ACNE VULGARIS
Essentials of Diagnosis
•
Starts as papules at puberty and common sites
are cheeks, chin, nose, back and shoulders.
•
Permanent scars on skin if left untreated and
uncared.
•
Clinical picture is of black heads, inflammatory
papules, pustules or cyst.
•
It is often familial and found in oily skin.
Treatment
o
Local area to be washed properly with soap 2-3
times a day.
o
Oxytetracycline 250 mg bd is often adequate for
10 days.
o
Minocycline 100 mg daily
o
Vitamin ‘A’ and ‘C’ in high doses.
o
Oral Retinoids or local Isotretinoin ointment.
o
Local application of Eskamel/ Clearacil ointment
after wash.
o
Capsule Doxycycline 100 mg twice day for 10 days
then 1 daily for 20 days.
o
Locally Pernox or Persol gel 2.5 or 5 percent
apply at night for 2-3 months use Lyramycin or Erythromycin cream or solution
if there develop inflammatory and pustular lesions.
o
Retino-A cream or Eudyna cream applied 2-3 times
a week only at night for 3-4 months.
