Acneiform Eruptions

Question 1

Mild acne

Answer 1

topical antibacterials (benzoyl peroxide)
ineffective?
add topical antibiotics (clindamycin/erythromycin)

Question 2

Moderate acne:

Answer 2

add topical vitamin A derivatives such as tretinoin adapalene, or tazarotene

Question 3

Moderate acne, unresponsive to first line Tx

Answer 3

use oral antibiotics such as minocycline or doxycycline.

Question 4

Severe acne:

Answer 4

Add oral vitamin A, isotretinoin

Question 5

Perioral Dermatitis

Answer 5

need a hint?
avoid:\_\_\_\_\_
• topical
• systemic
• alternative

Question 6

Perioral Dermatitis

Answer 6

avoid all topical steroids
• topical: metronidazole 0.75% gel or 0.75-1% cream to affected area bid
• systemic: tetracycline family antibiotic (utilized for its anti-inflammatory properties)
• occasional use of a non-steroidal anti-inflammatory cream (i.e. tacrolimus or pimecrolimus)

Question 7

Rosacea 1st Line

Answer 7

Oral tetracyclines

Topical metronidazole

Question 8

Rosacea 2nd Line

Answer 8

Topical clindamycin

Oral metronidazole

Question 9

Rosacea 3rd Line

Answer 9

Oral retinoids