Vulgaris Disorders

Question 1

Acne vulgaris

Answer 1

Open or closed comedones

Multiple inflammatory papules with facial oil

Question 2

Acne vulgaris treatment (5)

Answer 2

1. Drying wash to decrease oil (Benzoyl peroxide 2-10%, OTC)
2. Oral antibiotic
3. Topical antibiotic
4. Topical retinoids
5. Accutane

Question 3

Topical retinoid

Answer 3

Acne vulgaris treatment

Softens comedome so that it will leave

Breaks down white/black heads

Question 4

Accutane

Answer 4

Aka isotrentinoin

Must be monitored for pregnancy

Nodulocystic acne

Question 5

Psoriasis vulgaris

Answer 5

Autoimmune

Thick, scaling rash

Well demarcated, erythematous plaques

Thick, white, scaling rash

Painful and itchy

Nail pitting

Question 6

Psoriasis vulgaris

Pathognomonic

Answer 6

Ask abut joint pain

Autoimmune where body is attacking the skin and body is constantly trying to heal normal skin

Question 7

Psoriasis vulgaris

Treatment

Answer 7

1. Topical treatment (decrease inflammation and moisturize)
2. Phototherapy (tanning bed)
3. Methotrexate, cyclosporine, Soritane, otezia)
4. Biological therapy (enbrel, humira, remiciade, stellar, consentyx, taltz)

Question 8

Verrucae vulgaris

Answer 8

Multiple hypertrophic verrucous lesions

Warts

Question 9

Verrucae vulgaris

Treatment

Answer 9

1. Topical OTC salicyclic acid
2. Debridement
3. Cryosurgery