General practice Flashcards
How is acne vulgaris managed?
Follicular
Androgens
Bacteria - Cutibacterium acnes or priopionbacteria acnes
Adapalene, azelaic acid
N
D
Facial BPO
Retinoids
Erythromycin
Suicidality
Hormonal treatments
What skin-care advice are given to acne patients?
Advise people with acne to use a non-alkaline (skin pH neutral or slightly acidic) synthetic detergent (syndet) cleansing product twice daily on acne-prone skin.
Advise people with acne who use skin care products (for example, moisturisers) and sunscreens to avoid oil-based and comedogenic preparations.
Avoid oil-based and comedogenic products
What is acne congloblata?
A severe form of nodulo-cystic acne with interconnecting sinuses and abscesses.
What is acne fulminans?
A very serious form of acne conglobata associated with systemic symptoms.
What is first line management for moderate to severe acne?
Offer people with acne a 12-week course of 1 of the following first-line treatment options:
Fixed combination of topical adapalene with topical benzoyl peroxide
Fixed combination of topical tretinoin with topical clindamycin
Fixed combination of topical benzoyl peroxide with topical clindamycin
How is moderate to severe acne treated?
Topical adapalene with topical benzoyl peroxide, applied once daily in the evening, plus either oral lymecycline or oral doxycycline taken once daily
OR
Topical azelaic acid applied twice daily, plus either oral lymecycline or oral doxycycline taken once daily
Define acne severity
Acne severity varies along a continuum. For mild to moderate acne, this includes people who have 1 or more of:
any number of non-inflammatory lesions (comedones)
up to 34 inflammatory lesions (with or without non-inflammatory lesions)
up to 2 nodules.
Moderate to severe acne
Acne severity varies along a continuum. For moderate to severe acne this includes people who have either or both of:
35 or more inflammatory lesions (with or without non-inflammatory lesions)
3 or more nodules.
