Presentation on theme: "Acne What is acne? Symptoms Causes WWHAM Medical treatment Counselling."— Presentation transcript:
1AcneWhat is acne?SymptomsCausesWWHAMMedical treatmentCounselling
2What is acne? Common skin complaint Affects the skin sebaceous follicles (hair follicle and sebaceous glands)appears at puberty and around 80% of people will have some degree of acne between the ages of 11 and 30.Most common on the face, arms, back, and chest.
3What are the symptoms? Non-inflammatory acne Whiteheads Blackheads PapulesPustulesNodulesBlackheadWhiteheadPapuleccSocial symptomsLoss of self confidenceAnxiety and depressionMay withdraw fromsocietyPustulesNodules
4What are the causes? Major cause During puberty, increase in testosterone productionExcess oil production (sebum)Blockage of poresNon-inflammatory spotsInfection by bacteria PropionibacteriumInflammatory spots
5During puberty, increase in testosterone production What are the causes?Major causeDuring puberty, increase in testosterone productionOther causesGeneticsStressHormonal changes during menstrual cyclesCertain drugs – hydrocortisone, phenytoin,anabolic steroids used by body builders
6WWHAM Who ? What symptoms? Very young or very old patients -> refer to a doctorWhat symptoms?By examining the patientmild acne-> OTC treatmentsevere acne, severe psychological symptoms-> refer to a doctor
7WWHAM Actions taken? Medication? Previous treatments and their effects Correct treatment - takes 2 months to see benefit.Failure of treatment - refer to GP / use a 2nd line treatment.Incorrect treatment e.g. infrequent application,unsuitable strength– advise on correct use.Medication?Hydrocortisone cream for eczemaSteroids and the combined contraceptive pill
8Drug treatment 1st line treatment Retinoids for non-inflammatory lesionvitamin A derivativeencourages the outer layer of skin to flake offside effect: redness and peeling of skinto minimize the effect, apply every 2 -3 days increasing toonce nightly when toleratedcontraindicated pregnancy – advise on use of effectivecontraception. Avoid use in women who want to getpregnant or are pregnant.
9Drug treatment 1st line treatment Benzoyl peroxide for inflammatory lesionkeratolytic and antibacterial actionBenzoyl peroxide 5% , 2.5%, 10%Formulations: alcoholic gel for oily skin, aqueous cream forsensitive or dry skinInitial side effect: redness and peeling of skinStart using once a day until tolerance is developed, then increasethe frequency to twice a day and the strength to 5%.
10Drug treatment 2nd line treatment Nicotinamide Azelaic acid alternative to benzoyl peroxide if it is not acceptableanti-inflammatory actiontopical creamAzelaic acidalternative to benzoyl peroxide for people with sensitive skininhibit growth of bacteriaCleansing agent (GSL)contains anti-bacterial ingredients (chlorhexidine, cetrimide)remove excess sebum and skin cells and reduce bacteria on skinplacebo effect!
11Counselling Diet Regular washing Make-up Sunlight Not caused by eating chocolate or greasy foodRegular washingUse soap water to remove excess sebum oilMake-upuse water-based foundation rather than oil-based foundationremove at the end of the daySunlightHas drying and degreasing effectHowever, use of sunbed is not recommendedas risk of melanoma outweigh the benefit.ACNE IS NOT THEIR FAULT!
13Summary Acne Minor ailment Main cause Hormonal changes during puberty Non-inflammatory acneWhiteheads, blackheadsInflammatory acnePapules, pustules, nodulesSymptoms1st line treatmentRetinoidsBenzoyl peroxideNicotinamideAzelaic acid2nd line treatmentBenzoyl peroxide