| Acne |
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This demonstrates two approaches to treating mild acne (comedos and less than about 10 red papules and pustules). The first treatment is shown on the left,and she applies Cleocin-T lotion to her face each morning, and Cleocin-T lotion and Retin-A 0.025% cream to her face each evening. A second alternative as shown on the right where she is applying benzoyl peroxide 2.5% gel to her face each morning, and Retin-A 0.025% cream to her face each evening. Benzoyl peroxide should not be applied at the same time as Retin-A because it will oxidize and thereby inactive Retin-A. Warn the patient of possible irritation fromRetin-A, and also warn of possible bleaching of clothing from benzoyl peroxide. |
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Severe acne vulgaris involving the back. |
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The person appears blotchy immediately after acne surgery, and it takes one to two days for that to resolve. |
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Comedonal acne: open and closed comedos can be seen on this patient's skin. |
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During the first several weeks of use of Retin-A, some people experience a diffuse redness and scaling where it is applied, and acne lesions can become inflamed or more inflamed during that period of time. |
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Severe nodulocystic acne. |
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This patient had radiation therapy for her acne vulgaris, and has a scar demonstrating previous thyroidectomy for thyroid cancer presumably induced by the radiation, and has developed a basal cell carcinoma on her left cheek. |
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Moderate papulopustular acne |
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Severe acne vulgaris involving the back, and associated keloidal scarring. |
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The first few weeks of topical acne therapy can be accompanied by redness and flaking of the skin. Lubricants will help to control scaling, and if necessary, one can add 1% hydrocortisone lotion or cream twice daily to help to reduce the inflammation. |
