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ACNE: Diagnosis and Treatment

Objectives:. Definition of lesionsClassification of acneTopical therapySystemic therapy. Acne. Affects up to 85% of teensOften continues into adulthoodApprox 10% of patients present for tx at 35-44 yoCost: >$1 billion/yr and >$100million in OTC therapyPathogenPropionibacterium acneProlifer

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ACNE: Diagnosis and Treatment

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    1. ACNE: Diagnosis and Treatment Frene’ LaCour-Chestnut, MD

    2. Objectives: Definition of lesions Classification of acne Topical therapy Systemic therapy

    3. Acne Affects up to 85% of teens Often continues into adulthood Approx 10% of patients present for tx at 35-44 yo Cost: >$1 billion/yr and >$100million in OTC therapy Pathogen Propionibacterium acne Proliferates in obstructed follicle duct and causes inflammatory response Diagnosis based on history and physical exam

    4. Physical Exam Lesions Open comedones (blackheads) Closed comedones (whiteheads) Papules Pustules Nodules Cysts Located on face, chest, back, upper arms

    5. Classification Severity Mild: few/several papules and pustules but NO nodules Moderate: several/many papules & pustules and few nodules Severe: numerous/extensive papules & pustules and many nodules Type Comedonal Papulopustular Nodulocystic Pustules & cysts indicates inflammatory acne

    6. Joanna Smith CC: acne HPI: 18 yo female who recently graduated from HS and comes to your office before starting college because she wants her skin to clear up before rush in 8 weeks Define the lesions you see and classify her acne?

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