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Chapter 78 - Acne Vulgaris Flashcards

1
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

First line
Mild
Comedonal

A

Topical retinoid or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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2
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

First line
Moderate
Papular or Pustular

A

Topical retinoid + topical antimicrobial or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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3
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

First line
Severe
Papular or Pustular

A

Oral antibiotic +
topical retinoid ±
BPO or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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4
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

First line
Nodular

A

Oral antibiotic + topical retinoid ± BPO

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5
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

First line
Conglobata or Fulminans

A

Oral isotretinoin ± oral corticosteroids

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6
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Second line
Mild
Comedonal

A

Topical dapsone or azelaic acid or salicylic acid

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7
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Second line
Moderate
Papular or Pustular

A

Topical dapsone or azelaic acid or salicylic acid

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8
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Second line
Severe
Papular or Pustular

A

Oral antibiotic +
topical retinoid ±
BPO or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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9
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Second line
Nodular

A

Oral isotretinoin or oral antibiotic +
topical retinoid ±
BPO–azelaic acid or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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10
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Second line
Conglobata or Fulminans

A

High-dose oral antibiotic +
topical retinoid +
BPO or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

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11
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional for female patients
Severe
Papular or Pustular

A

+ Oral contraceptive–antiandrogen

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12
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional for female patients
Nodular

A

+ Oral contraceptive–antiandrogen

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13
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional for female patients
Conglobata or Fulminans

A

+ Oral contraceptive–antiandrogen

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14
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional options
Mild
Comedonal

A

Comedone extraction

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15
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional options
Moderate
Papular or Pustular

A

Comedone extraction, laser or light therapy, photodynamic therapy

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16
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional options
Severe
Papular or Pustular

A

Comedone extraction, laser or light therapy, photodynamic therapy

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17
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional options
Nodular

A

Comedone extraction; intralesional corticosteroid, laser or light therapy, photodynamic therapy

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18
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Additional options
Conglobata or Fulminans

A

Intralesional corticosteroid, laser or light therapy, photodynamic therapy

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19
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Refractory to treatment
Mild
Comedonal

A

Check compliance

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20
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Refractory to treatment
Moderate
Papular or Pustular

A

Check compliance
Exclude gram-negative folliculitis
Females: exclude PCOS, adrenal or ovarian tumors, CAH
Males: exclude ECAH

21
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Maintenance
Mild
Comedonal

A

Topical retinoid ± BPO, or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

22
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Maintenance
Moderate
Papular or Pustular

A

Topical retinoid ± BPO, or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

23
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Maintenance
Severe
Papular or Pustular

A

Topical retinoid ± BPO, or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

24
Q

TABLE 78-2
Treatment Algorithm for Acne Vulgaris

Maintenance
Nodular

A

Topical retinoid ± BPO, or combination

Combination
- BPO + erythromycin
- BPO + clindamycin
- Adapalene + BPO
- Tretinoin + clindamycin

25
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Azelaic acid

26
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Clindamycin

27
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Erythromycin

28
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Metronidazole

29
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Adapalene

30
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Benzoyl peroxide

31
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Dapsone

32
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Salicylic acid

33
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Sodium sulfacetamide

34
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Tretinoin

35
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Topical Therapies
Tazarotene

36
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Amoxicillin

37
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Azithromycin

38
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Cephalexin

39
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Erythromycin

40
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Cotrimoxazole

41
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Levofloxacin

42
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Spironolactone

43
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Tetracyclines

44
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Isotretinoin

45
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Oral Therapies
Oral contraceptive pills

46
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Physical Modalities
ALA: photodynamic therapy

47
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Physical Modalities
Glycolic acid peels

48
Q

TABLE 78-5
Safety Ratings of Acne Medications in
Pregnancy

Physical Modalities
Blue-red light phototherapy

Fitzpatrick Tables (77 decks)

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