-
treatment for mild acne
- benzoyl peroxide
- topical clinda, erythro
- sulfacetamide (sulfa)
- topical retinoids (RetinA generic is tretinoin)
-
treatment for moderate acne
- doxycycline
- ampicillin
- tetracycline
- erythromycin
- OCP
- spironolactone (blood pressure medicine works)
-
severe acne treatments
isotretinoin, the IPLEDGE program
-
isotretinoin/IPLEDGE involves
- monthly bloodwork
- no pregnancy
- 2 forms of BC (1 month waiting for women; tubal ligation counts as only ONE form)
-
do not use this together with RetinA
benzoyl peroxide
-
topical acne therapy
is not spot treatment, it's meant for whole face
-
sometimes treating acne gets worse
before it gets better
-
RetinA--use sunscreen?
yes
-
-
4 kinds of rosacea
- papular
- erythematous
- rhinophyma
- ocular
-
papular rosacea
acne-like, with redder. we won't have to tell the difference between this and papular acne, however if the patient is older and not a teenager and there are papules--guess this one
-
erythematous rosacea
warm face, superficial telengiectasias
-
rhinophyma rosacea
thickened sebaceous glands on nose. bill clinton
-
ocular rosacea
least common. feels like sand in the eye
-
rosacea stereotypical person
light hair/eyes/skin, papules on center face (forehead, nose, cheeks)
-
rhinophyma can be red and bulbous or
just bulbous
-
only way to get rid of rhinophyma bulbous
CO2 lasers, out of commission 2 weeks while new skin grows
-
there are 4 separate kinds of rosacea but you can also have
a combination of them
-
topical treatments for rosacea
- metronidazole (metrogel)
- azelaic acid cream
- sulfacetamide cream
- tretinoin
-
oral treatments for rosacea
- tetracycline
- doxycycline
- minocycline
- isotretinoin
-
perioral, periorbital dermatitis
scaly papular around mouth and/or eyes. maybe burning itching, maybe no symptoms.
pinpoint papules and pustules on a scaling erythematous base
-
scaliness around mouth (or eye) looks like rosacea
but if it's periorbital/perioral dermatitis, it's not the same thing
-
treatment for perioral dermatitis do NOT give
steroid creams NO NO NO they will always make it worse, rebound.
-
perioral dermatitis treatments
- metrogel
- topical clinda or erythromycin
- sulfacetamide
- doxy
- mino
- tetra
-
hidradenitis suppurativa
chronic purulent scarring under breasts, axilla, groin, abdominal folds
double comedone
treatment: weight loss, oral abx, isotretinoin
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