Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presencia de factores de riesgo
- lesiones cutáneas
Otros factores de diagnóstico
- sensibilidad en la piel
- dolencias sistémicas
Factores de riesgo
- 12 a 24 años de edad
- predisposición genética
- piel grasosa/aumento en la producción de sebo
- medicamentos
- terapia hormonal masculinizante
- enfermedades del sistema endocrino
- factores dietarios
- sexo masculino (acné durante la adolescencia)
- sexo femenino (acné durante la edad adulta)
- obesidad/resistencia a la insulina
- exposición a hidrocarburos aromáticos halogenados
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- diagnóstico clínico
Pruebas diagnósticas que deben considerarse
- evaluación hormonal
- cultivo bacteriano
Algoritmo de tratamiento
no relacionado con hormonas (no embarazada)
relacionados con las hormonas (mujeres, no embarazadas)
embarazadas
Colaboradores
Autores
Robert P. Dellavalle, MD, PhD, MSPH
Professor of Dermatology and Public Health
University of Colorado School of Medicine
Colorado School of Public Health
National Dermatology Program Director
US Department of Veterans Affairs
Eastern Colorado Health Care System
Aurora
CO
Divulgaciones
RPD has received editorial stipends (Journal of Medical Internet Research Dermatology (JMIR Dermatology)), royalties (UpToDate), and expenses reimbursement (Cochrane). RPD is an editor-in-chief of JMIR Dermatology, a joint coordinating editor for Cochrane Skin, a dermatology section editor for UpToDate, a social media editor for JAAD, and a coordinating editor representative on the Cochrane Council. He is a Cochrane Council Co-Chair.
Torunn E. Sivesind, MD
Dermatology Research Instructor and Fellow
University of Colorado Anschutz School of Medicine
Aurora
CO
Divulgaciones
TES has received fees for serving as a medical advisor to Antedotum Inc. and receives fellowship funding from Pfizer. TES serves as an editorial board member-at-large for the Journal of Medical Internet Research Dermatology.
Madeline Adelman, MD
Dermatology Research Fellow
University of Colorado Anschutz School of Medicine
Aurora
CO
Divulgaciones
MA receives fellowship funding from the Pfizer Global Medical Grant.
Ramiro Rodriguez, MD
Dermatology Fellow
University of Colorado Anschutz Medical Campus
Aurora
CO
Divulgaciones
Agradecimientos
Professor Dellavalle, Dr Sivesind, Dr Adelman, and Dr Rodriguez would like to gratefully acknowledge Dr Sarah Shangraw, Dr Mark Naftanel, Dr Yolanda Rosi Helfrich, and Dr Amanda Howland, previous contributors to this topic. The authors would like to thank Dr John Barbieri for his review of the topic. JB has received consulting fees from Dexcel Pharma.
Divulgaciones
SS, MN, YRH, and AH declare that they have no competing interests.
Revisores por pares
Gina Taylor, MD
Resident
Department of Dermatology
SUNY Downstate Medical Center
New York
NY
Divulgaciones
GT declares that she has no competing interests.
Gillian Murphy, MD, FRCPI, FRCP, Edin
Consultant Dermatologist
Dermatology
Beaumont Hospital
Dublin
Ireland
Divulgaciones
Not disclosed.
Diferenciales
- Acné keloidalis nucal
- Erupciones acneiformes
- Cloracné
Más DiferencialesGuías de práctica clínica
- Acne vulgaris: management
- Screening and management of the hyperandrogenic adolescent
Más Guías de práctica clínicaFolletos para el paciente
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