Acne
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21.7.05
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Comedones and inflammatory papules common in teenagers and young adults. Mostly distributed on the face, chest and back.
Diagnosis
Clinical appearance.
Pathology
Obstructed hair follicle leading to inflammation. Many underlying factors: Propionobacter acnes infection, hormones, follicular cornification, sebum production.
Principles of Therapy
A plethora of agents available. Common topicals include benzoyl peroxide, antibiotics and retinoids. Systemic antibiotics (especially tetracycline derivatives) for more severe acne. Isotretinoin (AccutaneTM) is an excellent option for recalcitrant acne.
VA formulary: Benzoyl Peroxide, Clindamycin, Retin A
Tags: Acne, Antibiotics
Category: Dermatology Notes
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