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Acne Like Eruptions

Acne

  • It is a chronic inflammatory condition affecting the hair follicles and its oil glands(Sebaceous gland)
  • Clinical features are open comedones(black heads), closed comedones (white heads), papules and pustules in addition to cysts.
  • If associated with hirsutism and irregular period it might be a sign of Androgen overproduction like Polycystic Ovary Syndrome and other conditions.

Acne causes are:1-abnormal keratinization within the hair follicle 2- excess oil production 3-colonization of hair follicle by Propionibacterium Acne  4-Release of inflammatory mediators.

Classification and Treatment

Mild

Comedones + Inflammatory papules

Benzoyl Peroxide +-

Topical Retinoids +-

Topical antibiotic

Moderate

Same + Nodules

Add oral antibiotic

Severe

Same + Cysts

Consider oral Isotretinoin

Acne

Rosacea

    • Chronic inflammation in the facial hair follicles and its oil glands with increased vascular reactivity ( congestion)
    • It has 4 types:
      1. Erythroteleangiectatic
      2. Papulo pustular: may mimic Acne
      3. Phymatous : severe sebaceous hyperplasia and growth (Rhynophema)
      4. Ocular:
        • It is more common in mid life in fair skin people
        • It gets worse with stress, alcohol, heat and excessive sunlight

Treatment

    • Avoidance of sun, alcohol and certain foods
    • Topical: antibiotics, Permethrin, Azelaic acid, Tacrolimus
    • Oral antibiotics
    • Laser, Intense pulsed light, Electrosurgery
Rosera

Hidradenitis Suppurativa

  • It is an inflammatory skin condition of the sweat glands usually in the Axilla but it can be in the groin and under breasts.
  • It causes comedones, painful nodules, abscesses and sinuses
  • Risk factors include obesity, cigarettes smoking and family history

Treatment is very difficult

Mild

Comedones

Small papules or pustules

Small nodules

Antibacterial washes

Topical antibiotics

Warm compresses

Behavioral changes

Moderate

Multiple abscesses or

Multiple cysts

Multiple nodules

Scarring

Oral antibiotics

Wide local excision

Women:Contraceptives,Spironolactone

Severe

Multiple nodules

Sinus tract

Referral to a dermatologist (TNF) and/or surgeon for wide local excision

Medical Care One is an urgent care and Walk-in clinic in YpsilantiUrgent Care Online: We offer Telemedicine. Visit Urgent Care Near You – No Appointment  Necessary.  COVID-19 safety info. 

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