-most common disorder in US

-keratin plug at base of pilosebaceous oil glands

-non-pharmacologic: gentle cleansing qid, well-balanced diet, decrease stress

-topical & systemic agents

-topical agent for acne vulgaris

-derivative of vitamin A

-topical agent for severe acne

-antiinflammatory & eliminates blackheads

-SE: photosensitivity

-oral antibiotics (tetracycline, erythromycin)

-isotreintoin (Accutane) - warning: increased risk of suicide

-chronic skin disorder

-overgrowth of skin cells w/ plaques forming on flexor surfaces & other skin ares

-topical & biological agents used

-vitamin A derivative tx for psoriasis

-adverse: hypercalcemia, hypercaluremia

-infliximab (Remicade)-for inflammation, autoimmune disorders

-etanercept (Enbrel)-TNF-alpha inhibitor

-adalimumab (Humira)

-efalizumab (Raptiva)

-watch for signs of infection; do not give meds

-hard, horny nodule

-tx: freezing (liquid nitrogen), electrodesication (cautery/laser), surgical excision, salicylic acid, podophyllum resin (venereal warts), cantharidin (Cantherone)

-rash, vesicles, papules, erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis

-drugs: INH, hydrazaline, anticonvulsants, antidysrhythmics (Pronestyl)

-chemical or plant irritation

-perfume, dyes, clothing, cosmetics, poison ivy, poison oak, sumac

-topical steroids (Codran, Decadron, Aristocort)

-oral steroids (Medrol Dosepak)

-hair loss

-drugs: minoxidil (Rogaine)-topical, men only

-finasteride (Propecia)-tablet for BPH, works better in younger men

-protect against UVA & UVB rays

-examples: Anthelios Sx Daily Moisturizing Cream w/ sunscreen, Pre-sun ultra screen, Sea & Ski Advanced sunscreen, Nutrogena Ultra Sheer Dry-Touch Sunblock

-SPF 15 is best protection

-apply 30 mins prior to exposure

-protects for about 2 hours when applied properly

-antiinfective for 2nd & 3rd degree burns

-dose: apply thin layer bid

-SE: rash, burning/stinging, urticaria, edema

-adverse: bone marrow suppression, fatal hemolytic anemia