COMPLETE SOLUTIONS VERIFIED
Acne Vulgaris
Most common skin problem in US (eg. birth control pills).
Hx and PE in order to dx.
Goals of treatment in Acne Vulgaris?
Improvement (document good to follow improvement or even pictures).
Treatment for Acne Vulgaris?
Mild cleansers (no abrasives on skin)- might make condition worse.
Topical keratolytics - usally start with topicals.
Topical antibiotics.
Oral antibiotics.
May experience rebound effect, first couple week might seem worse. Keep using it will
get better (takes about 4-6 weeks for improvement to be seen).
What is open comedomes?
Black heads.
Acne Rosaecea
Onset = middle age.
No open comedomes but pimples.
, Hx, PE.
Treatment for Acne Rosaecea?
Metronidazole 1% or 0.75% gel or lotion BID.
Azelaic acid gel BID.
Other topical antibiotics.
Acne Inversa (Hidradenitis Suppurativa).
Hyperkeratosis of sebaceous gland follicle w/ 2ndary infection of apocrine glands.
Chronic disease - recurrent abscesses.
Hx, PE - predisposing factors [recognize].
Refer.
How to recognize Acne Inversa?
____ boils and repeated abscbesses. Often in armpit area or folds or upper thigh area.
Scarring, in crisscross pattern.
Hidradenitis Suppurativa.
Begins in hair follicle.
At risk if obese.
At risk if smoke.
Women 3x more than men.
Family hx.
What does psoriasis look like?