Acne Case Study Flashcards
Four factors that contribute to the development of acne lesions:
1) an abnormal shedding of keratinocytes within pilosebaceous unit
2) increased production of sebum by sebaceous glands
3) presence of the anaerobic propionibacterium acne
4) inflammation
Comedones
Enlarged hair follicles plugged with oil and bacteria
Open Comedones
Blackheads
Closed Comedones
White heads/under the skin acne
Treatment for acne
Topical retinoids (tretinoin/retin-A)
Topical benzoyl peroxide
Isotretinoin-(accutane)
Mild acne
25% of face (no cysts) no nodules
Moderate acne
50% of face may have nodules
Severe acne
Cysts, nodules & scarring
Mild acne treatment
Topical tretinoin at night/ benzoyl peroxide in morning
Moderate acne treatment
Benzoyl peroxide and/or topical antibiotics in morning and topical tretinoin at night
Severe acne treatment
Benzoyl peroxide and oral antibiotics/ isotretinoin (accutane)
Accutane
Pulled from market at one point (only used when nothing else works)
Accutane S/E
Mood changes/depression
Teratogenic
Liver function issues
Increased cholesterol
Prior to women being given accutane
Need to have 2 negative pregnancy tests before start
Every month pregnancy test done
Need to be on oral contraceptives
Nursing considerations for treatment
Usually given at night
Bleaching w/ benzoyl peroxide
Use of sunscreen/ limit sun exposure
