Acne Lecture Flashcards
classification of acne vulgari
based on morph.
comedonal, inflamm, nodulocystic
what is inflamm acne
papules and pastules
acne conglobata or fulminans
severe eruptive noculocystic acne
conglobata doesn’t have systemic symptoms
acne fulminans does have systemic features( fever, etc)
hydrocortisone causes what
steroid-induced acne
dx acne
hx, exam
when should a woman be eval for hydandrogenism?
clitoromegaly, hair loss, deep voice, mesntrual irreg, hirsutism
main tx acne
retinoids (syst, topical) antibiotics, systemic hormonal
mainstay of acne tx?
use multiple
comedonal acne tx
topical retinoids, benzoyl peroxide, azelaic acid
mil-mod inflamm acne tx
topical retinoid, antibiotic, benzoyl peroxide (benz use w antibiotic! more effective)
what decreases risk of antibiotic R?
benzoyl peroxide
using topical tretinoin and penzoyl peroxide. add what if not working for inflamm acne?
oral antibiotics.
mod severe inflamm acne tx
topical retinoid and benz peroxide WITH oral antibiotic (use antibiotics 12-18 wks)
med for severe, recalcitrant, or nodular acne is deriv of what?
vit A! bc ISOtretinoin
side eff of isotretinoin?
teratogen!
cucocut dis, myalgia, vision, intracrnaila HTN, hepatotox, HYPERLIPID
woman using many tx not working
oral contraceptive
most common hromonal acne agents not resp to topica and oral antibiotics like doxy?
spironolactone
oral contraceptives
who does rosacea most commonly affect?
fair skinned pts (Caucasians of N or E europe heritage)
acttinic damage
relatives w rosacea
propensity to flush
4 types rosacea
erythematotelangiectatic
papulopustular
phymatous
ocular
clinical features of roxacea erythematotelangiectatic
redness, flushing, telangiectasia, dry/sensitive skin
paupulopustula rosacea clinical
inflamm acne basically
which rosacea localized on central face?
papulopustlar
erythematotelangiectatic
phymatous rosacea looks like
tissue Htrophy w irreg thick skin
involves nose, chin, forehead, cheeks
ocular rosacea clinical
conjunct hyperemia, blepharitis, keratitis, lid telangiectases, tearing, scarring conjunct, hordeolum. Dry eye, foreign body sensation, blurry, stinigng, etc
tx rosacea
know to avoid triggers
improve flushing, irratation
cosmetic camoflagebasically behavior modifications
periodic laser/ intense pulsed light good for erythema
rosacea papulopustual tx
topical metronidazole
acetizic acid??
if MANY lesions or topical doesn’t work, use oral antibiotics 4-12 weeks, maintain w topical or doxy
tx for refractory papulopustular rosacea
oral isotretinoin. needs to be pretty bad
ocular rosacea problems
can damage eye. send to optho
rinophyma tx
surgery.
