Advances in Acne Management, An Issue of Dermatologic Clinics , livre ebook

Advances in Acne Management
Dermatologic Clinics
Editors
James Q. Del Rosso, DO
Touro University Nevada, Henderson, NV
Joshua A. Zeichner, MD
Icahn School of Medicine at Mount Sinai, New York, NY
Consulting Editor
Bruce H. Thiers

Clinics Review Articles

www.derm.theclinics.com

April 2016 Volume 34 Number 2
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editors
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Preface. Face to Face with Acne in 2016 and Beyond
Acne and the Internet
Key points
Introduction
What is out there
Online dangers
Summary
References
The Relationship of Proper Skin Cleansing to Pathophysiology, Clinical Benefits, and the Concomitant Use of Prescription Topical Therapies in Patients with Acne Vulgaris
Key points
Introduction
Acne pathogenesis
Topical acne prescription therapies and the skin barrier
Cleanser basics for patients with acne
Clinical studies evaluating the benefits of using mild cleansers in acne
Frequency of cleansing in acne
Discussion/Summary
References
Top Ten List of Clinical Pearls in the Treatment of Acne Vulgaris
Key points
Introduction
Acne duration and inflammation correlate to the degree of scarring
Antibiotic resistance can be associated with reduced clinical response and drives resistance in Propionibacterium acnes and other commensal bacteria: consider antibiotic prescribing policies
Acute flare of acne on commencing oral isotretinoin: be aware of the macrocomedone
Isotretinoin absorption is food dependent. An empty stomach may reduce absorption leading to a significant reduction in blood levels: ensure patients know how to take isotretinoin because this may impact on safety, efficacy, and duration of therapy
Consider how to manage adverse effects and interactions of topical agents to optimize efficacy: avoid irritation, cosmetic issues caused by interactions as with dapsone and benzoyl peroxide or sulfacetamide or instability when using tretinoin and benzoyl peroxide
Evidence to support high-dose doxycycline plus a fixed combination product as an alternative to oral isotretinoin in severe nodular acne
Antihistamines ameliorate the adverse effects of oral isotretinoin and act as an adjuvant in the management of moderate to severe acne
Spironolactone as an alternative to combined oral contraceptives in female patients who require an antiandrogen therapy
Long-term antibiotics may lead to gram-negative folliculitis
Be aware of anabolic steroids, nutritional, and vitamin supplements as a trigger for acne or acneiform eruptions
References
Use of Oral Contraceptives for Management of Acne Vulgaris: Practical Considerations in Real World Practice
Key points
Combination oral contraceptive pills
Mechanism of action in acne
Efficacy in acne
Benefits
Risks
Contraindications
When to use
How to use
Adverse effects
References
The Clinical Relevance of Antibiotic Resistance: Thirteen Principles That Every Dermatologist Needs to Consider When Prescribing Antibiotic Therapy
Key points
Major premise #1: dermatologists are the most common prescribers of antibiotic therapy in the United States
Major premise #2: the importance of antibiotic resistance in dermatology extends far beyond Propionibacterium acnes
Major premise #3: measures to reduce antibiotic exposure contribute to reduced prevalence of antibiotic-resistant bacteria
Major premise #4: some clinical situations where antibiotics are often routinely prescribed warrant reconsideration because antibiotic therapy is usually not needed
References
Oral Isotretinoin: New Developments Relevant to Clinical Practice
Key points
Introduction
Summary
References
Safety Considerations and Monitoring in Patients Treated with Systemic Medications for Acne
Key points
Introduction
Tetracyclines
Spironolactone
Isotretinoin
Summary
References
Pediatric Acne: Clinical Patterns and Pearls
Key points
Introduction
Pediatric physiology
Neonatal acne
Infantile acne
Midchildhood acne
Preadolescent acne
Summary
References
Evaluation and Management of Refractory Acne Vulgaris in Adolescent and Adult Men
Key points
References
Evaluation of Acne Scars: How to Assess Them and What to Tell the Patient
Key points
Introduction
History
Physical examination
Patient discussion and development of treatment plan
Summary
References
Physical Modalities (Devices) in the Management of Acne
Key points
Introduction
Visible light phototherapy
Laser light sources
Other modalities
Summary
References
When Acne is Not Acne
Key points
History
Diagnosis and manifestations
Confirmation of diagnosis and management
Summary
References
Index
Copyright
ELSEVIER
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DERMATOLOGIC CLINICS Volume 34, Number 2
April 2016 ISSN 0733-8635, ISBN-13: 978-0-323-41752-5
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Developmental Editor: Alison Swety
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