Atopic Dermatits and acne Flashcards
Management of Acute flares in AD?
Emollients–> Petrolatum
Topical corticosteroid –> Hydrocortisone topical
Indication of Topical Hydrocortisone in AD?
Acute flares
Indication of Petrolatum (Emollinent) in Acute dermatitis?
Acute Flares
management of Chronic/relapsing disease of Acute dermatits?
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)
First line treatment for chronic and relapsing disease of AD?
1) Emollients
2) tacrolimus–> Topical immunomodulator
3) Topical corticosteroids
Tx for chronic/relapsing AD If resistant to high potency corticosteroids
Phototherapy
Tx for chronic/relapsing AD If resistant to topical therapy and phototherapy
Cyclosporine, Methotrexate (Systemic immunomodualtors)
Tx for mild acne
1) Topical retinoids ± topical anti -microbials*
2) (± Benzoyl peroxide)
Tx for moderate Acne
- Topical retinoids ± systemic anti-microbials*
- (± Benzoyl peroxide)
Tx for sever acne
- Systemic retinoids
- (± Oral steroids)
- Indicated for acne with inflammation
Tx for Hormonal related Acne
1) Oral contraceptives or anti-androgenic drugs
* Anti-microbials and topical retinoids (in
inflammatory acne)
* (± Benzoyl peroxide)
Category of Tazarotene
Topical Retinoid
indication of Tazarotene
first line therapy for mild-moderate ace (non-inflammatory and inflammatory)
precautions taken when taking a topical retionoid (tazarotene)?
wear sunscreen
Category of Clindamycin
Topical antibiotic
Indication of Clindamycin
mild acne with inflammation.
Not recommended as it develops bacterial resistance
category of Isotertinoin
Systemic retinoid
Indication of Isotretinoin
last line treatment for severe acne or moderate acne
contraindication of Isotretinoin
Contraindicated in pregnancy and hyperlipidaemia
AE of Isotretinoin
teratogenic, alopecia, anaemia and
skin reactions.
