Acne

This RCGP accredited resource composed of 10 clinical cases, assesses the user’s knowledge of the advanced treatment of Acne.

Successful completion of the resource provides 1 hour of CPD, delivered by Learna Ltd.

£6.00

Introduction

Acne is a common skin condition that mainly affects people in their teenage years and usually resolves in adulthood. Archer et al (see reading list) reported that the peak in prevalence and severity is between 14 and 17 in girls and 16 and 19 in boys. The earlier onset in girls would fit with the earlier onset of puberty.

When we talk about acne, we are really talking about acne vulgaris. We are not talking about conditions like rosacea which is sometimes referred to as acne rosacea. However, acne can manifest in different forms and other conditions can be linked to acne vulgaris and have the same pathological mechanisms involved.

Many factors coexist to bring about acne. These include increased sebum production, the formation of comedones, colonisation and growth of Proprionobacterium acnes and inflammation. Although even severe acne in adolescence is likely to resolve in adulthood, early treatment can prevent some of the long term effects such as disfiguring scar formation.

Aims and Objectives:

On completion of this resource, you should

  • Have an improved understanding about the pathogenesis of acne vulgaris.
  • Have an improved knowledge of how to recognise severity of acne vulgaris.
  • Have an improved understanding of treatment of acne vulgaris and how to relate this to severity.
  • Have an improved knowledge of how to best use secondary referral services.

Reading list :

  1. National Institute of Health and Clinical Excellence Guidelines on Acne
  2. British Association of Dermatologists Guidelines on Isotretinoin in Acne Vulgaris
  3. Archer CB et al Clin Exp Dermatol 2012 37 (suppl 1) P1-6
    An excellent short summary which I have heavily leant on for this.
  4. Williams HC et al Lancet 2012 Jan 379 P361-372
    A comprehensive review of the topic from one of today’s masters in Dermatology.

We would like to stress that guidelines are a useful tool in aiding decision making but are not a replacement for the clinical judgement of a doctor who would be trained in diagnostic synthesis and therapeutic theory. Adherence to a guideline does not necessarily avoid the possibility of litigation just as deviation from a guideline does not necessarily lead to negligence of practice.