Alright, having talked about that last case,
let's go on to a few review questions.
I'll ask the question, you could pause the screen
and when you're ready for the answer, unpause it.
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.
And I really want to highlight that point.
Comedones are a disease
seen in acne vulgaris,
and less commonly with hidradenitis
suppurativa, but not acne rosacea.
Acne vulgaris is commonly exacerbated
by spicy foods and alcohol.
That should make you think of
acne rosacea not acne vulgaris.
So that one's also false.
Acne rosacea is a disease of adolescence.
Not really, it's more in women
who are in their 30's and 40's.
Telangectasias are commonly
seen with acne vulgaris.
No, that's really something
seen with acne rosacea.
And lastly, rhinophyma is a late
manifestation of acne rosacea.
That's true, particularly when
you see the disease in men.
So our answer to this question is number 5.
Alroght, next and last question.
Which of the following is
an appropriate treatment?
Alright, so rosacea.
You don't treat rosacea
with TNF alpha inhibitors.
You're probably gonna use something
like topical metronidazole.
Acne vulgaris, first line treatment
with topical clindamycin
That's actually completely reasonable, you could
use either topical clindamycin or benzoyl peroxide.
So that's gonna turn out to be our answer.
You wouldn't really start with topical brimonidine,
it's not gonna be an effective treatment at all.
Oftentimes, you'd need surgical procedures
and potentially interlesional steroids.
For acne vulgaris, first line
therapy with isotretinoin?
That would be a pretty
big gun to start with.
Again, that's that medicaton which is extremely
effective but has known teratogenecity.
And lastly, acne rosacea.
You wouldn't start with
In fact, there's some evidence that topical
corticosteroids can exacerbate acne rosacea.
And with that, we've covered our topic today.