Acne Vulgaris

Question 1

What is this a presentation of?

Adolescents. Inflammation and pustules on face, neck, and upper trunk.

Answer 1

Acne vulgaris

Question 2

What is the pathophysiology of acne vulgaris?

Answer 2

Obstruction of pilosebaceous follicles with keratin plugs.

Question 3

Which organism is responsible for acne vulgaris?

Answer 3

Propionibacterium acnes

Question 4

What should you explain to a teenager with acne vulgaris as a holistic approach to care?

Answer 4

1. Dispel myths - not due to dirt/poor hygiene
2. Not infectious/contagious
3. Ask about mood, body image, self-esteem

Question 5

What is the treatment for mild acne vulgaris?

Answer 5

1. Topical benzoyl peroxide/retinoid/antibiotics

2. If response poor, consider combination

Question 6

What is the treatment for moderate acne vulgaris?

Answer 6

1. Topical antibiotics and benzoyl peroxide/retinoid
   Or
2. Oral antibiotic and topical benzoyl peroxide
3. Also consider using COCP with anti-androgen activity for females (Dianette)

Question 7

What is the treatment for severe acne vulgaris?

Answer 7

1. Refer to specialist

2. Isotretinoin - under specialist supervision