Atopic Dermatits and acne

Question 1

Management of Acute flares in AD?

Answer 1

Emollients–> Petrolatum
Topical corticosteroid –> Hydrocortisone topical

Question 2

Indication of Topical Hydrocortisone in AD?

Answer 2

Acute flares

Question 3

Indication of Petrolatum (Emollinent) in Acute dermatitis?

Answer 3

Acute Flares

Question 4

management of Chronic/relapsing disease of Acute dermatits?

Answer 4

1) Emmolients
2) Topical corticosteroids
3) Topical immunomodulators–> Tacrolimus ointment
4) phototherapy IF resistant to high potency corticosteroids
5) if resistant to topical therapy and phototherapy–> Sytemic Immunomodulators (Cyclosporine, methotrexate)

Question 5

First line treatment for chronic and relapsing disease of AD?

Answer 5

1) Emollients
2) tacrolimus–> Topical immunomodulator
3) Topical corticosteroids

Question 6

Tx for chronic/relapsing AD If resistant to high potency corticosteroids

Answer 6

Phototherapy

Question 7

Tx for chronic/relapsing AD If resistant to topical therapy and phototherapy

Answer 7

Cyclosporine, Methotrexate (Systemic immunomodualtors)

Question 8

Tx for mild acne

Answer 8

1) Topical retinoids ± topical anti -microbials*
2) (± Benzoyl peroxide)

Question 9

Tx for moderate Acne

Answer 9

• Topical retinoids ± systemic anti-microbials*
• (± Benzoyl peroxide)

Question 10

Tx for sever acne

Answer 10

• Systemic retinoids
• (± Oral steroids)
• Indicated for acne with inflammation

Question 11

Tx for Hormonal related Acne

Answer 11

1) Oral contraceptives or anti-androgenic drugs
* Anti-microbials and topical retinoids (in
inflammatory acne)
* (± Benzoyl peroxide)

Question 12

Category of Tazarotene

Answer 12

Topical Retinoid

Question 13

indication of Tazarotene

Answer 13

first line therapy for mild-moderate ace (non-inflammatory and inflammatory)

Question 14

precautions taken when taking a topical retionoid (tazarotene)?

Answer 14

wear sunscreen

Question 15

Category of Clindamycin

Answer 15

Topical antibiotic

Question 16

Indication of Clindamycin

Answer 16

mild acne with inflammation.
Not recommended as it develops bacterial resistance

Question 17

category of Isotertinoin

Answer 17

Systemic retinoid

Question 18

Indication of Isotretinoin

Answer 18

last line treatment for severe acne or moderate acne

Question 19

contraindication of Isotretinoin

Answer 19

Contraindicated in pregnancy and hyperlipidaemia

Question 20

AE of Isotretinoin

Answer 20

teratogenic, alopecia, anaemia and
skin reactions.