Quick Review: Acne

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.