logging in or signing up Acne ksbarot Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3499 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: March 04, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available Comments Posting comment... By: pattippa (9 month(s) ago) pls send me.ta_echan@hotmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: dnbid (14 month(s) ago) Pl send this presentation to me. Great slides. dnbid@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: alhefny (31 month(s) ago) very nice presentation but I cant download ?????????????? How can I do? Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Acne Vulgaris: Acne Vulgaris Dr.KaushikAcne Rosacea: Acne Rosacea Most common in people age 30-60 Cause of vascular dilation unknown Initial symptom is erythema of the face Treat symptoms Topical antibiotics and benzoyl peroxide Tretinoin & oral Abs for persistent Sx Pathogenesis… 4 factors: Pathogenesis… 4 factors Hyperkeratosis Increased sebum production Propionibacterium acnes present in the follicle Inflammation A zit’s a zit…right?: A zit’s a zit…right? Open comedo = blackhead Follicle is open and distended Dark color is due to melanin, lipids, and keratinocytes Closed comedo = whitehead Progresses from microcomedo due to sebum productionClosed OpenComedo Comedo : Closed Open Comedo Comedo Open comedones: Open comedonesInflammatory lesions: Pustules (superficial), papules, nodules Develop when follicular contents rupture into surrounding dermis Inflammatory lesions papulesWhat about adults?: What about adults? Acne tends to resolve in the 3rd decade Due to DHEA decline Premenstrual flares are common in older womenWhat was that about DHEA?: What was that about DHEA? Androgens in general are the original culprit Leads to pubertal production of sebaceous glands and sebum Also, some androgens are active on the skin leading to increased metabolic activity in acne-prone areas of the skinAcne medicamentosaacne fulminans acne conglobata: Acne medicamentosa acne fulminans acne conglobataExternal factors: External factors Acne comsetica Recommend water-based products Acne mechanica Mechanical trauma may lead to inflammatory lesions “Sports induced”External factors: External factors Clothing can harm Pts with acne should avoid occlusive clothing Environmental factors Humidity & heavy sweating, halogenated hydrocarbons from industrial products (cutting oils, herbicides, chemical warfare) Dietary factors are usually not of concern Clinical presentation: Clinical presentation Affects face, neck, chest, upper back, upper arms Greatest number of sebaceous glands Scarring and hyperpigmentation may occurDiagnostic evaluation: Diagnostic evaluation Refer for endocrine evaluation to rule out systemic causes PCOShyperandrogenism Check med list May be caused by androgens, corticosteroids, lithium, phenytoin, B vitamins, etc.Diagnosis: Diagnosis Focus on type & location of lesions, scarring, & postinflammatory pigment changes Hirsutism or virilization warrants further lab & imaging studiesKeys to Clearing Acne: Keys to Clearing Acne Controlled not cured Patient must want to comply Takes 4-8 weeks to see full effect Long-term, consistent and continuousType of acne to self treat: Type of acne to self treat Non-Inflammatory (less than 10 comedones) goals unblock ducts and keep orifice open relieve social and physical discomfortWhen to Refer: When to Refer Moderate to severe papular, postular and nodule acne (10-25 inflammatory lesions) Scars On chest or back Not typical age Due to Medication useNon Pharmacological: Non Pharmacological Cleanse the skin warm water, soap, not vigorous Minimizing factors avoid friction causing clothes no oil based cosmetics sun exposure don’t pick or squeezeOTC products: OTC products Benzoyl Peroxide Salicylic Acid Sulfur (w/ resorcinol)Benzoyl Peroxide: Benzoyl Peroxide Bacteriocidal against P. acnes Increase sloughing of skin cells Prevents closure of orifice Use 1-2 times daily (4-6 weeks for full effect)Benzoyl Peroxide: Benzoyl Peroxide Excessive dryness, peeling May bleach clothes, bedding Category III (not enough data)Salicylic Acid: Salicylic Acid Mild comedolytic agent surface keratolytic Apply 1-3 times dailySulfur: Sulfur Keratolytic Comedolytic use 1-3 times daily color and odorProduct selection: Product selection Gels vs. Creams StrengthQuestions: Questions You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Acne ksbarot Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 3499 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: March 04, 2008 This Presentation is Public Favorites: 0 Presentation Description No description available Comments Posting comment... By: pattippa (9 month(s) ago) pls send me.ta_echan@hotmail.com Saving..... Post Reply Close Saving..... Edit Comment Close By: dnbid (14 month(s) ago) Pl send this presentation to me. Great slides. dnbid@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: alhefny (31 month(s) ago) very nice presentation but I cant download ?????????????? How can I do? Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Acne Vulgaris: Acne Vulgaris Dr.KaushikAcne Rosacea: Acne Rosacea Most common in people age 30-60 Cause of vascular dilation unknown Initial symptom is erythema of the face Treat symptoms Topical antibiotics and benzoyl peroxide Tretinoin & oral Abs for persistent Sx Pathogenesis… 4 factors: Pathogenesis… 4 factors Hyperkeratosis Increased sebum production Propionibacterium acnes present in the follicle Inflammation A zit’s a zit…right?: A zit’s a zit…right? Open comedo = blackhead Follicle is open and distended Dark color is due to melanin, lipids, and keratinocytes Closed comedo = whitehead Progresses from microcomedo due to sebum productionClosed OpenComedo Comedo : Closed Open Comedo Comedo Open comedones: Open comedonesInflammatory lesions: Pustules (superficial), papules, nodules Develop when follicular contents rupture into surrounding dermis Inflammatory lesions papulesWhat about adults?: What about adults? Acne tends to resolve in the 3rd decade Due to DHEA decline Premenstrual flares are common in older womenWhat was that about DHEA?: What was that about DHEA? Androgens in general are the original culprit Leads to pubertal production of sebaceous glands and sebum Also, some androgens are active on the skin leading to increased metabolic activity in acne-prone areas of the skinAcne medicamentosaacne fulminans acne conglobata: Acne medicamentosa acne fulminans acne conglobataExternal factors: External factors Acne comsetica Recommend water-based products Acne mechanica Mechanical trauma may lead to inflammatory lesions “Sports induced”External factors: External factors Clothing can harm Pts with acne should avoid occlusive clothing Environmental factors Humidity & heavy sweating, halogenated hydrocarbons from industrial products (cutting oils, herbicides, chemical warfare) Dietary factors are usually not of concern Clinical presentation: Clinical presentation Affects face, neck, chest, upper back, upper arms Greatest number of sebaceous glands Scarring and hyperpigmentation may occurDiagnostic evaluation: Diagnostic evaluation Refer for endocrine evaluation to rule out systemic causes PCOShyperandrogenism Check med list May be caused by androgens, corticosteroids, lithium, phenytoin, B vitamins, etc.Diagnosis: Diagnosis Focus on type & location of lesions, scarring, & postinflammatory pigment changes Hirsutism or virilization warrants further lab & imaging studiesKeys to Clearing Acne: Keys to Clearing Acne Controlled not cured Patient must want to comply Takes 4-8 weeks to see full effect Long-term, consistent and continuousType of acne to self treat: Type of acne to self treat Non-Inflammatory (less than 10 comedones) goals unblock ducts and keep orifice open relieve social and physical discomfortWhen to Refer: When to Refer Moderate to severe papular, postular and nodule acne (10-25 inflammatory lesions) Scars On chest or back Not typical age Due to Medication useNon Pharmacological: Non Pharmacological Cleanse the skin warm water, soap, not vigorous Minimizing factors avoid friction causing clothes no oil based cosmetics sun exposure don’t pick or squeezeOTC products: OTC products Benzoyl Peroxide Salicylic Acid Sulfur (w/ resorcinol)Benzoyl Peroxide: Benzoyl Peroxide Bacteriocidal against P. acnes Increase sloughing of skin cells Prevents closure of orifice Use 1-2 times daily (4-6 weeks for full effect)Benzoyl Peroxide: Benzoyl Peroxide Excessive dryness, peeling May bleach clothes, bedding Category III (not enough data)Salicylic Acid: Salicylic Acid Mild comedolytic agent surface keratolytic Apply 1-3 times dailySulfur: Sulfur Keratolytic Comedolytic use 1-3 times daily color and odorProduct selection: Product selection Gels vs. Creams StrengthQuestions: Questions