Acne vulgaris Flashcards
Symptoms?
Inflammatory papules as well as non-inflammatory comedones, nodules, scarring and pustules.
Acne can only be diagnosed if comedones are present.
Acne can be on the face, back or chest.
Blackheads - little black or yellowish spots on the skin.
Whiteheads - resemble blackheads in appearance but are stiffer and do not empty when pressed.
Papules – little red bumps that may feel sensitive, unpleasant or sore.
Pustules – like papules, but with a white point in the centre, produced by pus build-up.
Nodules – big hard lumps that develop up beneath the surface of the skin and can be painful.
Questions?
When did you first notice this problem, and how long have you had it?
Have you tried anything to relieve your symptoms yet? If so, did it help at all?
Do you have a family history of acne? If so, what treatments did they receive?
How often do you get them?
Have you noticed any triggers for your acne, such as stress?
What soaps/skincare products have you been using recently?
QUESTIONS FOR FEMALES ONLY
Are you on oral contraceptives? If so, which one?
How regular is your menstrual cycle?
Are you, or is there a chance that you could be, pregnant?
Red flags?
Pigmentation — post-inflammatory depigmentation or hyperpigmentation may be present.
Seborrhoea
Scarring — atrophic/ice pick or hypertrophic/keloid scars may be seen.
Inflammatory lesions
sider referring people to a consultant dermatologist-led team if they have:
Mild to moderate acne that has not responded to a completed courses of treatment
Moderate to severe acne which has not responded to previous treatment which contains an oral antibiotic
Treatment?
Clearasil rapid action - Rapid action treatment cream 25ml OR Rapid action gel wash 150ml
Cream:
Wash face and apply a thin layer morning and evening directly onto spots and allow to dry. Wash hands after use.
OR
Benzoyl peroxide (Acnecide)
Gel 15g and 30g (P)
Acnecide 5%
Gel: Apply 1-2 times a day on dried skin, preferably after washing with a mild cleanser.
