nodules can rupture themselves, had been diagnosed in the hospital as acne , To be retinyl ester, metronidazole oral, topical adapalene gel treatment no significant effect. Past physical health, denied the liver