Acne Management

Question 1

Management Pathway

Answer 1

Single Topical Therapy (Retinoid/Benzoyl)

Combination Topical therapy (Topical Tetracycline, Benzoyl, Retinoid)

Oral Tetracycline for 3 Months or COCP in women OR oral ertythromycin in women
+ TOPICAL RETINOID OR BENZOYL TO PREVENT AB RESISTANCE

Oral Isotrenitoin

Question 2

Contraindication to Oral Tetracycline

Answer 2

Pregnant/Breastfeeding Women

Children Under 12

Question 3

Contraindication to Retinoid Therapy both topical and oral

Answer 3

Pregnancy

Question 4

Suitable Alternative for AB’s in women

Answer 4

COCP

Must be coprescribed with a topical agent

Question 5

Acne Classification

Answer 5

Mild:

Open/Closed Comedones w or w/o inflammatory lesions

Moderate:

Widespread non-inflammatory lesions and lots of papules/pustules

Severe:

Extensive inflammatory lesions with nodules pitting and scarring

Question 6

Complication of long term AB use and Managemenr

Answer 6

Gram-ve folliculitis

Oral Trimethoprim