Sebaceous and apocrine glands trigger Flashcards
Monomorphic inflammatory papules and pustules are common in what etiology
drug-induced acneiform eruptions
some noninflammatory lesions with no more than a few inflammatory lesions. no nodular lesions
what acne severity scale is this
2
rare noninflammatory lesion with no more than one small inflammatory lesion
what acne severity scale is this
1
up to many noninflammatory and inflammatory lesions but no more than a few nodular lesions
what acne severity scale is this
4
what type of acne is suspicious for pityrosporum folliculitis
itchy acne
Decreases cohesion and increases turnover of epidermal cells
retinoid MOA
dryness and photosensitivity, CI in pregnancy
retinoids
SE are skin irritation and bleaching of hair/clothes
BPO wash
papulopustular acne indicates what treatment
topical abx - 1st line clinda or erythro combined w BPO
(clinda also combined with tretinoin)
this is typically combined with BPO and tretinoin
topical clinda for acne
inflammatory papules or deep-seated lesions suggest what type of treatment
oral abx - doxy or minocycline + BPO and topical retinoid
inhibits C. acnes but can have SE of photosensitivity and upset stomach
oral ABX for acne (doxy and mino)
open comedo
blackhead
what are the 1st and 2nd line oral abx for acne, put them in order
- tetracyclines
- macrolides
- bactirm
- keflex
for nodular/cystic acne what is the treatment
isotretinoin
last resort and monotherapy
inhibits sebaceous glands, decreases C acnes, but causes HA, possible suicidal ideation, depression and more
isotretinoin
can also cause increased LFTs, hypertriglyceridemia, and myalgias
NEVER prescribe this with an oral tetracycline
isotretinoin
causes hypertriglyceridemia, increased LFTs, and myalgias
isotretinoin
Baseline CMP/Lipid monthly: if over 700-800, stop/statin
isotretinoin
for this medication you must have 2 neg pregnancy tests, 2 forms of birth control, and must NOT donate blood during treatment
isotretinoin
MC in lighter skinned individuals ages 30-50. occurs at younger ages in women
rosacea
MC subtype of rosacea
erythematotelangiectatic rosacea
Persistent erythema of central face, Intermittent flushing, Telangiectasias, Stinging/burning
erythematotelangiectatic rosacea
Erythema and edema of central with sparing of periocular areas. no open comedones but papules and pustules are predominate
papulopustular rosacea
Chronic inflammation and edema + marked thickening with sebaceous hyperplasia. cobblestone appearance on the nose.
phymatous rosacea
can be triggered by niacin/vit B3
rosacea
what is the use of BB and clonidine?
deceased flushing in rosacea
risks include fluroinated toothpaste, OCPs, and inhalers + topical glucocorticoids
perioral dermatitis
whos the goodest boy in town?
