Acne Flashcards
(34 cards)
Acne Vulgaris
inflammatory condition - lesions develop from sebaceous glands around hair follicles on face, chest, back.
Typically starts in teenage years but often self limiting
Acne Rosacea
Inflammatory papules, pustules and erythema
- no comedones
when is Isotretinoin recommended
when pt has inflammatory papules + comedones that fail to respond to topical retinoid and oral AB fro 3 months
Moderate acne - unresponsive to conventional therapy or relapsing severe acne
acne scarring
psychological effects resulting from acne + scarring
management of mild acne
1st line = topical trx - benzoyl peroxide
2nd line = topical retinoids
3rd line = azelaic acid
- consider OCP
what can worsen acne (2)
- anabolic steroids
- menstruation
name 6 types of acne
- acne vulgaris
- acne rosacea
- acne exoriee
- infantile acne
- acne conglobata
- pyoderma faciale
Pyroderma faciale
- starts abruptly
- lasts < 1 yera
- confined to face
- not assoc w/ oily skin
- only women
- not linked to comedones
causes of acne exoriee
scratching, picking, squeezing
leading to; bleeding, oozing pus, deep scarring of skin
acne Congloblata
- severe form
- boys + tropical areas
- face + limbs
visual characteristics of acne rosacea?
- erythema w/ prominent blood vessels
- pustules
- papules
- oedema
- persistent erruption
- assoc w/ flushing
Inflammatory condition where lesions develop from sebaceous glands around hair follicles
acne vulgaris
sebaceous glands produce ___ in acne vulgaris
excess grease
how are comedones produced in acne vulgaris
thickening of the keratin lining of sebaceous duct
validated scoring system to assess affect of disease on person
APSEA
assessment of psychological + social effect of acne
consists of 15 questions
what is Leeds scoring system
counts + categorises lesions into inflammatory and non inflammatory ranging from 0 –> 12
epidemiology of acne vulgaris
80-90% teenagera
comedones are due to
dilated sebaceous follicle
how to inflammatory lesions: papules + pustules form?
when follicle bursts, releasing irritants
scars formed in acne vulgaris (2)
- ice pick scars
- hypertrophic scars
symptoms that lead to suspecting PCOS
+
Investigation
- oligomenorrhoe + hirstuism
- free testosterone levels
step 1 - treatment of comedonal acne
1st line - topical retinoid e.g. differin
2nd line - azelaic acid
step 2 - trx mild to moderate papular/pustular acne
ideally containing benzoyl peroxide w/ topical retinoid OR topical abx
e. g.:
- epiduo gel
- Duac: clindamycin + BPO
role of BPO
reduce bacterial resistance
step 3 trx
combine systemic abx + topical agent
