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Acne Vulgaris

Acne Vulgaris. Objectives. Know the epidemiology and causes of acne Know the types of acne lesions Differentiate adenoma sebaceum from acne Plan an appropriate treatment of acne. Epidemiology. Most common skin disease treated by physicians 14.5 million visits to physician/year

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Acne Vulgaris

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  1. Acne Vulgaris

  2. Objectives • Know the epidemiology and causes of acne • Know the types of acne lesions • Differentiate adenoma sebaceum from acne • Plan an appropriate treatment of acne

  3. Epidemiology • Most common skin disease treated by physicians • 14.5 million visits to physician/year • 17 million Americans have acne • 85% of adolescents between 15 and 17 • > 1 billion dollars in health costs per year • $100 million/year in over the counter products

  4. Pathophysiology Evolution of acne lesions:

  5. Pathophysiology of Acne

  6. Classification of Lesions

  7. The next slides are visual examples of the type of lesions in acne. Have fun first guessing the types of lesions as the answer will only appear after you click.

  8. Non-inflammatory comedonal:Whiteheads and Blackheads

  9. Papular Inflammatory

  10. Papular and Pustular Inflammatory

  11. Papules, Nodules, and Cysts

  12. Severe Nodular and Cystic

  13. Adenoma Sebaceum

  14. Adenoma Sebaceum • Most common skin manifestation of tuberous sclerosis • 1-5 mm yellow-pink papules with fine telangiectasia • Benign hamartomas composed of fibrous and vascular tissue (angiofibromas) • May first appear during childhood or early adolescence  Differentiate from Acne!!!

  15. Classification of Severity

  16. How Treatment Works

  17. Major Pathophysiologic Features of Acne and Drugs That Affect Them

  18. Topical and Systemic Antibiotics Used to Treat Acne Leyden J. N Engl J Med 1997;336:1156-1162

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