Facial and Neck Dermatoses -Pham

Question 1

What is the treatment for neonatal acne?

Answer 1

None –> resolves spontaneously (due to mother’s androgens stimulating baby’s sebaceous glands)

Question 2

What are the oral treatment options for acne? Which is preferred if outside a lot?

Answer 2

-Minocycline BID *good for outdoorsy--> less photosensitive than 
Doxycycline or Tetracycline
-Doxycycline  QD or Tetracycline bid
-Erythromycin enteric coated 500 mg bid
-Ampicillin

Question 3

What are the topical treatments for Acne Vulgaris?

Answer 3

• Benzoyl peroxide gel
• Clindamycin (lotion/ gel/ pads/ foam)
• Erythromycin (gel/ pads)
• Topical retinoids

Question 4

What are the treatment options for Rosacea?

Answer 4

• High SPF sunscreen*
• Avoid abrasive products/ scrubs
• Avoid heat, sauna, sun exposure, spicy foods, hot beverages.
• topicals: Metronidazole, Sulfacetamide/sulfur
• Oral tetracycline, minocycline, doxycycline

Question 5

What is the most common cause of Perioral Dermatitis?

Answer 5

Corticosteroid creams

Question 6

What is the treatment for Perioral Dermatitis?

Answer 6

• Stop the offending agent
• First line antibiotics for 4-6 weeks: TCN, Minocycline, Doxycycline
• first line topical: Metronidazole
• Topical Clindamycin (2nd line)

Question 7

What is melanoma? What are the causes? What is the treatment?

Answer 7

• Brownish macules/ patches with irregular borders
• Causes – Pregnancy, OCP, estrogen replacement, photosensitive medications, antiepileptics
• Tx: High SPF Sunscreen and Hydroquinone cream/gel

Question 8

What skin types tend to get sebaceous hyperplasia? Where are these most commonly located?

Answer 8

• oily skin

- on the face

Question 9

What lab should be ordered in a pt with a Xanthelasma Palpebrarum?

Answer 9

Lipid panel