Acne Vulgaris Flashcards
What is acne vulgaris?
Inflammatory skin condition
Obstruction of pilosebaceous follicles with
- altered sebum
- bacteria
- cellular debris
What are the features of acne?
Open + closed comedones Papules Pustules Increased sebum production Bacterial colonisation
What are open comedones also known as?
Blackheads
What are closed comedones also known as?
Whiteheads
What bacteria colonises in acne?
Propionibacterium acnes
Where does acne typically effect?
Face
Neck
Upper trunk
What is mild acne?
Open + closed comedones
What is moderate acne?
Open + closed comedones
Papules
Pustules
What is severe acne?
Open + closed comedones Papules Pustules Nodules Scarring/pitting
What is the conservative management for acne?
Advice
Use fragrance free cleaners
Avoid over cleansing
Avoid picking/squeezing spots
What is the medical management for acne?
Topical retinoid
Benzoyl peroxide
COCP
What are the effects of topical retinoids?
Anti-inflammatory
Comedolytic
What are the effects of benzoyl peroxide?
Anti-inflammatory
Comedolytic
Anti-microbial
Who should retinoids be avoided in?
Pregnancy
Breast feeding
What treatment for acne is given in secondary care for acne?
Oral retinoids (Accutane)