acne

Question 1

how does acne present?

Answer 1

1. comedones, papules and pustules
2. affects face, back and chest
3. teenagers, 30-60

Question 2

How does rosacea present?

Answer 2

1. flushing central face, cheeks and nose
2. papules and pastules
3. telangiectasia
4. bulbous nose

Question 3

what is rosacea triggered by?

Answer 3

1. spicy food and alcohol

Question 4

how does folliculitis present?

Answer 4

1. hair folliculitis becomes inflamed

2. monomorphic pustules when swabbed grows staph aureus

Question 5

How is mild acne managed? (3)

Answer 5

1. topical antibiotics - erythromycin/clinodmycin
2. benzoyl peroxide cream
3. topical retinoid cream

Question 6

name two topical retinoid cream?

Answer 6

Differin
Adapalene

(good for comodone use/should not used in pregnancy)

Question 7

How is moderate acne managed?

Answer 7

1. Oral antibiotics - Lymecycline
2. Benzoylperoxide/topical retinoids
3. Females;
   - combined oral contraceptives

• spirnolactone (avoid in pregnancy)

Question 8

How is severe acne manged?

Answer 8

1. Oral retinoid -Roaccutane/Isoretinoin

2. must not combine with tetracycline as both raise ICP

Question 9

What needs to be considered when prescribing oral retinoid?

Answer 9

1. women of child bearing age need to be on 2 forms of contraception
   - 1 month before/during/after
2. Increases suicide risk/depression - avoid with hx of mental illness

Question 10

Name 4 side effects of oral retinoid?

Answer 10

1. Dry lips and skin
2. LFTs deranged
3. Teratogenicity
4. Increased ICP