Acneiform Eruptions in Dermatology: A Differential Diagnosis by Shinjita Das M.D., Rachel Reynolds M.D. (auth.), Joshua

By Shinjita Das M.D., Rachel Reynolds M.D. (auth.), Joshua Zeichner (eds.)

Dermatologists generally deal with pimples, which impacts forty to 50 million americans every year and approximately eighty five percentage of all sufferers at some point soon of their lives. Dermatologists, fundamental care medical professionals, and pediatricians see those sufferers on a daily basis in perform. it is very important deal with the outside successfully not just to minimize the chance of actual scarring, but additionally to deal with the adverse psychosocial influence this sickness incorporates. enhancing the outside can enhance self-confidence, interpersonal relationships, and function at school or at paintings.

Acneiform Eruptions in Dermatology is a pragmatic, full-color advisor to the differential prognosis of pimples vulgaris and the therapy of acne-like stipulations. it really is geared up into sections via subtype of (e.g., infections, genetic syndromes, medication-caused) and features a component of variations of zits that could be misdiagnosed. in the sections, person chapters talk about every one version of the situation and start with a beneficial bulleted precis of its defining medical gains. huge colour medical photos seem during the book.

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2 Azelaic Acid The antimicrobial properties of azelaic acid make it another topical treatment option for acne [33]. Trials comparing azelaic acid to BP or topical clindamycin show similar reductions in the number or acne lesions [36]. Reduction in the number of lesions can be seen as early as 4–8 weeks; however, maximum benefit typically occurs after 16 weeks. Cutaneous side effects of stinging or burning may occur in 10–20 % of patients upon initial use; however, these side effects typically resolve with continued use and rarely necessitate the cessation of treatment [37, 38].

Absorption may be increased when administered with food. Side effects may include hyperkalemia, orthostatic hypotension, menstrual irregularities, gynecomastia, headaches, fatigue, and GI symptoms. The most concerning is the risk of hyperkalemia, which is greater with higher doses, in older women, those taking chronic nonsteroidal anti-inflammatory agents and angiotensinconverting enzyme inhibitors, and those with renal insufficiency or severe cardiac disease. Potassium levels should be checked in the first month of treatment and monitored thereafter to determine if any dose adjustments need to be made, and patients should avoid potassium in their diet.

D. R. D. A. -M. Kober et al. Currently, four topical retinoids are available: tretinoin, isotretinoin, tazarotene, and adapalene. However, only tretinoin, tazarotene, and adapalene are available in the United States. 1 Tretinoin (First-Generation Retinoids) Tretinoin is the oldest of the retinoids and binds with equal affinity to all RAR receptors. Tretinoin demonstrates superiority to benzoyl peroxide (BP), sulfurresorcinol, and vehicle in the reduction of inflammatory and noninflammatory acne lesions as well as the global severity of acne [7, 8].

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