Acne Particular cases of acne treatment

Acne
Particular cases of acne treatment
Acne fulminans Although this rare form of ancnee may be encountered in practice in general dermatology with a high frequency of males between 13 and 18. Onset is abrupt at presternal, back and shoulders, with hemorrhagic ulcerative lesions, necrotic, fever, pol, and altered mental status ialtralgii General Biology finds proteinuria, circulating immune complexes, polinucleoza.Uneori progression to acne fulminans may be triggered by treatment isotretinoin, in which case corticosteroid therapy should be started at a dose necessary intrerupt.Este 0.5-1mg per kg body weight per zi.Unii author's association with NSAIDs or paracetamolului.Reintroducerea isotretinoin is gradual, with doses of 5-10 mg / kg of body is not possible reintroduction of isotretinoin zi.Daca can call on spironolactona.Foarte disulona or local measures are important in the vacuum treatment of cystic necrotic lesions, and especially psychological support. (2,3,6,)

 
Foliculitele with Gram negative They are the only cases that require sampling for culture and antibiogram according to which antibiotic to prescribe.

Piodermitele facial Occur especially in women with inflammatory abrupt onset, especially in the nose and obrajilor.Poate require general corticotherapy (0.5-1mg / kg), followed by NSAIDs, which are preferred by isotretinoin with higher anti-inflammatory effect ciclinelor.

Acne Particular cases of acne treatment Acne Conglobata Acne Conglobata represent 0.5-1% of cases of acne and is especially important for men with seborrhea. Because this type of acne cysts and tunnels which prevails out pus, and scarring are important, they must first be intent isotretinoin therapy (0.5-1mg / kg). Sometimes associated with corticosteroid therapy (0.5 mg / kg) and treatment of acne dermatochirurgical.Tratamentul in this form with your team to do plastician.Pacientul may need psychological support! (2,3,6)

Acne Escorial More common in women with psychiatric disorders or other neurotic tendency, this type of acne is well treated in collaboration with the psychiatrist. (Anxiolytics can be prescribed provided that the patient to accept collaboration with psychiatrist or psychologist).

 
Atrophic or hypertrophic scars of acne may benefit from peels to improve the appearance and performance chemicals pielii.Alegerea peels are done only by experienced dermatologists and plasticienii. (2,3,8)

Acne Particular cases of acne treatment Resistant or relapsing acne to isotretinoin It is generally caused by: 1) hereditary land hiperseboreic with parents acne (m2 mutations demonstrated the existence of an adenine-guanine instead of the cytochrome P450 gene in subjects acne, which leads to the transformation in situ in a vitamin A metabolite that induces an anomaly hiperkeratinizarea sebochistilor differentiations with follicular canal). In this particular case is appealed, a cosmetic dermatology treatment and microsurgical suction of the cyst. 2) context hyperandrogenic hormonal abnormality. (2,3,6) 
Acne Particular cases of acne treatment