Presentation on theme: "Dr Stephen Chadwick GPsWI"— Presentation transcript:
1 Dr Stephen Chadwick GPsWI AcneDr Stephen ChadwickGPsWI
2 Acne Very common Most teenagers will have some acne Tends to resolve by late teens or early twenties, but can persistLate onset10% will have acne in thirties6% in forties
3 Features Comedones (open and closed) Grease Red papules and pustules Nodules and cystsScarringPain and tendernessLow self esteem and confidence
4 Cause Disorder of pilosebaceous follicle Excess of oil Dead skin not shed properly and blocks the pores with blackheadsMicrocomedones and comedonesPockets of oil form ideal breeding ground for Propionibacterium acnesInflammation leads to red papules and pustules.
5 Assessment Previous treatments Compliance and side effects How bad does the patient feel it is ?/10Objective assessment of severityMild/moderate/severe and face/chest/backComedones, papules and pustulesNodules and cystsScarring
6 Treatment Do not pick or squeeze Ask about inappropriate emollient use Oil-free make-up, non-comedogenicUse mild soap or gentle cleanserExpect topical treatments to dry or irritate, and manage thisAt least 2 months to assess any treatment