Acne

defining characteristics

disease development

Starts w/ occlusion of follicle and formation of microcomedone, leading to hyperkeratosis of the opening that blocks eggressive sebum. Cyst forms with sebaceous material, forming comedone. Follicular unit further expands, allowing growth of Propionibacterium acnes and inflammation that leads to follicular wall rupture
Inflammation mediated by bacteria intxn w/ TLR2 on monocytes

potential causes

Propionibacteria acnes (nl skin flora)

epidemiology

risk factors

labimaging

conventional treatment

Topical/oral antibiotics (reduce bacterial density and macrophage activation)
Retinoic acid (downregulates TLR2 expression on monocytes)

complications

Possible scarring

prevention

protocols