Acne Imposters Flashcards
Folliculitis
Fungal acne imposter caused by moisture, needs anti fungal cream. No core w/ extractions.
May present w acne. Use Mandelic acid, Keratonisal, Zinc. No Benzy Acne med
5 causes of Inherited acne
1.increase of 5 Alpha Reductase
2. Decrease of linoliec Acid
3. Elevated Interlueken 1A
4. Increase of MMP8
5. Plug forms for P Acne Bactrria to thrive
Corneocyte Shedding Rates
Normal Skin: sheds 1 layer per day
Acne: 5 layers per day
Abnormally sticky
Retention Hyperkeratosis
Over abundance of shedding skin cells caused by sticky corneocytes shedding 5 times the normal rate
P Acne Bacteria
Once pore is clogged by Hyperkeratosis, this bacteria eats excess sebum and makes fatty acids that inflame skin.
#5 characteristic of Acne
What does elevated levels of Interleukin 1A do
Sends signal for an inflammatory reaction to the pore; white blood cells, swelling, pressure.
Cause of acne
What is 5 Alpha Reductase
Converts testosterone to DHT, which elevates oil secretions that P Acne Bacteria thrive off, eating and making fatty acids which cause inflammation. Part of the hereditary disorder of acne #1
P acne Bacteria
When a plug is finally formed in the pore, this bacteria eats the excess oil that increases levels of 5 Alpua Reductase makes, causing fatty acids that create inflammation.
inflamed acne Severity Treatment and condition
Red, hot, sensitive
Easy to treat
Fast to results
Use gentle slow approach w/ product power
Type 1
Rupture causes spread of bacteria to skin around it
Non Inflammed Acne Papule
Congested, open and closed comedones, non painful, take a more aggressive approach, usually not as sensitive, takes longer to resolve
2 types of inflammatory pimples
1 papule : Rupture of pore from the pressure; red round welt
- Pustule: white blood cells present
2 Deeper Acne Lesions
1, Nodule: deep papule in skin; presents with a dome shape
2, Cyst: may resemble Nodule but is a collection of pustules measuring 5 mm (size of pencil eraser) across. This is painful and may cause scarring.
What is a Deficiency of Lineloic Acid
2 trait of acne: less than normal Vitamin F; which created plump less and moisture. Reduced levels increase imbalance of sebum.
Microcomodomes
Educate clients that most acne starts this way deep in skin; products need to penetrate this to stop acne from starting. This is where the cycle begins. Deep under stratum corneum next to the sebaceous gland has hyperplasia, the oil keeps producing feeding the microcomodone; may take 3 months to appear
Acne Contributing Factors from a condition or drug
Drugs, Steroids, Lithium, PCOS w/ increased androgen leads to more oil,
3 Acne Types
- Inflammatory: treat 1st and gently
- Non inflammatory: treats longer and more takes longer, usually not reactive; aggressive approach
3, Combo
Elevated level of MMP. 8
It’s a disorder of a
Genetic mediator of inflammation that is overreacting within the cell
3rd Acne Type
Combination of inflamed and non inflamed
Treat inflamed first
What imposter we can’t help but may be with acne
Steatocystoma Multiplex
7 acne imposters
Rosacea Type 2
Steatocystoma Multiplex
Folliculitis
Rosacea Fillimens/ Pyroderma Faciale
Staph Infection
Perioral Detmatitis
Keratosis Pilaris
Type 2 Rosacea (who did Rosy come with and a…) plus baseline acid
What protocol to use
3 antibacterial products to use
Acne imposter we can treat; persistent flushing with papules that have no core when extracted,
No comodones
Antibacterial products are Salycilic acid, Mandelic Acid Benzoperoxide Acne med
Use mild infection protocol
Ask and Educate about triggers
3 Acne Severities
Mild 10 or less
Moderate 30 or less
Severe more than 30
Papulopustular Rosacea
Type 2 Rosacea that we may treat
Steatocystoma Multiplex
Rare, excessive oil disorder with no core in lesions.
Can’t help directly but can help if acne is present with it.
