Acne Vulgaris

Question 1

Management of mild - moderate acne vulgaris?

Answer 1

1st line is a 12 week course any two…
- Benzoyl peroxide
- Topical abx
- Retinoids

2nd line:
- Oral trimethoprim/erythromycin
- or COCP, spironolactone in women

Question 2

Management of severe acne vulgaris?

Answer 2

1st line is either..
- Topical retinoid + Benzoyl peroxide
- Topical retinoid + Topical abx
- Topical retinoid + Benzoyl peroxide + Oral lymecycline/doxycycline
- Topical azaelic acid + oral abx

2nd line:
- Oral trimethoprim/erythromycin
- or COCP, spironolactone in women

Question 3

What treatment is contraindicated in managing acne vulgaris in a pregnant lady?

Answer 3

Topical retinoids, oral doxy/lymecycline

Question 4

Indications for dermatology referral for acne vulgaris?

Answer 4

Psychological distress

Non responsive to 12 weeks treatment

Persistent pigmentary changes

Atrophic, hypertrophic or keloid scarring