Acne Lecture

Question 1

classification of acne vulgari

Answer 1

based on morph.

comedonal, inflamm, nodulocystic

Question 2

what is inflamm acne

Answer 2

papules and pastules

Question 3

acne conglobata or fulminans

Answer 3

severe eruptive noculocystic acne

Question 4

conglobata doesn’t have systemic symptoms

Answer 4

acne fulminans does have systemic features( fever, etc)

Question 5

hydrocortisone causes what

Answer 5

steroid-induced acne

Question 6

dx acne

Answer 6

hx, exam

Question 7

when should a woman be eval for hydandrogenism?

Answer 7

clitoromegaly, hair loss, deep voice, mesntrual irreg, hirsutism

Question 8

main tx acne

Answer 8

retinoids (syst, topical) antibiotics, systemic hormonal

Question 9

mainstay of acne tx?

Answer 9

use multiple

Question 10

comedonal acne tx

Answer 10

topical retinoids, benzoyl peroxide, azelaic acid

Question 11

mil-mod inflamm acne tx

Answer 11

topical retinoid, antibiotic, benzoyl peroxide (benz use w antibiotic! more effective)

Question 12

what decreases risk of antibiotic R?

Answer 12

benzoyl peroxide

Question 13

using topical tretinoin and penzoyl peroxide. add what if not working for inflamm acne?

Answer 13

oral antibiotics.

Question 14

mod severe inflamm acne tx

Answer 14

topical retinoid and benz peroxide WITH oral antibiotic (use antibiotics 12-18 wks)

Question 15

med for severe, recalcitrant, or nodular acne is deriv of what?

Answer 15

vit A! bc ISOtretinoin

Question 16

side eff of isotretinoin?

Answer 16

teratogen!

cucocut dis, myalgia, vision, intracrnaila HTN, hepatotox, HYPERLIPID

Question 17

woman using many tx not working

Answer 17

oral contraceptive

Question 18

most common hromonal acne agents not resp to topica and oral antibiotics like doxy?

Answer 18

spironolactone

oral contraceptives

Question 19

who does rosacea most commonly affect?

Answer 19

fair skinned pts (Caucasians of N or E europe heritage)
acttinic damage
relatives w rosacea
propensity to flush

Question 20

4 types rosacea

Answer 20

erythematotelangiectatic
papulopustular
phymatous
ocular

Question 21

clinical features of roxacea erythematotelangiectatic

Answer 21

redness, flushing, telangiectasia, dry/sensitive skin

Question 22

paupulopustula rosacea clinical

Answer 22

inflamm acne basically

Question 23

which rosacea localized on central face?

Answer 23

papulopustlar

erythematotelangiectatic

Question 24

phymatous rosacea looks like

Answer 24

tissue Htrophy w irreg thick skin

involves nose, chin, forehead, cheeks

Question 25

ocular rosacea clinical

Answer 25

conjunct hyperemia, blepharitis, keratitis, lid telangiectases, tearing, scarring conjunct, hordeolum. Dry eye, foreign body sensation, blurry, stinigng, etc

Question 26

tx rosacea

Answer 26

know to avoid triggers
improve flushing, irratation
cosmetic camoflagebasically behavior modifications
periodic laser/ intense pulsed light good for erythema

Question 27

rosacea papulopustual tx

Answer 27

topical metronidazole
acetizic acid??
if MANY lesions or topical doesn’t work, use oral antibiotics 4-12 weeks, maintain w topical or doxy

Question 28

tx for refractory papulopustular rosacea

Answer 28

oral isotretinoin. needs to be pretty bad

Question 29

ocular rosacea problems

Answer 29

can damage eye. send to optho

Question 30

rinophyma tx

Answer 30

surgery.