Acne Rosacea
Acne Rosacea
Most common in people age 30-60 Cause of vascular dilation unknown Initial symptom is erythema of the face Treat symptoms
Topical antibiotics and benzoyl peroxide Tretinoin & oral Abs for persistent Sx
Pathogenesis 4 factors
Hyperkeratosis Increased sebum production Propionibacterium acnes present in the follicle Inflammation
A zits a zitright?
Closed Comedo
Open Comedo
Open comedones
Inflammatory lesions
Pustules (superficial), papules, nodules Develop when follicular contents rupture into surrounding dermis
papules
Acne medicamentosa
acne fulminans acne conglobata
External factors
Acne comsetica
Recommend water-based products
Acne mechanica
Mechanical trauma may lead to inflammatory lesions Sports induced
External factors
Environmental factors
Humidity & heavy sweating, halogenated hydrocarbons from industrial products (cutting oils, herbicides, chemical warfare)
Clinical presentation
Diagnostic evaluation
Diagnosis
Focus on type & location of lesions, scarring, & postinflammatory pigment changes Hirsutism or virilization warrants further lab & imaging studies
When to Refer
Moderate to severe papular, postular and nodule acne (10-25 inflammatory lesions) Scars On chest or back Not typical age Due to Medication use
Non Pharmacological
Minimizing factors
avoid friction causing clothes no oil based cosmetics sun exposure dont pick or squeeze
OTC products
Benzoyl Peroxide
Salicylic Acid Sulfur (w/ resorcinol)
Benzoyl Peroxide
Benzoyl Peroxide
Salicylic Acid
Sulfur
Keratolytic
Comedolytic use 1-3 times daily color and odor
Product selection
Questions