Sebaceous and Apocrine

Acne Age Characteristics

Primarily seen in females aged 10-17, males aged 14-19, and can first appear in individuals aged 25 and older.

Mild Acne Physical Findings

Includes open comedones (blackheads) and closed comedones (whiteheads).

Mild Acne Treatments

Treated with topical retinoids (Adapalene, Tazarotene) and topical antibiotics (Clindamycin, Benzoyl peroxide).

Moderate to Severe Acne Physical Findings

Characterized by papules and pustules.

Moderate to Severe Acne Treatments

Includes oral antibiotics (tetracyclines, macrolides) and hormonal therapy for females and males.

Severe Acne Physical Findings

Characterized by nodular lesions.

Severe Acne Treatment

Typically treated with Isotretinoin (Accutane).

Rosacea Age and Demographics

Primarily seen in individuals aged 30 and older, more common in females, and affects fair-skinned individuals.

Rosacea Irritants

Factors include flushing, hot liquids, spicy food, alcohol, sun exposure, and heat.

Mild Rosacea Physical Findings

Includes flushing and centrofacial erythema.

Mild Rosacea Treatments

Laser therapy and topical Brimonidine.

Moderate to Severe Rosacea Physical Findings

Present with papules and pustules.

Moderate to Severe Rosacea Treatments

Topical Metronidazole gel and oral antibiotics (tetracycline, doxycycline).

Severe Rosacea Physical Findings

Characterized by tissue hypertrophy and rhinophyma.

Severe Rosacea Treatment

Treated with Isotretinoin (Accutane).

Hidradenitis Suppurativa Common Locations

Commonly found in the axilla, anogenital region, under the breast, and scalp.

Hidradenitis Suppurativa Age and Gender Characteristics

Primarily seen from puberty to age 40, more severe in females (3:1 ratio).

Hidradenitis Suppurativa Predisposing Factors

Includes obesity, endocrine issues, genetics, infection, and diet.

Hidradenitis Suppurativa Common Symptoms

Pain, itching, tenderness, and bloodstained drainage.

Hidradenitis Suppurativa Physical Findings

Lesions, comedones, exudate drainage, scarring, and possible secondary infection with Staphylococcus aureus.

Hidradenitis Suppurativa Treatment Options

Warm soaks, wound dressings, topical treatments, oral antibiotics, metformin, oral retinoids, Adalimumab, surgical management, intralesional injections, and psychological support.