Acne Flashcards
0
Q
Acne Tx
A
- Topical retinoid (adaptelene gel) or systemic retinoid
- Topical or oral Abx
- Benzoyl peroxide
“Do not apply topic retinoids and benzoyl peroxide at the same time as benzoyl peroxide oxidizes retinoids. Alternating days if use both.”
2-3 months to see effect.
1
Q
Acne pathogenesis
A
"Clogged pores" = comedome
Pores = pilosebaceous unit
Inflammation
Infection
Bacteria- Propionibacterium acnes and granulosum
2
Q
Acne Rosacea
A
Middle aged No comedome Flushing Facial nasal labia area Papules and pustules superimposed on a background of Telangiectasias and general erythema Rhinophyma - enlarged nose
3
Q
Benzoyl peroxide
A
- bA topic Meds with both antibacterial and comedolytic properties
- Both Prescription and OTC
- adverse effects
- bleaching of hair, colored fabric, or carpet
- may irritate skin; discontinue of severe
4
Q
Topical or oral Abx
A
Tetracycline
Doxycycline
Minocycline
It takes 2-3 months to see improvement
5
Q
Oral isotretinoin
A
- For severe, nodulocystic acne failing other therapies
- 5-6 months course
- Teratogenic
- female must be enrolled in FDA-mandated prescribing program in order to use this Meds
- two forms of contraception must be used during the therapy and for one month after tx has ended
6
Q
isotretinoin
A
Common side effects:
- Xerosis (dry skin)
- Cheilitis (chapped lips)
- Elevated liver enzymes
- Hypertiglyceridia
7
Q
Open comedome
A
“Blackhead”
8
Q
Closed comedome
A
“Whitehead”
9
Q
Acne
A
“Pimples”
10
Q
Acne Vulgaris
- Presence of hormones (androgens)
- Sebaceous gland activity
- Plugging of the hair follicle
- P. Acnes (Bacteria) in the hair follicles
A
Pathogenesis
11
Q
Oral isotretinoin
A
Teratogenic
12
Q
Spironolactone
A
Has anti-androgenic effects
13
Q
Acne Rosacea
A
The absence of comedies helps to distinguish acne vulgaris from Rosacea
14
Q
Acne
A
Adolescent
