Presentation on theme: "What is acne? Symptoms Causes WWHAM Medical treatment Counselling Acne."— Presentation transcript:
What is acne? Symptoms Causes WWHAM Medical treatment Counselling 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. What is acne?
c What are the symptoms? Inflammatory acne Papules Pustules Nodules Non-inflammatory acne Whiteheads Blackheads Social symptoms Loss of self confidence Anxiety and depression May withdraw from society Whitehead Papule c PustulesNodules Blackhead
What are the causes? Excess oil production (sebum) Blockage of pores Infection by bacteria Propionibacterium During puberty, increase in testosterone production Non-inflammatory spots Inflammatory spots Major cause
During puberty, increase in testosterone production What are the causes? Major cause Other causes Genetics Stress Hormonal changes during menstrual cycles Certain drugs – hydrocortisone, phenytoin, anabolic steroids used by body builders
WWHAM Very young or very old patients -> refer to a doctor By examining the patient mild acne -> OTC treatment severe acne, severe psychological symptoms -> refer to a doctor Who ? What symptoms?
WWHAM Hydrocortisone cream for eczema Steroids and the combined contraceptive pill Previous treatments and their effects Correct treatment - takes 2 months to see benefit. Failure of treatment - refer to GP / use a 2 nd line treatment. Incorrect treatment e.g. infrequent application, unsuitable strength– advise on correct use. Actions taken? Medication?
vitamin A derivative encourages the outer layer of skin to flake off side effect: redness and peeling of skin to minimize the effect, apply every 2 -3 days increasing to once nightly when tolerated contraindicated pregnancy – advise on use of effective contraception. Avoid use in women who want to get pregnant or are pregnant. Drug treatment 1st line treatment Retinoids for non-inflammatory lesion
Drug treatment 1st line treatment Benzoyl peroxide for inflammatory lesion keratolytic and antibacterial action Benzoyl peroxide 5%, 2.5%, 10% Formulations: alcoholic gel for oily skin, aqueous cream for sensitive or dry skin Initial side effect: redness and peeling of skin Start using once a day until tolerance is developed, then increase the frequency to twice a day and the strength to 5%.
alternative to benzoyl peroxide if it is not acceptable anti-inflammatory action topical cream Drug treatment 2nd line treatment contains anti-bacterial ingredients (chlorhexidine, cetrimide) remove excess sebum and skin cells and reduce bacteria on skin placebo effect! alternative to benzoyl peroxide for people with sensitive skin inhibit growth of bacteria Nicotinamide Azelaic acid Cleansing agent (GSL)
Counselling Use soap water to remove excess sebum oil Not caused by eating chocolate or greasy food Has drying and degreasing effect However, use of sunbed is not recommended as risk of melanoma outweigh the benefit. use water-based foundation rather than oil-based foundation remove at the end of the day Make-up Sunlight Regular washing Diet ACNE IS NOT THEIR FAULT!
Role Play Please Enjoy!
Summary Acne Non-inflammatory acne Whiteheads, blackheads Inflammatory acne Papules, pustules, nodules RetinoidsBenzoyl peroxide Nicotinamide Azelaic acid Main cause Symptoms 1 st line treatment 2 nd line treatment Hormonal changes during puberty Minor ailment