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Flashcards in Common Skin Disorders Deck (108)
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1

Define Acne Vulgaris

Inflammation of pilosebaceous units of certain body parts

2

Clinical Presentation of Acne Vulgaris

Lesions on the skin
Pain in lesions Lesions include: comedones, papulopustules, nodules, and cysts

3

4 Factors Involved in Acne Vulgaris

Follicular hyperkeratinization
Increased sebum production
P. acnes within the follicle
Inflammation

4

Acne Vulgaris Grade I

Minimal blackheads
Few papules

5

Acne Vulgaris Grade II

10+ blackheads, papules, & pustules
Redness
Inflammation

6

Acne Vulgaris Grade III

15-20+ blackheads, papules, & pustules
Redness
Inflammation

7

Acne Vulgaris Grade IV

Severe case
Extreme amount of pustules
Extreme edema

8

Diagnosis of Acne Vulgaris

Clinical
Female patients with dysmenorrhea or hirsutism: total/free testosterone, DHEA-S, LH, FSH

9

Treatment of Acne Vulgaris

OTC
1st line: Topical retinoids
2nd line: Topical antibiotics
Oral therapies
Oral isotretinoin

10

OTC Treatment for Acne Vulgaris

Benzoyl peroxide
Salicylic acid

11

Topical Retinoid Treatment for Acne Vulgaris

1st line
Adapalene (Differin)
Tretinoin (Retin-A)
Tazarotene (Tazorac)

12

Topical Antibiotic Treatment for Acne Vulgaris

2nd line
Clindamycin
Erythromycin

13

Oral Therapies for Acne Vulgaris

Doxycycline
Minocycline (Minocin)

14

Oral Isotretinoin Treatment for Acne Vulgaris

For severe treatment failure
Register in iPLEDGE program
Teratogenic
Monitor: CBC, LFTs, & transaminases

15

Define Rosacea

Chronic acneform disorder of facial pilosebaceous units
Increased reactivity of capillaries to heat

16

Exacerbating Factors of Rosacea

Hot liquids
Spicy foods
Alcohol
Exposure to sun & heat
Cold
Exercise
Emotions
Menopausal flushing

17

Clinical Presentation of Rosacea

Redness to the cheeks, nose, & chin
Burning or stinging with episodes

18

4 Types of Rosacea

Erythematotelangiectatic rosacea
Papulopustular rosacea
Phymatous rosacea
Ocular rosacea

19

Treatment of Rosacea

Minimize precipitating factors
1st line mild to moderate: topical antibiotics
Moderate to severe: systemic antibiotics
Laser treatment for telangiectasia
Pulsed-light therapy for erythema
Cleansers
Photodynamic therapy

20

Topical Antibiotics for Rosacea

Azalea Acid
Metronidazole
Erythromycin
Clindamycin
Brimonidine

21

Systemic Antibiotics for Rosacea

Tetracycline
Doxycycline/Minocycline
Erythromycin

22

Complications of Rosacea

Eye involvement
Gram negative folliculitis
Permanent telangiectasias
Rhinophyma

23

Define Rhinophyma

Soft tissue hypertrophy related to vasodilation

24

Define Folliculitis

Infection of the hair follicles

25

Common Bugs of Folliculitis

Staphylococcus aureus
Pseudomonas
Yeast: exception

26

Symptoms of Folliculitis

Red pimples with a hair in the center
May itch or burn

27

Treatment of Folliculitis

Warm compresses 3 times daily
Avoid shaving in areas
Topical antibiotics: Mupirocin (Bactroban)

28

Define Pseudobarbae Folliculitis

Razor bumps

29

How does pseudobarbae folliculitis occur?

When free ends of tightly coiled hairs reenter skin & cause a FB inflammatory response

30

Treatment of Pseudobarbae Folliculitis

Stop shaving
Laser hair removal
Adjunctive medical therapy
Warm compresses
Remove hair with tweezers