Acne Flashcards
Main side effects with topical retinoids
Erythema and irritation
Photosensitivity
Teratogenicity
1st line treatment for acne? Mild to moderate
Topical retinoids, abx, antibacterials
Two names of antibacterials?
BPO, Azelaic acid
1st line systemic abx for acne?
Clyclines
When are cyclines contrindicated?
pregnancy, breastfeeding, children <12
Best ways to limit resistance?
Combination therapy with BPO
Limit duration to <6 months
Retreat with same abx
What do hormonal treatments increase the risk of?
VTEs
Most common hormonal treatment drug for acne?
Isotretinoin
Inidications for Isotretinoin?
Severe acne
Active acne with scarring
Resistant disease
Rapid relapses following oral therapy
Mucocutaneous side effects of isottetinoin?
Dry skin Chellitis Dermatitis Dry mucosa Epistaxis Hair loss (rare)
Other side effects of Isotretinoin?
Teratogenicity Increaed lipids Deranged LFTs Arthralgia Depression
Usual treatment course for isotretinoin?
4-6 months
Relapse 22-30%
Treatment for scars?
Microdermabrasion Dermabrasion Laser resurfacing Excision Intralesional steroid for keloids