Acne Vulgaris.docx - Acne Vulgaris Manifestations Closed...

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Acne Vulgaris: Manifestations Closed whiteheads, blackheads, papules, pustules, nodules and cysts. Most often seen on face, neck, back, upper chest and shoulders. Diagnosis based on examination of lesions and history. Sebaceous gland disorder. Infected with bacteria. Medications: Benzoyl peroxide, Retin A and tretinoin- takes about 8 weeks to be effective. Topical antibiotics : Clindamycin and erythromycin decrease number of P.acnes organisms in hair follicles and used for inflammatory acne. Topical are preferred over systemic. Oral antibiotics (tetracycline, minocycline, erythromycin, clindamycin) for severe inflammatory acne or unresponsive to topical. – avoid exposure to sunlight if tetracycline is used. Isotretinoin- Amnesteem, claravis, Sotret. Accutane- oral isotretinoin- no longer on market. Dramatic improvement with severe nodular cystic acne. Severe side effects: depression, cheilitis, dry skin, nosebleeds, cataracts, conjunctivitis, and pruritus.
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  • Fall '17
  • Julie Gwin

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