Acne Flashcards

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0
Q

Main side effects with topical retinoids

A

Erythema and irritation
Photosensitivity
Teratogenicity

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1
Q

1st line treatment for acne? Mild to moderate

A

Topical retinoids, abx, antibacterials

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2
Q

Two names of antibacterials?

A

BPO, Azelaic acid

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3
Q

1st line systemic abx for acne?

A

Clyclines

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4
Q

When are cyclines contrindicated?

A

pregnancy, breastfeeding, children <12

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5
Q

Best ways to limit resistance?

A

Combination therapy with BPO
Limit duration to <6 months
Retreat with same abx

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6
Q

What do hormonal treatments increase the risk of?

A

VTEs

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7
Q

Most common hormonal treatment drug for acne?

A

Isotretinoin

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8
Q

Inidications for Isotretinoin?

A

Severe acne
Active acne with scarring
Resistant disease
Rapid relapses following oral therapy

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9
Q

Mucocutaneous side effects of isottetinoin?

A
Dry skin
Chellitis
Dermatitis
Dry mucosa
Epistaxis
Hair loss (rare)
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10
Q

Other side effects of Isotretinoin?

A
Teratogenicity
Increaed lipids
Deranged LFTs
Arthralgia
Depression
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11
Q

Usual treatment course for isotretinoin?

A

4-6 months

Relapse 22-30%

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12
Q

Treatment for scars?

A
Microdermabrasion
Dermabrasion
Laser resurfacing
Excision
Intralesional steroid for keloids
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