module 19 teens common concerns

Question 1

acne vularis

Answer 1

inflammatory disorder of the pilosebaceous unit

- excess sebum, keratinous debris, and bacteria accumulate -> microcomedones

Question 2

microcomedones

Answer 2

can be
inflamed lesions: papules, pustules, nodules
noninflamed: comedones

Question 3

4 mechanisms that contributes to sebaceous follicle disorder (acne)

Answer 3

• sebaceous follicles plugged with keratinous material
• colonies of anaerobic bacteria grow deep in the follicle
• sebum is overproduced and androgen production increases -> expansion of follicle
• inflammation occurs and pustules form secondary to trapped P. acnes and sebum

Question 4

acne usually begins

Answer 4

at the onset of puberty
girls: 12-13
boys: 14-15
improves in summer
worse with menses and stress

Question 5

physical exam of acne

Answer 5

lesions most common on face, back, chest
Non-inflammatory lesions:
- microcomedone: follicular plug r/t obstruction of the pilosebaceious unit (hair follicle and sebaceous gland)
- open comedone (black head): lesion or papule, firm in consistency, r/t blockage at the mouth of the follicle (main in early teen)
- closed comedone (whitehead): semisoft in consistency, r/t blockage at the neck of the follicle
Inflammatory
- occur secondary to rupture of noninflamed lesions into the dermis can include: papules, pustules, excoriation, lesion crusting, nodules, cysts, scars, sinus tracts

Question 6

severity of acne determined by

Answer 6

quantity
type
spread

Question 7

comedonal acne

Answer 7

only open and closed comedones found

Question 8

papulopustular acne

Answer 8

combo of 
- comedones
- red papules
- pustules
can be mild or severe
most common in adolescents

Question 9

nodulocystic acne

Answer 9

most severe form and requires more intensive interventions

Question 10

frictional acne

Answer 10

occurring from rubbing of bras, tight clothes, headbands

Question 11

pomadal ance

Answer 11

along the temple and forehead

- r/t us of pomades or oil-based cosmetics

Question 12

athletic acne

Answer 12

on forehead, chin, or shoulders

- r/t helmets and pads

Question 13

hormonal acne

Answer 13

with a beard distribution

Question 14

goal of acne management

Answer 14

• reduce the excess production of sebum
• counteract the abnormal desquamation of epithelial cells
• dec. the proliferation of P. acnes
• prevent or decrease scarring