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 … Acne: Medical History
Skin and subcutaneous (L00-L99). Acne aestivalis (Majorca acne) – formation of papules on light-exposed (exposed to sunlight) areas of the body; sunscreens are likely involved in formation Acne excoriée des jeunes filles – mild acne due to constant manipulation of the efflorescences, occurring mainly in girls and young women. Acne fulminans – in the case … Acne: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by acne vulgaris (acne) as well: Skin (L00-L99) Acne fulminans – in the presence of acne conglobata, a febrile infection may occur, which manifests itself with polyarthralgias (joint pain) and necrosis (dead areas) of the skin areas altered by the acne Acne … Acne: Complications
General measures Only reach into the face with clean hands. No manipulation (“scratching”) on papules (from Latin: papula “vesicle” or nodule) and pustules (from Latin: pustula; pustule). No wearing headbands Skin care tips: Acne patients should gently remove sebum and grease from the skin of the face with a mild cleanser (or better just pure … Acne: Therapy
Classification an acne vulgaris in degrees of severity according to the number of papules and pustules. Severity Description Grade I <10 papules and pustules/half of face Grade II 10 to 20 papules and pustules/half of face Grade III 20 to 30 papules and pustules/half of face Grade IV > 30 papules and pustules/half of face … Acne: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin [Leading symptoms: Primary, non-inflammatory efflorescences (so-called blackheads) – microcomedones, closed comedones (whitish small skin entities), open comedones (skin entities with a dark sebaceous plug). Secondary, inflammatory efflorescences – … Acne: Examination
Acne is diagnosed primarily by history and physical examination. 1st-order laboratory parameters-obligatory laboratory tests. In girls/women, determination of: Total testosterone (male sex hormone). Free testosterone Sex hormone-binding hormone (SHBG) Prolactin Dehydroepiandrosterone sulfate (DHEAS) – studied when testosterone is elevated. Androstenedione – male sex hormone. Laboratory parameters 2nd order – depending on the results of the … Acne: Test and Diagnosis
Therapeutic target Improvement of symptomatology and thus prevention of complications. Therapy recommendations Mild to moderate acne (A. comedonica (increased closed and open comedones on the face, especially in the nasal region), A. papulopustolosa (increased papules (nodular thickening of the skin) and pustules (pustules) on the face, rarely also on the neck, back or arms): Induction … Acne: Drug Therapy
Acne is diagnosed on the basis of history, clinical examination, and laboratory diagnosis.
A risk group indicates the possibility that the disease may be associated with the risk of vital nutrient deficiency. The complaint acne indicates a vital nutrient deficiency for: Zinc Within the framework of micronutrient medicine, the following vital substances (micronutrients) are used for supportive therapy: Selenium Zinc The above vital substance recommendations were created with … Acne: Micronutrient Therapy
1st order Surgical excision (removal of tissue) of acne inversa (hidradenitis suppurativa) in a more severe courseIndication: when the disease returns after discontinuation of medicationA study showed this; 80% were very satisfied or satisfied with the procedure; 85% would recommend excision to other sufferers. 2nd order Incision (incision) of melting nodes and abscesses. Surgical scar … Acne: Surgical Therapy
To prevent acne vulgaris (acne), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet High intake of mono- and disaccharides (monosaccharides and disaccharides), e.g., white flour products, high-sugar beverages; milk and dairy products; saturated fatty acids (contained in animal products); trans fatty acids (e.g., in fast food products, baked goods, chips, … Acne: Prevention
