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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