Clinical examination and Treatment of Acne Vulgaris. For Nursing Students Subject "Medical Surgical Nursing" Integumentary System

1. ACNE VULGARIS

2. ACNE VULGARIS
 Acne – Eruption, Vulgaris – Common
 Acne vulgaris are the common skin eruptions caused to blocked
(clogged) pores or hair follicles with debris or dead cells
 Common among teenagers because skin changes occur during
puberty
 Commonly seen on face, back, chest

3. TYPES
 Mild Acne ; White heads, black heads
 Moderate Acne : Pustules
 Severe Acne : Cysts and nodules

5. CAUSE
 Keratin plus-
 Dead keratinocytes + keratin
 block the opening of the hair follicle
 Sebum – Released by sebaceous glands
 Bacteria - Propionibacterium (normal flora)
 Pus - white head
 Genetic and environmental factors
 Skin products

6. TYPES
 TYPE 1 (mild acne)
 No scarring, a few small comedones
 TYPE 2 ( Moderate Acne)
 No scarring, large closed comedones (papules)
 TYPE 3 (Moderately Severe)
 Some scarring, papular and pustular
(comedones containing necrotic tissue)
 TYPE 4 (Severe Acne)
 Severe scarring and nodulocystic acne (has nodules and cysts)

7. TREATMENT
 Type 1 – Topical Treatments – BENZOYL PEROXIDE, SALICYLIC ACID
 Type 2- Antibiotics- doxycycline or Tetracycline + Spironolactone (Hormonal
regulation)
 Type 3 and 4 – ISOTRETINOIN (vit A derivative)
 Acne Scars – Tretinoin creams
 Microabrasion
 Injectable fillers
 Laser treatment
 Psychodermatology