Diagnosis
H&P consistent with acne vulgaris.
Acne severity: ______
DDx of Acne:_____
Inflammatory lesions vs. noninflammatory lesions.
Treatment
-Treatment per acne severity based on acne algorithm from the Global Alliance to Improve Acne.
–Pharmacologic and nonpharmacologic treatment modalities discussed.
-Will start patient on:_________________
-Patient education provided as well as alternative treatment options, risks, and benefits.
–Mechanism of acne reviewed with the patient.
-Counseling: Topical antibiotics are more effective when combined with a topical retinoid.
-Indications for referral to dermatology discussed.
-F/u in 6 weeks.
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Acne pearls and links
- Acne Management – One Dermatologist’s Approach
- Topical antibiotics are recommended only in together with benzoyl peroxide. This is to decrease the development of resistance.
- Treating acne with diet (still controversial but makes a lot of sense).
Roman CJ, Cifu AS, Stein SL: Management of acne vulgaris. JAMA 2016;316(13):1402-1403.
Zaenglein AL, Pathy AL, Schlosser BJ, et al: Guidelines of care for the management of acne vulgaris. J Am Acad Dermatol 2016;74(5):945-973.
http://www.aafp.org/afp/2012/1015/p734.html (Diagnosis and Treatment of Acne)
http://www.aafp.org/afp/2004/0501/p2123.html