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The draining sinus is the most disturbing acne lesion. It is a lesion featuring the combination of nodules and scars. Typically, this inflammatory tunnel develops in the face, especially in the nasolabial folds, cheeks, bridge of the nose, chin, and sides of the neck. Treatment is very difficult. In most cases, only surgical excision of the entire lesion provides a final cure. A 25 year-old man with draining sinuses in nasolabial folds is reported. The therapeutic regimen included a prolonged, partly low-dose isotretinoin treatment, in the beginning in the combination with oral corticosteroid. Outcome was favorable, with no recurrences during 12 months of the treatment and during the following 3 months.

Draining Sinuses Successfully Treated with a Prolonged, Partly Low-Dose Isotretinoin Treatment- A Case Report