History & exam
Key factors
- skin lesions
Other diagnostic factors
- skin tenderness
- depression, social isolation
- systemic complaints
History & exam details
Diagnostic tests
1st tests to order
- clinical diagnosis
Tests to consider
- hormonal evaluation
- bacterial culture
Diagnostic tests details
Treatment details
Ongoing
not hormone-related (not pregnant)
-
mild acne: no inflammation
- keratolytic (topical retinoid or salicylic acid)
-
mild acne: with inflammation
- topical retinoid + topical antibiotic or benzoyl peroxide
- azelaic acid
-
moderate acne: no inflammation
- topical retinoid
-
moderate acne: with inflammation
- topical retinoid + oral antibiotic
- topical benzoyl peroxide
- azaleic acid
-
severe or resistant acne
- oral retinoid
- oral corticosteroids
hormone-related (female, not pregnant)
- oral hormonal therapy
-
inflammatory
- oral antibiotic + topical retinoid
- azaleic acid
- topical benzoyl peroxide
pregnant
- pregnancy class B topicals
Treatment details
Last updated: Oct 15, 2012
