An 18-year-old Chinese male was referred to our hospital for severe chest acne. He had mild truncal acne for the last 2 years and was started by his general practitioner on oral
doxycycline and topical 4% sulphur and 2% resorcinol for 1 application twice a day, 3 weeks before his condition worsened acutely. He presented to us with inflammatory
papulopustular acne with ulceration over the anterior chest (Fig. 1).
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