Derm E1 Flashcards
Environmental factors that can impact Acne
Emotional Stress
Repetitive Stress (such as using harsh soaps)
Occlusion and Pressure (via mechanical obstruction or makeup)
Heat and Humidity
Occupational acne (the chemicals you’re exposed to through your career path)
Relationship between foods and acne
very individuallized triggers
home care for acne
gentle cleansers twice a day
wash with fingers
Do NOT use scrubs
use mild pH products
Use water-based lotions, cosmetics, and hair products
What vehicles should be used with its corresponding type of skin texture?
Dry skin: lotions or creams
oily skin: gels or foams
hairy areas: foams
solutions are drying but can cover larger areas
Pledgets can cover larger areas as well
What are the factors acne treatment targets?
Follicular hyperproliferation
increased sebum production
c. acnes profilteraction (bacteria)
Inflammation
Androgen receptor inhibitor (the patho of acne is androgen can increase acne)
Isotrentinoin targeted treatment factors
Folicular hyperproliferation (oral and topical)
Increased sebum production (oral)
Inflammation (oral and topical)
Topical Retinoids NOT CI in prego
Topical trentinoin
Topical adapalene
Topical tazarotene
Benzoyl Peroxide ADE
Erythema
Scaling
Xerosus
Stinging/buring
Bleaching of hair/clothing
Reare reports of life threatening hypersensitivity
OTC agents for Acne
Differin Gel, Adapalene
Tea Tree Oil
What acne treatments can not be used in prego
Hormonal agents
Topical retinoids
Oral antibiotics
Isotretinoin
Oral isotretinoin ddi
Tetracyclines
Doxycycline
Minocycline
Above can cause pseudotumor cerebri (increased cranial HTN)
Vitamin A supplements, can OD on vitamin A toxicity
Acne Targeted Treatment Factors which Rx target - Follicular Hyperproliferation
Oral/Topical Retinoids
Azelaic acid
Salicylic Acid
Hormonal therapies
Acne Targeted Treatment Factors which Rx target - Increased Sebum Production
Oral Retinoids
Hormonal Therapies
Clascoterone cream
Acne Targeted Treatment Factors (5)
Follicular Hyperproliferation
Increased Sebum Production
C. Acne’s Proliferation
Inflammation
Androgen Receptor Inhibitor
Acne Targeted Treatment Factors Rx that target - C, Acnes proliferation
Benzoyl Peroxide
Antibiotics
Azelaic acid
Dapsone topical