Acne

Question 1

Acne MC location on face

Answer 1

Cheeks

Question 2

Testosterone >200

Answer 2

Ovarian tumor

Can be 150-200 in PCOS

Question 3

Diet and acne

Answer 3

High glycemic worsens

Question 4

Common mino SE

Answer 4

Vertigo

Limited by extended release formulation

Question 5

% of patients acne free after 1 isotretinoin course

Answer 5

40-60%

Question 6

Males on isotretinoin

Answer 6

Not mutagenic so no teratogenicity for males on this (can if donate blood)

Question 7

SAPHO

Answer 7

Skin findings - PP pustulosis, Sneddon Wilkinson, hs, sweets, acne

Chest wall and mandible MC sites of bony complaints

Question 8

Acne aestivalis/Mallorca acne

Answer 8

Seasonal acne in spring, summer and resolves in fall

Responds best to retinoid (not ab)

Question 9

Most potently induces acneiform eruptions

Answer 9

Polyhalogenated hydrocarbons like dioxin (2,3,7,8 tetrachlorobenzodioxin)

Asbestos may too

Tretinoin effective for steroid acne

Question 10

Topical CCI

Answer 10

Papulopustular eruption

Question 11

GN folliculitis

Answer 11

Isotretinoin –> bactrim or amox

Question 12

HS favored areas in men

Answer 12

Buttocks, perianal, retroauricular, trunk

Question 13

HS complications

Answer 13

SCC (after avg of 19 yrs of active dz), interstitial keratitis, sponyloarthropathy, rectal fistula, low protein, amyloidosis, penile lymphedema

Question 14

Morbihans

Answer 14

MC in papulopustular and glandular rosacea

Question 15

Protopic + alcohol drinking

Answer 15

Flushing

Question 16

Granulomatous facial dermatitis

Answer 16

Gran facial papules of eyelid and upper lip, no vascular manifestations this term is preferred

Question 17

Haber syndrome

Answer 17

Rosacea like dermatitis

Multiple verrucous lesions on non exposed skin

Question 18

Granulomatous perioral dermatitis in children

Answer 18

Prepubertal
Perioral, periocular and perinasal
May also have generalized lesions including labia
Fig 13-30 Andrews