Skin

Question 1

What is considered as mild-moderate acne?

Answer 1

Non-inflammatory lesions (of any number)
Up to 34 inflammatory lesions
Up to 2 nodules

Question 2

What is considered as moderate-severe acne?

Answer 2

35 or more inflammatory lesions and/ or
3 or more nodules

Question 3

What is the treatment for mild-moderate acne?

Answer 3

Fixed combination topical benzoyl peroxide with clindamycin - for 12 weeks

Question 4

What is the treatment for moderate-severe acne?

Answer 4

For 12 weeks

Fixed combination topical adapalene with benzoyl peroxide WITH lymecycline/ doxycycline
OR
Topical azelic acid WITH oral lymecycline/doxycycline

Alternative antibacterial: trimethoprim or macrolide (e.g. erythromycin)

Question 5

What would you consider adding to acne treatments for patients with PCOS who did not improve after 1st line?

Answer 5

Consider adding ethinylestradiol with cyproterone (co-cyprindiol) and review at 6 months
Or consider adding combined hormonal contraception

Question 6

What should be given to a patient when their acne flares after use of isotretinoin?

Answer 6

Prednisolone