Dermatology Book

http://www.fpnotebook.com/

Adjunctive Acne Vulgaris Management

Advertisement

  1. Management: Options for women
    1. Oral Contraceptive with low androgenic Progestin
      1. Norgestimate
        1. Ortho-Cyclen
        2. Ortho Tri-Cyclen
      2. Norethindrone
        1. Norlutin
        2. Aygestin
      3. Desogestrel
        1. Desogen
        2. Ortho-Cept
      4. Ethynodiol Diacetate
        1. Demulen
        2. Zovia
    2. Spironolactone
      1. Indications: Women with androgen hypersecretion
        1. Free Testosterone increased
        2. DHEA-S increased
      2. Dose: 50 to 200 mg PO qd
  2. Miscellaneous
    1. Visible Light Therapy decreases inflammatory acne
    2. Inflammatory lesions needing quick cosmetic therapy
      1. Indications
        1. Photo or modeling session
        2. Wedding or other life-event
      2. Technique
        1. Dilute Triamcinolone 10 mg/ml to 2-3 mg/ml
        2. Inject 0.1 cc into inflammatory acne lesion
        3. May repeat in 3-4 weeks up to one month
  3. References
    1. Habif (2004) Dermatology, Mosby, p. 162-94
    2. Kaplan (2001) CMEA Medicine Lecture, San Diego
    3. Parker in Noble (2001) Primary Care p. 758-60
    4. Brown (1998) Lancet 351:1871
    5. Feldman (2004) Am Fam Physician 69:2123
    6. Gollnick (2003) J Am Acad Dermatol 49:S1

Navigation Tree