Acne Flashcards
Organism involved in pathogenesis of acne
Cutibacterium acne
Open comedones formed by oxidation of the fat in the sebum are called
Blackheads
Closed comedones are called
White heads
Complications of acne
•Post-inflammatory hyperpigmentation
•Scarring
Treatment of acne
Comedonal: topical retinoids
Mild papular/pustular: topical retinoids + topical benzoyl peroxide
Mod: topical retinoids + oral tetracycline or
Dianette or
Spironolactone
Severe: oral isotretinoin
Tx of scar; laser
Investigations of acne pts
- Liver function
- Lipid profile( cholesterol and triglyceride)
- Pregnancy test (teratogenic )
Why don’t we use tetracyclin in infantile acne
Tetracyclin causes yellow teeth
Treatment of infantile acne
Reassurance
If sever: topical benzoyl peroxide or erythromycin
Organism involved in folliculitis declavans
Staph aureus
Treatment of folliculitis declavans
Oral Ab
Oral steroids
Oral isotretinoin
What is haydradenitis suppurativa
Inflammation of the apocrine glands
Tx of haydradenitis suppurativa
Topical clindamycin
Systemic:
. ab for 3 m (tetracyclin)
.ocp
Steroids
Retinoids