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Old 11-12-2012
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Skin Acne Treatment Confusion

UW tells us that topical retinoids will treat mild acne and topical antibiotics should be added for moderate acne and MTB 2 shows the opposite treatment.
What should i answer when i get that question in my exam?
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Old 11-12-2012
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This is what I am going with:
Mild (Comedonal acne): Topical tretinoin and benzoyl peroxide.

Moderate (Inflammatory acne with some pustules): Add topical antibiotics ( eg, erythromycin, clindamycin).

Moderate to Severe (Pustulocystic Inflammatory acne): Add oral antibiotics ( eg, tetracycline, erythromycin are used for acne refractory to topical antibiotics).

Severe (Nodulocystic and scarring acne): Isotretinoin leads to marked improvement in > 90% of acne patients.
Try to get the concept behind it:

Mild inflammation>>>>>>>treat with topical retinoids

Mild inflammation with some pustules>>>>>>>treat with topical retinoids + topical antibiotics

Moderate inflammation with severe pustules>>>>>>>treat with topical retinoids + Oral antibiotics

Severe inflammation with scarring>>>>>>>treat with oral retinoids
A man doesn't know what he knows until he knows what he doesn't know.
“What is man? He's just a collection of chemicals with delusions of grandeur.”

Last edited by Novobiocin; 11-12-2012 at 02:08 PM.
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The above post was thanked by:
aknz (02-09-2013)
Old 11-12-2012
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Check this table here
An Acne Treatment Question

That table is an authentic table devised by the American Dermatology Association and it should be your reference.

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The above post was thanked by:
med stu (12-02-2012), slamdunk (11-17-2012)



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