Medical history (history of illness) represents an important component in the diagnosis of acne vulgaris (acne).
Family history
- Are there any diseases in your family that are common?
Social history
- What is your profession?
- Are you exposed to harmful working substances in your profession?
Current medical history/systemic medical history (somatic and psychological complaints).
- When did the skin changes occur?
- Are the changes developing quickly or slowly?
- Where are the skin changes localized? Only on the face, or also on other parts of the body?
- Have you manipulated the skin lesions?
- Are you aware of a trigger? (Occurrence after using cosmetics, vacation, contact with oil, pitch or similar).
Vegetative anamnesis incl. nutritional anamnesis.
Self anamnesis incl. medication anamnesis
- Previous diseases (skin diseases, endocrine (affecting the hormones) diseases).
- Allergies
- Environmental history (contact with halogens – these are fluorine, chlorine, bromine and iodine, as well as the element astatine, which is extremely rare and largely unexplored due to its radioactivity).
Medication history
- Antibiotics
- Aminoglycosides (streptomycin)
- Tetracycline
- Antiepileptic drugs (quinine, quinidine, phenobarbital, phenytoin).
- Antipsychotics (neuroleptics).
- Conventional (Classical) antipsychotics (neuroleptics) – Phenothiazines.
- Lithium, hydantoin, trimethadone, amineptines.
- Beta-blockers (propranolol).
- Bromide
- DHEA [for women: only in case of overdose!]
- Disulfiram
- D-Penicillamine
- EGF receptor antagonists.
- Hormones
- Anabolic steroids (testosterone ester, metandienone, methandrostenolone, metenolone acetate, mesterolone, stanozolol).
- Androgens
- ACTH
- Glucocorticoids (cortisone, hydrocortisone) [steroid acne].
- Oral contraceptives (depending on the progestin content: higher risk with norethisterone, dydrogesterone, less with desogestrel or levonorgestrel; also more common with contraceptives with low estrogen content) [no acne risk with chlormadinone acetate and cyproterone acetate]
- Testosterone
- Testosterone derivatives (danazol)
- Thyroxine
- Immunosuppressants (azathioprine, ciclosporin (cyclosporin A))
- Iodide
- Leprosy drug (clofazimine)
- Lithium
- 8-methoxypsoralen+ UVA
- Muscle relaxants (dantrolene)
- Anesthetics (halothane)
- Retinoids (acitretin, etretinate, isotretinoin).
- Sedatives (chloral hydrate, diazepam).
- Thiourea
- Tuberculostatics (isoniazid, ethambutol, ethionamide, protionamide, rifampicin).
- Thyrostatic drugs (thiouracil)
- Cytostatic drugs (actinomycin-D)