Acne Flashcards

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1
Q

What is Acne Vulgaris

A

A disease of the pill-debaceous units

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2
Q

Forms Of acne from mild-severe

A

Comedones (open or closed) - papule - pustules - nodules - cysts - scars

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3
Q

What is the peak age for developing acne

A

15-18 (90%)

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4
Q

Who can have a delayed onset

A

Females

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5
Q

Who gets acne more

A

Males=Females but males acne is more severe

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6
Q

Topical Cream (not antibiotic)

A

Benzoyl peroxide

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7
Q

topical antibiotics

A

Clindamycin and erythromycin

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8
Q

Systemic antibiotics

A

tetracyclines, erythromycin and trimethoprim

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9
Q

Last resort/best medicine

A

Isotretinoin - best results but saved as last resort

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10
Q

Side effects of isotretinoin

A

Teratogenic - must be on contraceptive
Low mood
Dry skin, lips, epistaxis, reduced night time vision.

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11
Q

Acne fulminans

A

Sudden onset acne eruption. Causes fever and unwell - start with isotretinoin and cover with prednisolone

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12
Q

Scarring treatment

A

Must wait 1 year after stopping isotretinoin

Can be steroids, excision, laser, chemical peels, dermabrasion (often have to go privately)

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13
Q

What is acne rosacea

A

Chronic inflammation ‘inflammation of the face without sweating’

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14
Q

Where is acne rosacea seen

A

Ace of clubs distribution - forehead, cheeks, chin, nose (unusual on non facial sites)

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15
Q

Who gets acne rosacea

A

F>M but (M more severe)
30-50
fair skin

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16
Q

Triggers of acne rosacea

A

alcohol, spices, emotion, hot drinks

17
Q

What is rhinopehyma

A

thickening of sebaceous glands on the nose - after years of acne rosacea (enlarged nose tip)

18
Q

Topical treatment

A

metronidazole, azeleic acid (only lasts 8 hours)

19
Q

Common side effect

A

Rebound after medication wears off is very common - acne rosacea will appear worse

20
Q

Other treatments

A

Oral antibiotics or low dose isotretinoin, light based treatments, laser

21
Q

Childs acne treatment

A

has the same treatment as adults

22
Q

Menstrual cycle acne

A

Treated with contraceptive (MUST have estrogen, progesterone only will make acne worse)

23
Q

What is hidradenitis suppuritiva

A

Recurrent boils and abscesses in armpits, groin regions - treated with lifestyle modification and topical creams.