Acne Vulgaris Flashcards

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1
Q

What is acne vulgaris?

A

Inflammatory skin condition

Obstruction of pilosebaceous follicles with

  • altered sebum
  • bacteria
  • cellular debris
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2
Q

What are the features of acne?

A
Open + closed comedones 
Papules 
Pustules 
Increased sebum production 
Bacterial colonisation
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3
Q

What are open comedones also known as?

A

Blackheads

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4
Q

What are closed comedones also known as?

A

Whiteheads

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5
Q

What bacteria colonises in acne?

A

Propionibacterium acnes

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6
Q

Where does acne typically effect?

A

Face
Neck
Upper trunk

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7
Q

What is mild acne?

A

Open + closed comedones

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8
Q

What is moderate acne?

A

Open + closed comedones
Papules
Pustules

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9
Q

What is severe acne?

A
Open + closed comedones
Papules 
Pustules
Nodules 
Scarring/pitting
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10
Q

What is the conservative management for acne?

A

Advice
Use fragrance free cleaners
Avoid over cleansing
Avoid picking/squeezing spots

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11
Q

What is the medical management for acne?

A

Topical retinoid
Benzoyl peroxide
COCP

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12
Q

What are the effects of topical retinoids?

A

Anti-inflammatory

Comedolytic

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13
Q

What are the effects of benzoyl peroxide?

A

Anti-inflammatory
Comedolytic
Anti-microbial

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14
Q

Who should retinoids be avoided in?

A

Pregnancy

Breast feeding

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15
Q

What treatment for acne is given in secondary care for acne?

A

Oral retinoids (Accutane)

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16
Q

What are the side effects of oral retinoids?

A
Dry skin 
Low mood 
Raised triglycerides
Epistaxis 
Photosensitivity 
Joint pain
17
Q

What advice should be given to women on oral retinoids?

A

Use double contraception