Definition

18/05/20131QUALIFICATIONMBBS,MCPS (Pak)DDSc,VDC (UK)MSc (Dermatology) UKMBA(HRM)18/05/20132CASE PRESENTATION BY DR SALEEM RAZA

A FEMALE SUFFERING FROM ACNE VULGARIS(PIMPLES) TREATED WITH BLUE-U LIGHT .18/05/20133MY AIMTO GIVE SKIN CARE AWAIRNESS IN THE CONTEXT OF MY CASE PRESENTATION ,TO THE AUDIENCE.18/05/20134HISTORYNAME MISS FOZIA SINGLE 23 YEARS AGEMODERATE ACNE VULGARIS 2 YEARSSHE REMAINED UNDER TREATMENT OF DERMATOLOGIST REGULARLY NO RESPONCE. SKIN IRRITATION TOPICAL MEDICINES.NOT WILLIMG TO TAKE CAPSULES OR TABLETS FEAR OF DEVELOPING SIDE EFFECTS.LFTs raised.GOING TO MARRY AFTER 3 MONTHS DEPRESSED

18/05/20135Definition acne vulgaris Acne vulgaris, more commonly referred to simply as acne, is a chronic inflammatory disorder of the pilocebaceous unit.(hair and oil producing glands)characterized by: abnormalities in sebum production follicular desquamation bacterial proliferation

18/05/20136OverviewAcne vulgaris (PIMPLES)is the most common skin disorder.It affects more than 17 millions Americans. Patients can experience significant psychological morbidity and, rarely, mortality due to suicide.Important that physicians are familiar with Acne Vulgaris and its treatment.affects all races and ethnicities with equal significance.Darker skinned patients at increased risk for developing post-inflammatory hyper-pigmentation and keloids.

18/05/20137Pathogenesis:

Acne vulgaris is a disease of pilosebaceous follicles.

Factors:Retention hyperkeratosis.

Increased sebum production.

Propionibacterium acnes within the follicle.

Inflammation

18/05/20138Closed comedones (whiteheadsclosed comedons (a whitehead):

Accumulation of sebum converts amicrocomedo into this

18/05/20139BASIC LESIONS OF ACNE

Non-inflamed lesionsComedonesInflamed lesionsPapulesPustulesNodules18/05/201310

18/05/201311PUSTULAR ACNE

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18/05/201314TreatmentThe goals of pharmacotherapy for acne vulgaris are to reduce morbidity and to prevent complications.

Topicalantibiotics.and others oral treatments.Alternative treatments bluelight led18/05/201315BLUE LIGHT TREATMENT EQUIPMENT

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18/05/201317BLUE LIGHT SESSEION

18/05/201318Blue light acne treatment

Blue light acne treatment is a non-invasive procedure that uses light in the blue wavelength range of 405-420 nm to kill the Propionobacterium acnes or P. acnes bacteria in skin. This photodynamic therapy is FDA-approved for the treatment of moderate acne vulgaris or acne vulgaris that has not responded to other acne therapies.

18/05/201319How does it work?

The bacteria in acne release porphyrins. These are naturally occurring substances in the body, arising from the breakdown of haemoglobin in red blood cells.

When porphyrins absorb light of certain wavelengths, free radical damage is produced, and this destroys the bacteria.

Blue light acne treatment uses a narrow-band, high-intensity blue light source that is readily absorbed by porphyrins released by the bacteria causing acne.

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18/05/201321Patient FAQsSoaps, detergents remove sebum but do not alter productionAvoid occlusive clothingWater based cosmetic better than oil basedDiet modification no role in rx

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