Acne, Rosacea Flashcards
Acne Vulgaris is disorder of what?
pilosebaceous follicles
Comedones are?
Open = ?
Closed = ?
clogged pores
open = blackheads
closed = whiteheads
Papules and Pustules are?
Result from?
Pressurized follicles
Debris and bacteria in comedones
Classification of Acne? (3)
Comedonal (open/closed come done)
Inflammatory (papules/pustules)
Nodulocystic (nodules/cysts)
Acne Vulgaris results from? (4)
1) Androgens
2) ↑ sebaceous gland activity
3) Follicular hyperkeratinization (plugs follicles)
4) P. acnes in hair follicle
Acne treatment classes? (3)
Systemic/Topical ABX
Systemic/Topical Retinoids
Systemic hormones
Mild Comedonal tx?
Topical retinoid +/- benzoyl peroxide
Mild papular/pustular tx?
Topical retinoid + topical ABX + benzoyl peroxide
Mod papular/pustular tx?
Oral ABX + topical retinoid + benzoyl peroxide
Mod nodular w/o scarring tx?
Oral ABX + top retinoid + benz per
Severe nodular tx?
Refer for Accutane
Scarring and keloids tx?
Refer for Accutane
Polycystic Ovarian Synd causes acne why?
Tx w/?
Ass’c signs/sxs of polycyst? (4)
↑ androgens
Spironolactone
Oligo or anovulation Hirsutism Wgt gain (insulin resistance) Hair loss Acanthosis nigricans
Rosacea is?
Presentation? (6)
Chronic inflammation
Erythema and telangiectasias P w/ papules and pustules NO comedones P rhinophyma P ocular keratitis, blepharitis, conjunctivitis U midline face
Rosacea triggers? (3)
EtOH
Sun
Hot food/drinks
(Anything that causes flushing)
