Acne vulgaris is a condition in which the hair follicles are blocked by sebum and keratinous material. This blockage causes formation of cyst/comedones. Propionibacterium acnes within comedones break down sebum into free fatty acids.
History and Physical Exams:
- Acne is associated with changes in androgen levels
- Found primarily in puberty
- More common in males than in females
- Open comedones - blackheads and closed comedones - whiteheads on the face, neck, arms, back, and buttocks
- Drugs are related to acne: lithium, steroids, OCPs, androgens
- Treatments are according to the severity of acne
- Mild case: topical clindamycin or erythromycin, benzoyl peroxide, topical retinoids
- Moderate case: treatments in mild case plus oral antibiotics
- Severe case: oral isotretinoin (Accutane)
No comments:
Post a Comment