Acne Vugaris

Pimples or Acne Vugaris medical terms is called a chronic inflammation of the follicle pilosebasea characterized by comedones, papules, pustules and cysts in predilection areas (face, shoulders, upper arms, chest, back

CLINICAL SYMPTOMS OF ACNE:
The main lesion comedones, papules accompanied if beradang (solid skin elevation with a diameter of less than 1 cm and the bulk is above the surface of the skin), pustules (elevation of skin filled with fluid in rheumatoid white), nodules (like papules but the size of more than 1 cm) , and cysts. Nodulo beradang-cystic lesions can itch and tenderness, when broken to remove the pus. The location mainly on the face, chest, back.

Distribution of acne according plewig & kligman:
• acne komedonal
• acne papulopustuler
• Agne konglobata

HOW TO EXAMINATION
Found a closed and open comedones, papules, pustules, nodules and cysts in predilection areas that have oil glands.

COMPLICATIONS OF ACNE:
Sikatrik because of acne scars and keloids

ACNE TREATMENT:
Aims to prevent and reduce frukuensi ekserbasi sikatrik
1. Acne komedonal
• 0.05% retinoic acid cream or gel form
• Bensoil peroxide gel from 2.5 to 5%
• Salicylic acid 0.5 to 2% in solution hidroalkoholik
• 20-50% glycolic repeated after 4 weeks
2. Acne-pustuler papulo
• Lightweight: bensoil peroxide and topical antibiotic clindamycin 1%
• Weight:
 Tetracycline 4x250 mg / day
 Doksasiklin 2x50 mg / day
 Clindamycin 2x150 mg / day
 Erythromycin stearate
3. Acne konglobata
 corticosteroid injection
 chemical exfoliation
 Oral Estrogen and cyproteron acetate
 Ethynil estradiol
4. Dermabrasion and khemabrasi to reduce acne scarring