{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:46Z","timestamp":1787775766653,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1\u20136","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Isotretinoin is often used for acne treatment. Common side effects include dry eyes and mouth, muscle aches, and hypertriglyceridemia. Scalp cysts have not yet been reported in conjunction with isotretinoin. In this report, we describe a case of alopecic scalp cysts developing following 3 weeks of isotretinoin use by a young female for facial nodulocystic acne. On dermoscopy, hair follicular openings were patent, with few scattered black dots and open comedones. A diagnosis of pseudo-acne fulminans was made, and she was treated with a tapering course of oral prednisolone, oral erythromycin, and topical minoxidil, with the resolution of the cysts and good hair regrowth. As isotretinoin is commonly used by dermatologists, it is important for clinicians to be aware of the presentation and treatment of this unintended outcome, particularly in acne patients with scalp comedones.<\/jats:p>","DOI":"10.4103\/ijt.ijt_35_22","type":"journal-article","created":{"date-parts":[[2025,4,19]],"date-time":"2025-04-19T02:00:15Z","timestamp":1745028015000},"page":"50-51","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Alopecic Scalp Cysts Following Isotretinoin"],"prefix":"10.4103","volume":"16","author":[{"given":"Agnes","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Dermatology, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Liang","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Kwang","family":"Tay","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Changi General Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"R1-20250428","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1016\/0190-9622(93)70076-6","article-title":"Acne fulminans:Report of clinical findings and treatment of twenty-four patients","volume":"28","author":"Karvonen","year":"1993","journal-title":"J Am Acad Dermatol"},{"key":"R2-20250428","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1046\/j.1365-2230.2000.00647.x","article-title":"Acne fulminans 'sine fulminans'","volume":"25","author":"Thomson","year":"2000","journal-title":"Clin Exp Dermatol"},{"key":"R3-20250428","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1590\/abd1806-4841.20143024","article-title":"Pseudo-acne fulminans associated with oral isotretinoin","volume":"89","author":"Grando","year":"2014","journal-title":"An Bras Dermatol"},{"key":"R4-20250428","doi-asserted-by":"crossref","first-page":"462","DOI":"10.4103\/idoj.IDOJ_296_17","article-title":"Pseudo acne fulminans:An under recognized entity","volume":"9","author":"Meena","year":"2018","journal-title":"Indian Dermatol Online J"},{"key":"R5-20250428","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1111\/bjd.13999","article-title":"Dissecting cellulitis of the scalp:A retrospective study of 51 patients and review of literature","volume":"174","author":"Badaoui","year":"2016","journal-title":"Br J Dermatol"}],"container-title":["International Journal of Trichology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_35_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:41:50Z","timestamp":1787773310000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ijt.ijt_35_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":5,"journal-issue":{"issue":"1\u20136","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/ijt.ijt_35_22","relation":{},"ISSN":["0974-7753","0974-9241"],"issn-type":[{"value":"0974-7753","type":"print"},{"value":"0974-9241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2022-03-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}