Acne Flashcards
Which type of skin condition sees someones face become flushed or red?
Rosacea
Does smoking have an impact on acneiform eruptions?
No, there is no link
Does diet impact skin health?
There is little evidence to support this
What information must be elicited from an acne history?
- Age of onset and problem duration
- Exacerbating factors - e.g. menstruating, anabolic steroids etc)
- Prior and current Tx
- Other health issues (PCOS)
- Other medications
- Effects skin has on other aspects of life
What is the most common type of acne?
Acne Vulgaris
Where are the common areas where acne vulgaris affects the skin?
Comedogenic areas of the;
- Face
- Back
- Chest
Which gender is more likely to develop acne vulgaris?
Males
When is the peak incidence of acne vulgaris in males?
Between 18 and 19
When is the peak age of acne vulgaris in females?
Between 16 and 18
What are the common skin features of acne vulgaris?
Inflammatory papules and pustules
What is acne keloidalis?
A type of acne scarring
What is acne excoriee?
This is a variant of acne that is due to the patients’ persistent picking of the skin that produces disfiguring erosions
What is the challenge with acne excoriee?
The acne itself is usually very mild but persistent. The challenge is breaking the patients’ habitual picking/excoriation of the skin.
What is infantile acne?
Lesions that occur on the face within the first few months of life.
What is acne conglobata?
This is a very severe form of acne seeing extensive nodulocystic acne with abscess formation.
Who is most commonly affected by acne conglobata?
Males
Those who live in tropical climates
Which parts of the body are most affected by acne conglobata?
- trunk
- face
- limbs
What is acne fulminans?
Very severe form of acne that is associated with systemic features of malaise, fever and joint pains. This also produces nodulocystic acne and abscess formation.
What is the name of the tool that we use to assess the psycho-social effects of acne on an individual?
The Assessment of the Psychological and Social Effects of Acne (APSEA)
When is the use of oral retinoids indicated in someone with acne vulgaris?
- Moderate acne, unresponsive to conventional therapy or had a relapse after tried conventional therapy
- Sever acne
- Acne scarring
- Psychological effects from acne and scarring
- Unusual acne form
What is the basic physiology of acne vulgaris?
It is the blockage and inflammation of the pilosebaceous unit
People with mild-moderate acne should be offered a 12-week course of first line treatment. What are the 3 first line treatment options?
- A fixed combination of topical adapalene with topical benzoyl peroxide (0.1% or 0.3% adapalene with 2.5% benzoyl peroxide).
- A fixed combination of topical tretinoin with topical clindamycin (0.025% tretinoin with 1% clindamycin).
- A fixed combination of topical benzoyl peroxide with topical clindamycin (3% or 5% benzoyl peroxide with 1% clindamycin).
People with moderate-severe acne should be offered a 12-week course of first line treatment. What are the 4 first line treatment options?
- A fixed combination of topical adapalene with topical benzoyl peroxide.
- A fixed combination of topical tretinoin with topical clindamycin.
- A fixed combination of topical adapalene with topical benzoyl peroxide, together with either oral lymecycline 408 mg or oral doxycycline 100 mg once daily.
- Topical azelaic acid (15% or 20%) applied twice daily, with either oral lymecycline 408 mg or oral doxycycline 100 mg once daily.
What are the features of mild acne vulgaris?
Predominantly non-inflamed lesions (open and closed comedones) with few inflammatory lesions
What are the features of moderate acne?
More widespread with an increased number of inflammatory papules and pustules
What are the features of severe acne?
Widespread inflammatory papules, pustules and nodules or cysts. Scarring may be present.
