Retin-A 0.025% cream 45 g tube | $42.00 |
Cleocin T lotion 60cc bottle | $25.00 |
Tetracyclene 500 mg, #100 | $10.00 |
Erythromycin 500 mg. #100 | $22.00 |
Accutane 40 mg #60 | $210.00 |
Benzoyle peroxide 21%, 3oz tube | $17.00 |
Differential Diagnosis of Acne Vulgaris | ||||
---|---|---|---|---|
Diagnosis | Age of Onset | Important Factors | Location | Clinical Appearance |
Acne rosacea | 30-50 yr | Slow onset aggravated by cold, ethel alcohol, hot foods, stress; unknown etiology | Central face | Erythema, telangiectasias, papules/postules; can present with rhinophyma or chronic eye inflammation |
Perioral dermatitis | Primarily adult women | Sometimes associated with prolonged use of high potency topical steroids | Chin, perioral and nasolabial folds | Erythramatous, sometimes scaly 1-2mm papules; may progress to diffuse, scaly, yellow-red plaques |
Gram-negative folliculitis |
Any age | Can be seen with long-term antibiotic therapy | A. Nose and mouth areas (common) B. Neck (uncommon) |
A. Superficial postules B. Large nodules |
Steroid acne | Teenage to adult years | Associated with oral corticosteroid therapy | Chest, upper arms, and scalp | Small, monomorphic papules, pustules, or closed comedoes |