Pustular Disorders Flashcards
Acne Vulgaris
pathophys
4 components
- follicular hyperkeratinization
- increased sebum production
- Cutibacterium acnes overgrowth
- inflammatory response
Acne Vulgaris
dx
clinical
Acne Vulgaris
inflammatory skin condition associated w/
- papules & pustules
- which involve the pilosebaceous unit
Acne Vulgaris
classifications
5
- comedonal (open & closed)
- mild mixed acne
- moderate
- severe
- acne scars/hyperpigmentation
Acne Vulgaris
tx for comedonal
& advise pts?
- topical retinoid
- must treat whole face, NOT SPOT tx
Acne Vulgaris
how long until comedonal acne improves w/ tx?
4-6 wks
Acne Vulgaris
tx for mild mixed acne
2 components
- topical retinoid
- topical antimicrobial (clindamycin gel)
Acne Vulgaris
moderate tx
3 components
topical retinoid
topical antimicrobial
oral abx
Acne Vulgaris
severe tx
isotretinoin
Acne Vulgaris
most effective med for acne
isotretinoin (acutane)
Acne Vulgaris
PPP for isotretinoin
- teratogenic
- increased triglycerides
Acne Vulgaris
acne scars/hyperpigmentation tx
4 components
trichloroacetic acid
microneedling
retinoids
topical hydroquinone
Rosacea
triggers
- alcohol
- changes in weather
- spicy foods
- sun exposure
Rosacea
clinical presentation
5 components
- macular erythema
- telangiectasia
- possible papules or pustules
- possible: rhinophyma
- ocular sx
Rosacea
what is telangiectasia
small, widened blood vessels