Download - Management of Acne (Part-3)
Management of Acne – 3Management of Acne – 3 where do we stand ? where do we stand ?
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Assessment of patient Assessment of patient
• HistoryHistory
• Inspection Inspection
• ExaminationExamination
Topical anti acneTopical anti acne
Systemic antiacne agentsSystemic antiacne agents
Mode of applicationMode of application
• Whole faceWhole face• Comedolytics at eveningComedolytics at evening• Anti inflammatory at dayAnti inflammatory at day• Combination for preventing resistanceCombination for preventing resistance
Oral therapyOral therapy
• Moderate to severe acneModerate to severe acne
• Dysmorphophobia with scarringDysmorphophobia with scarring
• Postinflammatory hyperpigmentationPostinflammatory hyperpigmentation
• Gramnegative folliculitisGramnegative folliculitis
• Acne fulminanceAcne fulminance
• Acne conglobataAcne conglobata
Oral IstretinoinOral Istretinoin
• Nodulocystic acneNodulocystic acne
• Not responding to conventional therapy(3months)Not responding to conventional therapy(3months)
• Resistance to P. acnesResistance to P. acnes
• Failure to respond for what ever reasonFailure to respond for what ever reason
• Predominant inflammatory lesionPredominant inflammatory lesion
Hormonal therapyHormonal therapy• Failure to antibiotic therapy (3months) -femaleFailure to antibiotic therapy (3months) -female
• Where control of acne & contraception is requiredWhere control of acne & contraception is required
• Where Isotretinoin is not availableWhere Isotretinoin is not available
• Where sebum production is more (Antiandrogen, Prednisolone 2.5-Where sebum production is more (Antiandrogen, Prednisolone 2.5-
5mg/day)5mg/day)
Slow responding acneSlow responding acne
• ResistanceResistance• MacrocmedonsMacrocmedons
Resistance suspicion and preventionResistance suspicion and prevention
Management of Acne Part – 4 (Coming Soon) Management of Acne Part – 4 (Coming Soon)
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