{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T18:42:16Z","timestamp":1778697736107,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T00:00:00Z","timestamp":1378684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 19\u2010year\u2010old girl presented with hemorrhagic acneiform lesions on the face for several months that was unresponsive to conventional acne treatment. A biopsy revealed a noninfectious suppurative granulomatous dermatitis with hemorrhage, possibly representing a ruptured folliculitis. A second biopsy revealed chronic granulomatous dermal inflammation and hemorrhage with foreign body giant cells non\u2010infectious by stains. No vasculitis was noted in either biopsy. Later in her course she developed a severe sinusitis and eventually presented with severe fevers, rapid weight loss, sinusitis, and cough. Further workup produced the diagnosis of granulomatosis with polyangiitis (Wegener's granulomatosis). She rapidly improved with intravenous steroids and rituximab. To date, acneiform lesions have only been reported in young adult patients and may represent a clinical manifestation of granulomatosis with polyangiitis unique to this age group, as illustrated in our patient.<\/jats:p>","DOI":"10.1111\/pde.12221","type":"journal-article","created":{"date-parts":[[2013,9,9]],"date-time":"2013-09-09T09:58:25Z","timestamp":1378720705000},"source":"Crossref","is-referenced-by-count":2,"title":["Hemorrhagic Acneiform Lesions in a Teenager as the Initial Presentation of Granulomatosis with Polyangiitis"],"prefix":"10.1111","volume":"31","author":[{"given":"Jacquelyn","family":"Dosal","sequence":"first","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Good","sequence":"additional","affiliation":[{"name":"Miller School of Medicine University of Miami Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasem","family":"Alshaiji","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"De Solo","sequence":"additional","affiliation":[{"name":"Center for Arthritis and Rheumatic Diseases Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Ricotti","sequence":"additional","affiliation":[{"name":"Derm Dx Dermatopathology Aurora Diagnostics Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Alvarez\u2010Connelly","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery University of Miami Miami Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,9,9]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2011.150714"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(94)70224-1"},{"key":"e_1_2_3_4_1","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1001\/archderm.1994.01690070055008","article-title":"Wegener's granulomatosis","volume":"130","author":"Frances C","year":"1994","journal-title":"Arch Dermatol"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0560.2006.00699.x"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24876"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-012-2198-5"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1470.1999.00057.x"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)83482-1"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(84)80003-1"}],"container-title":["Pediatric Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpde.12221","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pde.12221","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T00:18:06Z","timestamp":1696205886000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pde.12221"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,9]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.1111\/pde.12221"],"URL":"https:\/\/doi.org\/10.1111\/pde.12221","archive":["Portico"],"relation":{},"ISSN":["0736-8046","1525-1470"],"issn-type":[{"value":"0736-8046","type":"print"},{"value":"1525-1470","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,9]]}}}