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.
The lecture Quick Review: Acne by Stephen Holt, MD, MS is from the course Miscellaneous Skin Disorders.
Which of the following is true regarding acne vulgaris?
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