Acne Flashcards
What are the common examination findings?
Open and closed comedones on face/back of adolescents
What are the investigations?
To finish the exam i would like to - take a history and expose the whole body for rashes - I would like to explore the social impact
Bloods - FBC and LFTS incase considering systemic retinoids
Swab the site
What is the treatment?
Conservative - Explain what it is and how to reduce chances of getting spots
Medical -
- COCP in girls
- Topical retinoids
- Oral antibiotics
- Oral retinoids
What causes is?
Increased sebum and oil production in skin during puberty which gets stuck in the hair follicles.
Bacteria colonise this forming spots
What are the risk factoes?
FH
Picking can make them worse
Greasy cosmetics
Hot environment
PCOS and endocrine