Acne

Question 1

What are some variants of Acne vulgaris

Answer 1

• Acne conglobata
• Acne fulminans
• Acne excoriee

Question 2

Acne conglobata

Answer 2

• Severe form of nodulocystic acne.
• Systemic symptoms are usually absent.

Question 3

Acne fulminans

Answer 3

• Acute, painful, ulcerating, and hemorrhagic clinical form of acne.
• Systemic symptoms such as fever and polyarthritis.
• Also may cause bone lesions and laboratory abnormalities.

Question 4

Acne excoriée

Answer 4

• Young women with an underlying psychiatric disorder.
• Mild acne, including comedones, that are picked and excoriated, leading to scarring.

Question 5

Management of mild acne

Answer 5

Topical treatment only

Question 6

Management of moderate acne

Answer 6

Topical treatment and oral antibiotics or Dianette (females - it is a hormone treatment)

Question 7

Management of severe acne

Answer 7

Systemic antibiotics + Isotretinoin (Roaccutane) - refferal to dermatologist

Question 8

What are the different topical treatments for acne?

Answer 8

• Adapalene (Differin®)
• Tretinoin (Retin A®)
• Azaleic acid (Skinoren®)
• Nicotinamide (Papulex®)
• Benzoyl peroxide
• Topical antibiotics

Question 9

Grading of acne

Answer 9

Mild - scattered papules and pustules

Moderate - numerous papules, pustules &
mild atrophic scarring

Severe - as above, cysts, nodules and significant scarring

Question 10

What are notable side effects of isotretinoin treatment

Answer 10

• Dry skin/mouth/eyes/lips (most common)
• Teratogenecity, photosensitivity, low mood, nose bleeds, hair thinning, raised triglycerides, intracranial hypertension
• Women must use two forms of contraception from one month before and one month after use (prego test must e done before starting treatment)