Acne

Question 1

describe what type of disease acne vulgaris is

Answer 1

chronic inflammatory disease of the pilosebaceous unit

Question 2

how common is acne vulgaris

Answer 2

up to 95% of under 16 y/o

Question 3

what pathology is seen in acne vulgaris

Answer 3

poral occlusion, bacterial colonisation of duct, dermal inflammation, increased sebum production

Question 4

describe the distribution of acne vulgaris

Answer 4

related to sites with most sebaceous glands, face, upper back, anterior chest

Question 5

what morphology can be seen with acne vulgaris

Answer 5

comedones, pustules and papules, custs, erythema

Question 6

what are the different types of comedones

Answer 6

open(blackheads) and closed(whiteheads)

Question 7

describe mild acne vulgaris

Answer 7

scattered pustules and papules, comedones

Question 8

describe moderate acne vulgaris

Answer 8

numerous papules, pustules, and mild atrophic scarring

Question 9

describe severe acne vulgaris

Answer 9

cysts, nodules, significant scarring

Question 10

what is the aim of acne treatment

Answer 10

aim to control/prevent scarring, most usually cases resolve spontaneously eventually

Question 11

what should be avoided in acne vulgaris

Answer 11

oily substances and any triggers

Question 12

what are some of the topical treatments that can be used for acne vulgaris

Answer 12

benzoyl peroxide(keratolytic, antibacterial), topical Vit. A derivative(drying effect), topical antibiotics(antibacterial and anti-inflammatory)

Question 13

what are some of the systemic treatments that can be used for acne vulgaris

Answer 13

antibiotics, isotretinoin(effects sebaceous gland activity but lots of side effects)