ACSAP 2016 BOOK 2 DERMATOLOGIC CARE Ebook PDF download
ACSAP 2016 BOOK 2 DERMATOLOGIC CARE Ebook PDF download Acne vulgaris (AV) is a commonly diagnosed inflammatory skin condition that affects pediatric and adult patients. Although traditionally viewed as an adolescentcondition (it develops in almost 90% of patients starting at age 12 years), patients as young as 8 years can present with AV, and the condition can persist into adult-hood (up to an average age of 45). Adolescent patients have reported low self-esteem and symptoms of depression leading to a lower quality of life (Bhate 2013).
ACSAP 2016 BOOK 2 DERMATOLOGIC CARE Ebook PDF download Psychological comorbidities, including depression and anxiety, have largely been associated with AV, but it is unclear whether AV is the cause or only worsens the preexistng conditions (Barnes 2012). The potential for hyperpigmentation and scarring into adulthood affects later quality of life as well (Gieler 2015). Thus, more patients are presenting to health care providers Seeking treatment.
This chapter focuses on the updates related to AV management,
the significance of appropriate treatment, and the role of the ambula-
tory care pharmacist in assisting with management.Pathophysiology
The pathology of AV is multifactorial and stems from excess sebum
production, skin keratinization changes, Propionibacterium acnes, and inflammatory processes. In pediatric patients, acne development may result from endocrine changes brought about by the onset of puberty, increased androgenic hormones, and increased sebum production.