How to Diagnose Acne Vulgaris and Differential Diagnose

Acne Vulgaris
      Diagnosis of acne vulgaris can be established based on history and examination, and laboratory tests. Based on the anamnesis, acne vulgaris usually occurs during puberty, but the clinical symptoms appear highly variable. Women may notice a form that fluctuates based on menstruation cycle. Fulminant acne is a subtype of the rare and occurs in a variety of systemic manifestations, including fever, arthralgia, myalgia, hepatosplenomegaly, and osteolytic bone lesions.

       Examination of non-inflammatory acne, it appears as an open and closed comedone. Inflammatory lesions, starting with the mikrocomedone but can develop into papules, pustules, nodules, or cysts. Both types of lesions are found in areas with many sebaceous glands.
     Endocrine function tests are not routinely indicated for most patients with acne. In patients with acne and there is evidence of hyperandrogenism, hormonal evaluation for free testeteron, dehidroepiandrostenedion sulfate (DHEA-S), Lutenizing hormone (LH), FSH can be done. Routine microbiological tests are not necessary and in the evaluation and treatment of patients with acne. If a lesion centered on peri oral and nasal area and not responsive to conventional acne treatment, bacterial culture and sensitivity test to evaluate the gram-negative folliculitis, can be done.

       Although there is one dominant type of lesions, acne vulgaris was diagnosed with a few variations of acne lesion (comedone, pustules, papules, and nodules) that erdapat on the face, back and chest. Differential diagnosis of acne vulgaris include akneiformis eruption, rosacea, and perioral dermatitis.

Acneiform Eruption Drug
1. Eruption acneformis
Acneiformis eruption is caused by the induction of acne medications, such as corticosteroids, Isoniazid, barbiturates, bromide, iodide, difenilhidantoin, and ACTH. Clinical eruption of papules in various places without comedone, arise suddenly without fever.

2. Rosacea
Rosacea is a chronic disease etiology is not known with certainty, the characteristics of erythema on the central face and neck. This disease consists of two components of the clinic, the vascular changes consisting of intermittent and persistent erythema and eruption akneiform comprising papules, pustules, cysts, and sebaceous hyperplasia. On rosacea there is no relationship between the excretion of sebum by the severity of the symptoms of rosacea.

3. Perioral dermatitis
Perioral Dermatitis
Perioral dermatitis is a skin disease with characteristic papules and small pustules distributed on the perioral area, with predominantly around the mouth. Perioral dermatitis usually in young women, often found around the mouth, but can be around the nose and eyes. Etiology is not known for certain, but suspected causes : candida, irritable berflouride toothpaste, and oral contraceptives.
Perioral dermatitis is limited symmetrically erupted nose area, mouth and chin, which consists of micropapul, microvesikel, or papulopustulosa with a diameter of less than 2 mm. The exact cause is unknown, but there are several factors that may be the cause of other hormonal factors, emotional, sensitive to cosmetics, fluoride toothpaste, infective agents, and topical corticosteroids.

Do you wanna know more informations about acne?
check here!
1. About Acne Vulgaris
2. What are causes of Acne Vulgaris?

3. Pathogenesis of Acne Vulgaris
4. Clinical Manifestasions and Classification of Acne
5. How to treat Acne Vulgaris?


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