SetelDoc Dermatology Deep Dive
Acne Vulgaris
🔍 1. Identification & Grading
Lesions: Comedones (hallmark), papules, pustules. Severe cases show cysts/nodules.
Mild: Many comedones, few papules/pustules.
Moderate: Numerous papules and pustules.
Severe: Nodulocystic, extensive pustules.
⚖️ 2. Differential Diagnosis
| Condition | Key Diagnostic Clue |
|---|---|
| Acne Rosacea | Facial flushing, erythema. Lacks comedones. Triggered by alcohol/spicy food. |
| Perioral Derm. | Small papules around mouth. Clear zone at lip margin. Often steroid-induced. |
💊 3. Management Protocol
Mild Acne
- Benzoyl Peroxide 5%: Apply daily.
- Adapalene 0.1%: Apply at night. (Contraindicated in pregnancy!)
Moderate Acne
Choose 2 Topicals: BPO | Retinoid | Top. Antibiotic
- Oral Doxycycline: 100mg OD for 12 weeks.
- Oral Erythromycin: 400mg BD x 12 weeks. Safe in Pregnancy
Assess response at 6-8 weeks. Max duration 4 months.
Severe Acne
Refer Dermatology STAT. Assessment for Oral Isotretinoin is required to prevent scarring.