Clinical Update: Acne

Acne is caused when sebum (oil produced by the body to maintain moisture) clogs skin pores. Propionibacteria acnes, which is found on the skin, thrives in the excess oil and inflammation results. A small amount of inflammation causes acne known as blackheads, whiteheads, or comedos. A deeper blockage causes a papule (pimple) and an even deeper blockage can cause painful nodules or cysts, the most severe acne lesions.

Acne treatment must be individualized to the patient. Topical agents in the form of gels, lotions, and creams, include benzoyl peroxide, antibiotics, retinoids, and salicylic acid. Oral antibiotics that may be prescribed include tetracycline, doxycycline, minocycline, erythromycin, trimethoprim-sulfamethoxazole, trimethoprim, and azithromycin. Other acne treatment options include oral contraceptives, corticosteroid injections, isotretinoin (Accutane), and laser and light-based treatments. Laser resurfacing, dermabrasion, chemical peels, surgery, and dermal fillers are available options for treating acne scars.

 
*Access to CE articles is through Lippincott NursingCenter.com. To return to the Skin Care Network from NursingCenter, click the Skin Care Network link under the Clinical Resources navigation button.

This Just In

 

From Our Journals

Adult acne: Overview and case study
The Nurse Practitioner: The American Journal of Primary Health Care
August 2014 


 Acne Research: Are We Answering the Right Questions?
Journal of the Dermatology Nurses' Association
April 2014 


 Daily Care for Acne, Hyperpigmentation, Aging, and Sensitive Skin
Plastic Surgical Nursing
December 2013


Dapsone in the Management of Acne Vulgaris
Journal of the Dermatology Nurses' Association
December 2013


 Acne vulgaris: A review of causes and treatment options
The Nurse Practitioner: The American Journal of Primary Health Care
October 2013


Treatment Modality for Preventing Recurrence of Hidradenitis Suppurativa: Surgery Versus Long-term Antibiotics
Journal of the Dermatology Nurses' Association
August 2013

Psychological Impact of Facial Acne in Adult Women
Journal of the Dermatology Nurses' Association
June 2013

Hidradenitis Suppurativa: A Clinician’s Tool for Early Diagnosis and Treatment
Journal of the Dermatology Nurses' Association
February 2012


Pharmacology: Spironolactone Use for Women With Acne or Hirsutism
Journal of the Dermatology Nurses' Association
December 2011


CASE STUDY: A Growing Problem: Two Patients With Keloids
Journal of the Dermatology Nurses' Association
July/August 2009

Choosing the Right Peel for Your Patient
Plastic Surgical Nursing
April/June 2007

Acne Vulgaris
Plastic Surgical Nursing
January/March 2005
 

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