Discover and read the best of Twitter Threads about #ACNE
Most recents (8)
Dermatologists prescribe lots of #antibiotics , 60% of which are used for #acne
Antibiotic use contributes to resistance as well as other harms such as breast cancer. It disrupts the microbiome.
Even though 50% of patients received antibiotics for acne, 75% of them would prefer a non-antibiotic therapy
ncbi.nlm.nih.gov/pmc/articles/P…
Even though 50% of patients received antibiotics for acne, 75% of them would prefer a non-antibiotic therapy
ncbi.nlm.nih.gov/pmc/articles/P…
We’ve busted some common #isotretinoin myths, but what about actual side effects of isotretinoin in the treatment of #acne. In this Tweetorial, we’ll review the most common side effects and how they can be managed. #dermtwitter #MedEd 1/16
The most commonly reported side-effect is mucocutaneous dryness. It is dose dependent, occurring in 75% of those treated with 0.25-0.5mg/kg/day and in nearly 100% treated with 1mg/kg/day. 2/16
europepmc.org/article/med/21…
europepmc.org/article/med/21…
This can manifest as dry lips, dry skin, and dry eyes. Frequent emollient use (e.g. Vaseline for the lips) can help manage this common side-effect. In addition, a small RCT found 1g/day omega-3 reduced mucocutaneous dryness. 3/16
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
What is the optimal approach to monitoring patients being treated with #isotretinoin for #acne? In this Tweetorial, let’s review the evidence for best practices! #dermtwitter #MedEd 1/13
First, why do we monitor labs?
Benefits:
-Prevent severe adverse effects
-Guide dosing
Downsides:
-Pain
-Fear
-Cost
2/13
Benefits:
-Prevent severe adverse effects
-Guide dosing
Downsides:
-Pain
-Fear
-Cost
2/13
With respect to current practices, as of 2016, over 40% of clinicians were checking CBCs, LFTs, and lipid panels monthly! And rates of monitoring do not appear to be decreasing over time. Is this optimal? 3/13
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
Isotretinoin can be a highly effective treatment for #acne and is the only acne treatment that can provide a lasting remission. However, there are many misconceptions about #isotretinoin. In this Tweetorial, let's bust some common isotretinoin myths! #dermtwitter 1/13
Myth #1 - Isotretinoin and depression: Multiple meta-analyses have found that there is no population level association between isotretinoin use and depression. In fact, isotretinoin may be associated with decreased depressive symptoms. 2/13
jaad.org/article/S0190-…
jaad.org/article/S0190-…
In addition, patients being treated with isotretinoin can expect an average of >50% improvement in quality of life by month 2 and a 4-fold to 5-fold improvement from baseline with a full course of isotretinoin. 3/13
jamanetwork.com/journals/jamad…
jamanetwork.com/journals/jamad…
Just out in @JAADjournals, interesting cohort study led by @ArielleNaglerMD evaluating whether there is an increased risk of suicidality among #acne patients treated with #isotretinoin. A quick thread 1/7
#dermtwitter #dermatology
pubmed.ncbi.nlm.nih.gov/33727021/
#dermtwitter #dermatology
pubmed.ncbi.nlm.nih.gov/33727021/
The authors conducted a cohort study evaluating the rate of psychiatric disorders and suicidality among 3 cohorts: those with acne treated with isotretinoin, those treated with antibiotics only, and those in the general population. 2/7
After adjusting for age and sex, they found that those treated with isotretinoin had increased odds of a psychiatric disorder (e.g. depression) but decreased odds of suicidality compared to those treated with antibiotics and those in the general population. 3/7
Hello friends,
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You can book a consultation on my website to discuss your skin concern and get a personalized skin care treatment or plan to achieve healthy and smooth skin.
The link is in my bio.
😀I’m so pleased to announce my new service-skin care consultations.
You can book a consultation on my website to discuss your skin concern and get a personalized skin care treatment or plan to achieve healthy and smooth skin.
The link is in my bio.
Take charge of your health and skin.
Your Skin Sensei,
Dr. HealthThenMore 👩🏽⚕️
Your Skin Sensei,
Dr. HealthThenMore 👩🏽⚕️
1/
Hello #medtwitter & #dermtwitter, time for another #dermatology #tweetorial! Let’s go back to the basics and talk about:
#ACNE!
Hopefully this #meded/#foamed moment is helpful for all the #maskne in the #covid19 era!
Let’s start with a simple question:
What causes acne?
Hello #medtwitter & #dermtwitter, time for another #dermatology #tweetorial! Let’s go back to the basics and talk about:
#ACNE!
Hopefully this #meded/#foamed moment is helpful for all the #maskne in the #covid19 era!
Let’s start with a simple question:
What causes acne?
2/
All of the above! Often, every one of these factors plays some role. What’s important is knowing what treatment to emphasize based on what factor seems to be the biggest influencer.
For example:
-Retinoids for cell turnover
-Ocps for hormones
-Antibiotics for bacteria!
All of the above! Often, every one of these factors plays some role. What’s important is knowing what treatment to emphasize based on what factor seems to be the biggest influencer.
For example:
-Retinoids for cell turnover
-Ocps for hormones
-Antibiotics for bacteria!
3/
Let’s talk exam. When I see an acne patient, I’m looking for what lesion I see most: comedones (white/blackheads), inflammatory papules, or cysts.
I’m also looking at distribution (where on the body) and the severity.
It’s critical to ask if it’s a good, typical, or bad day!
Let’s talk exam. When I see an acne patient, I’m looking for what lesion I see most: comedones (white/blackheads), inflammatory papules, or cysts.
I’m also looking at distribution (where on the body) and the severity.
It’s critical to ask if it’s a good, typical, or bad day!
#RT
Hoy en el #DiaMundialDelMelanoma les compartimos un post que hicimos en colaboración el el Dr. Javier Ruiz @javierderma Oncodermatologo de @Dermedica.
LUNARES.
El melanoma es el tipo más severo y agresivo de cancer de piel y representa el 80% de las muertes,
(1/18)
Hoy en el #DiaMundialDelMelanoma les compartimos un post que hicimos en colaboración el el Dr. Javier Ruiz @javierderma Oncodermatologo de @Dermedica.
LUNARES.
El melanoma es el tipo más severo y agresivo de cancer de piel y representa el 80% de las muertes,
(1/18)
es el cancer de piel que se desarrolla a partir de lunares. La detección temprana es muy importante se ha demostrado que los exámenes regulares de la piel por dermatólogos ayuda a un diagnóstico oportuno .
🔹¿Que debes revisar en un lunar ?🔹
(2/18)
🔹¿Que debes revisar en un lunar ?🔹
(2/18)
👁🔍 debes realizar un Auto examen para que puedas conocer todos los lunares que tienes en el cuerpo apoyándote de un espejo en partes como espalda , debes conocer todos tus lunares, revisar en áreas como genitales plantas de pies 🦶 palmas de las manos 🖐 y entre dedos 🖖
(3/18)
(3/18)
