Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

OSCE pro III series 23


Answer

1)Comodones (white head), papular, pustules and nodules lesion in a sebaceous gland distribution


2)Acne vulgaris


3)Systemic medication
-Antibiotic (tetracycline, erythromycin),
-hormonal therapy (diannete)


4)Topical cream
-Vitamin A (tretinoin),
-antiseptic and keratolytics,
-benzoyl peroxide,
-topical antibiotics (erythromycin and tetracycline)
-azaleic acid preparations



Acne vulgaris is American's most common disease and is characterized by noninflammatory, open or closed comedones and by inflammatory papules, pustules, and nodules [James Fulton Jr, eMedicine]


Acne vulgaris affects the areas of skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. [James Fulton Jr, eMedicine]


The pathogenesis of acne vulgaris is multifactorial. The key factor is genetics (propensity for follicular epidermal hyperproliferation with subsequent plugging of the follicle).Additional aggravating factors include excess sebum, the presence and activity of Propionibacterium acnes, and inflammation [James Fulton Jr, eMedicine]