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acne vulgaris acne vulgaritis - Coggle Diagram
acne vulgaris
Defination
chronic skin disease involving blockage and inflammation of pilosebaceous units
Clinical manifestations
Small red, tender bumps (papules)
Pimples (pustules), which are papules with pus at their tips
Blackheads (open plugged pores)
Large, solid, painful lumps under the skin (nodules)
Whiteheads
Painful, pus-filled lumps under the skin (cystic lesions)
Pathophysiology
Androgen Mediated Sebum Production
Keratinous Obstruction of sebaceous follicle outlet which results in formation of comedones
Bacterial Colonization of trapped sebum with Cutebacterium acnes, previously Propionibacterium acnes
Inflammatory reaction which are papules, Nodules and cysts
Types of acne vulgaris
Acne fulminans is acute, febrile, ulcerative acne, characterized by the sudden appearance of confluent abscesses leading to hemorrhagic necrosis
Pyoderma faciale (also called rosacea fulminans) occurs suddenly on the midface of young women. It may be analogous to acne fulminans
Acne conglobata is the most severe form of acne vulgaris manifested by abscesses, draining sinuses, fistulated comedones and atrophic scars
Causes
Hair follicles clogged by oil and dead skin cell
Bacteria
Excess oil (sebum) production
Inflammation
Treatment
Antibiotics
Azelaic acid and salicylic acid
Retinoids and retinoid-like drugs
Dapsone
Avoid scarring or other damage to your skin
Make scars less noticeable
Antibiotics
Therapies
Steroid injection
Light therapy
Drainage and extraction
Chemical peel
Nursing management
Wash his face gently (do not scrub) with mild soap twice daily
Medications that exacerbate acne like
Androgenic steroids
Do not to squeeze blackheads, not to prop hands on or rub the face, to wash hair daily and keep it off the face
Avoid hot, greasy and tobbacco smoke environment
Administer prescribed medications, which may include acne products containing benzoyl peroxide,topical agents
Do not squeeze lesions or
Forces pus into Dermis
Diagnostic procedures
MRI studies
Swab or scraping of a lesion
CT scan
X-rays
hormone blood tests
References
Motosko CC, Zakhem GA, Pomeranz MK, Hazen A. Acne: a side-effect of masculinizing hormonal therapy in transgender patients. Br J Dermatol. 2019 Jan;180(1):26-30. [PubMed]
Alexeyev OA, Dekio I, Layton AM, Li H, Hughes H, Morris T, Zouboulis CC, Patrick S. Why we continue to use the name Propionibacterium acnes. Br J Dermatol. 2018 Nov;179(5):1227. [PubMed]
