acne
DESCRIPTION
acneTRANSCRIPT
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Dr. Citra Cahyarini, Sp.KK Bagian Ilmu Kesehatan Kulit dan KelaminFK Universitas Yarsi Jakarta
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Acne VulgarisDefinition : disorder of the pilosebaceous unit there is a large number of keratin mass that expands to fill the lumen & forms the solid plug in ductus pilosebaceous
Clinical finding : there is comedones, papules, pustules, nodules, cysts
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Etiology :GeneticEndocrinePsychisFood / dietSeasonalCosmeticsInjuryetc.
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Acne VulgarisPatophysiology :Patients with acne have # An increased sebum production# Abnormal keratinization# Microoragisms colonization# Inflammation
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PubertyAndrogen hormone kSebumProductions kKeratinForming kP. Acnes >>(Lipase)Free Fatty AcidSolid Plug inDuctusPilosebaceous
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Androgen HormonSebaceous Gland
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ClassificationBy Kligman & Plewig, 1975 - Comedonal acne-Papulo-pustules acne- Conglobata acne
By Gruper, 1977- True Acne :w Acne Vulgaris :w Tropical acnew Mechanical acnew Fulminan acnew Neonatal acne
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AV Closed ComedonesAV Opened Comedones
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Papulo-pustulous AcnesConglobata Acnes
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Acne ExcorieeNeonatal/ Infantil Acnes
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Acne Vulgaris- True Acne :w Acne Venenata :w Cosmetical acnew Chlor acnew Occupational acnew Acne Physical :w Senile acnew Radiation acne- Acneiform Eruption Acne like
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Cosmetic AcneOccupational Acne
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Diagnosis BaseAnamnesis Medical Historyw Age, education, occupancy w Cosmeticalw Phsycically depressed w Menstruationsw Climate / season w Injuryw Diet / foods w Drugs
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Physical Examination w Oily skin w Comedonal & non comedonalw Another lesions
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Differential Diagnoses
w Acneiform eruptionw Sebaceaous adenomaw Rosaceaw Molluscum contagiosumw Perioral dermatitisw Verucca plana
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Acneiform Eruption- Initially by inflamation (papulo pustulosa)- Absence of comedones- Usually caused by drugs- Suddenly onset- Affected to wide area- Doesnt match to acne location
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Acneiform Eruption Causative drugs :w IodinewVitamin B12w Bromidew Phenobarbitalw INHwTetracyclinew Corticosteroids
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Drug induced acne Acneiform Eruption
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Acne Rosacea
A chronic skin disease3-4th decade of lifeEtiology is unknownFactors stimulate :Hot beveragesAlcoholUltraviolet light exposureEmotional factors
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Stages of evolutionStage 1Persistent erythema with telangiectasesStage 2Persistent erythema, telangiectases, papules, tiny pustulesStage 3persistent deep erythema, dense telangiectases, papules, pustules, nodulesRhinophyma
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Perioral dermatitisAcneiform skin eruptionWomen aged 20-40Etiology unknown, used mid or high potency topical steroids
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TherapyGoals :To decrease sebum productionTo eliminate keratin plugTo decrease microorganisms populationsTo eliminate inflammationMethods :Skin careTherapy
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Systemic Therapy Tetracyline & its derivates Erythromycin Clindamycin LinchomycinAntibiotics Anti androgen Esterogen CorticosteroidIsotretinoin ( 13- cis retinoic acid)Combination TherapySpecial TreatmentsTopical & Systemic Comedo Extraction Tramnicolone acetonide intra lesion Dermabaration
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