Quick Review: Acne

by Stephen Holt, MD, MS

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    00:01 Alright, having talked about that last case, let's go on to a few review questions.

    00:05 I'll ask the question, you could pause the screen and when you're ready for the answer, unpause it.

    00:10 First off, which of the following is true regarding acne rosacea and acne vulgaris? Alright, both acne vulgaris and acne rosacea are commonly associated with comedones.

    00:30 No.

    00:30 And I really want to highlight that point.

    00:32 Comedones are a disease seen in acne vulgaris, and less commonly with hidradenitis suppurativa, but not acne rosacea.

    00:39 Number 2.

    00:40 Acne vulgaris is commonly exacerbated by spicy foods and alcohol.

    00:45 That should make you think of acne rosacea not acne vulgaris.

    00:48 So that one's also false.

    00:50 Number 3.

    00:51 Acne rosacea is a disease of adolescence.

    00:54 Not really, it's more in women who are in their 30's and 40's.

    00:58 Number 4.

    00:59 Telangectasias are commonly seen with acne vulgaris.

    01:03 No, that's really something seen with acne rosacea.

    01:06 And lastly, rhinophyma is a late manifestation of acne rosacea.

    01:11 That's true, particularly when you see the disease in men.

    01:14 So our answer to this question is number 5.

    01:17 Alroght, next and last question.

    01:19 Which of the following is an appropriate treatment? Alright, so rosacea.

    01:31 You don't treat rosacea with TNF alpha inhibitors.

    01:34 You're probably gonna use something like topical metronidazole.

    01:37 Number 2.

    01:38 Acne vulgaris, first line treatment with topical clindamycin That's actually completely reasonable, you could use either topical clindamycin or benzoyl peroxide.

    01:47 So that's gonna turn out to be our answer.

    01:49 Number 3.

    01:50 Hidradenitis suppurativa You wouldn't really start with topical brimonidine, it's not gonna be an effective treatment at all.

    01:56 Oftentimes, you'd need surgical procedures and potentially interlesional steroids.

    02:01 For acne vulgaris, first line therapy with isotretinoin? That would be a pretty big gun to start with.

    02:06 Again, that's that medicaton which is extremely effective but has known teratogenecity.

    02:12 And lastly, acne rosacea.

    02:14 You wouldn't start with topical corticosteroids.

    02:17 In fact, there's some evidence that topical corticosteroids can exacerbate acne rosacea.

    02:22 And with that, we've covered our topic today.

    About the Lecture

    The lecture Quick Review: Acne by Stephen Holt, MD, MS is from the course Miscellaneous Skin Disorders (Quiz Coming Soon).

    Author of lecture Quick Review: Acne

     Stephen Holt, MD, MS

    Stephen Holt, MD, MS

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