Acne and a Hickey: What is Wrong with Vickie?

The 16-year-old is upset by a new outbreak of “acne” and the prom is in 2 weeks. But is it acne? And what’s that bruise?

Sixteen-year-old Vickie is upset because her prom is in 2 weeks and she wants to be clear-skinned for the event. Specifically, she has had an outbreak of zits that are different from her typical acne and they do not respond to her topical retinoic acid. What do you think the lesions could be? Does the bruise on her neck offer any clues?    







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Klein DA, Goldenring, JM, Adelman WP. HEEADSSS 3.0: The psychosocial interview for adolescents updated for a new century fueled by media. Contemporary Pediatrics; January:16-28. 2014.

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