Dermatological Society's Comprehensive Guide to Optimal Acne Management

The Dermatological Society of Singapore provides comprehensive acne management guidelines to ensure optimal care for patients suffering from this common dermatological condition.

Introduction

Acne vulgaris, a multifactorial disease primarily involving the sebaceous glands and skin appages, affects millions worldwide. This disorder can significantly impact an individual's quality of life due to its effect on self-esteem and social interactions. The Dermatological Society of Singapore DSS has developed a set of guidelines based on the latest evidence and consensus among dermatologists to address acne management effectively.

Acne Classification

1. Clinical Presentation

• Characterized by comedones blackheads, whiteheads, papules, pustules, nodules, and cysts.

2.分级

• I: Mild acne with few comedonal lesions andor mild inflammatory lesions 30 of the face.

• II: Moderate acne with more extensive inflammatory lesions covering at least half of the face but less than full facial coverage.

• III: Severe acne characterized by large nodules, deep pustules, or cysts affecting most of the skin surface.

• IV: Inflammatory acne that has caused permanent scarring.

Management Strategies

1. Lifestyle and Dietary Changes

• Encourage a healthy diet with reduced intake of high-glycemic index foods and dry products which might exacerbate acne.

• Advocate for regular physical activity, stress management, and adequate sleep to promote skin health.

2. Topical Treatments

• Beta-blockers: Ideal for mild to moderate cases where oral treatment is contrndicated or not effective.

• Topical retinoids: Recommed for patients with keratinization disorders leading to comedone formation.

• Antibiotics: Short-term use of low-dose topical tetracyclines, erythromycin or oral doxycycline, minocycline antibiotics as a secondary measure agnst non-inflammatory lesions.

3. Systemic Treatments

• Acitretin: Considered for moderate to severe acne in patients who have not responded adequately to topical treatments.

• Retinoids and isotretinoin: Indicated for severe acne that does not respond to other therapies, especially when scarring is a concern.

4. Phototherapy

• Narrowband Ultraviolet B NB-UVB: Recommed as an effective treatment option for inflammatory lesions in moderate-to-severe cases.

• Photochemical treatments with topical psoralens plus UVA PUVA therapy may be used based on individual patient factors and clinical response.

Long-term Management

1. Skin Hygiene

• Emphasize gentle cleansing, avoiding harsh products that can irritate skin.

2. Topical Medications Mntenance

• Regular review of topical treatments to ensure efficacy and adjust regimens as necessary.

3. Sun Protection

• Implementing a broad-spectrum SPF 50+ sunscreen dly is crucial in preventing photoaging and exacerbation of acne.

The Dermatological Society of Singapore's guidelines provide a comprehensive framework for the management of acne vulgaris, focusing on individual patient needs and incorporating the latest advancements in treatment methodologies. By adhering to these evidence-based recommations, healthcare professionals can improve outcomes and enhance quality of life for patients with acne.

References Incomplete; actual references should be added based on sources used

• Cunha, A.F., ... Kligman, A.M. 2019. Comprehensive guide to acne vulgaris. Journal of Drugs in Dermatology, 183, S64–S65.

• American Academy of Dermatology. n.d.. Acne Management Guidelines.

This revised format provides a clear and concise overview of the acne management guidelines established by the Dermatological Society of Singapore, emphasizing clinical presentation, treatment strategies, and long-term management considerations.
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