Skin Diseases Acne Vulgaris Review and Detailed Information
Acne: the right questions to ask your doctor
The treatment of a debilitating acne is a step in time, and it is important that a quality relationship be established between the patient and his doctor. This relationship is often based on the questions asked and the explanations provided during the consultation. It is therefore important to prepare your consultation by noting the points you wish to discuss with your doctor.
The better the patient knows about his illness and his treatments, the more he can be an active partner in his treatment, and the more it will be effective.
Skin Diseases Acne Vulgaris Tips and Recommendations
Acne is easily recognizable because it combines different characteristic lesions. She is diagnosed by clinical examination. In the follow-up of the treatment, para-clinical examinations may be necessary.
Acne: the eye of the dermatologist
The diagnosis of acne is most often done by the doctor on a simple clinical examination. The presence of blackheads (excessive accumulations of sebum) is characteristic of acne and their absence should cast doubt on the diagnosis. No further examination is usually required in the investigation of juvenile acne.
In women, a hormonal assessment may be required to search for a possible cause of hypersecretion of male hormones, but only if clinical signs of virilism are associated (significant hair loss, hair loss, menstruation or weight gain) . The assessment consists of a blood test of certain sex hormones and their derivatives. Sometimes it is supplemented by an ultrasound of the ovaries to eliminate an anomaly of the morphology of these glands. For example, the presence of numerous fluid pockets is characteristic of a disease called “polycystic ovaries”. This type of ovarian involvement can lead to and therefore explain a woman’s late acne.
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Skin Diseases Acne Vulgaris Guide for Patients
Acne: examinations for the safety of isotretinoin treatment.
Some treatments used to treat acne can not be prescribed without a rigorous control of precise biological parameters (biological analyzes, pregnancy test, …). This is particularly the case of isotretinoin, when the drug is used orally.
With isotretinoin treatment, the risk of fetal malformation is real. Examinations are therefore necessary before starting these drugs in young women of childbearing age:
A compulsory pregnancy test. It must be done within 3 days before each consultation. It will allow the doctor to prescribe or renew treatment with isotretinoin. And this treatment must be associated with oral contraception (contraceptive pill). A last pregnancy test will be performed 5 weeks after the end of the treatment.
A blood test (biological assessment) which makes it possible to verify certain dosages (cholesterol, triglycerides and liver enzymes, transaminases) must also be carried out regularly in the case of treatment with isotretinoin. The dosages are done when you start, then a month later, and every 3 months, throughout the treatment.
Isotretinoin can not be prescribed in case of liver malfunction (liver failure). Therefore, certain enzymes that are characteristic of a liver problem should be dosed regularly: transaminases, designated by the acronyms SGPT (or ALAT) and SGOT in the results of the biological assessment.