Overview
Folliculitis cruris pustulosa atrophicans is a condition characterized by pustules on the legs that can lead to atrophic scarring. Atrophic scarring, in general, is considered a therapeutic challenge 13.Diagnosis
Management
Microneedling (MN) is an effective therapeutic modality for atrophic acne scars, either as monotherapy or in combination with other treatments 3.
Combination therapy of microneedling with plasma gel (topical or intradermal injection) showed significantly greater reduction in atrophic acne scar scores compared to microneedling monotherapy 1.
Microneedling treatment demonstrated no serious adverse effects 3.Special Populations
Key Recommendations
Microneedling is an effective and well-tolerated therapeutic modality for treating atrophic acne scars 3. (Evidence: Moderate)
Combining microneedling with plasma gel (topical or intradermal) is more effective than microneedling monotherapy for treating atrophic acne scars 1. (Evidence: Moderate)
Further research is needed to validate the efficacy of microneedling with larger sample sizes and longer follow-up periods 3. (Evidence: Expert opinion)References
1 Mohamed MM, Sabry HH, Salem RM. Treatment of atrophic acne scars: Topical or intralesional plasma gel?. Photodermatology, photoimmunology & photomedicine 2022. link
2 Obeid G, Do G, Kirby L, Hughes C, Sbidian E, Le Cleach L. Interventions for chronic palmoplantar pustulosis: abridged Cochrane systematic review and GRADE assessments. The British journal of dermatology 2021. link
3 Sitohang IBS, Sirait SAP, Suryanegara J. Microneedling in the treatment of atrophic scars: A systematic review of randomised controlled trials. International wound journal 2021. link