Acne tropicalis
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: ED80.Y
Last Updated: 2023-07-07
Author(s): Anzengruber F., Navarini A.
ICD11: ED80.Y
Sulzberger et al. 1946
Occurrence of acneiform lesions in humid (tropical) environments.
Papules, pustules, comedones on the face.
Anamnesis
Clinical picture
Cause treatment:
Other like acne vulgaris:
Consensus therapy algorithm of the German Acne Guidelines Group
mild | moderate | severe | |||
acne | comedonica | papulopustulosa | pulopustulosa | papulopustulosa nodosa | conglobata | 1.Choice | Topical retinoid | Basic therapeutic Combination of basic therapeutics Basic therapeutic & topical antibiotic | Combination of basic therapeutic Basic therapeutic & topical antibiotic Basic therapeutic & oral antibiotic | Oral antibiotic & 1-2 basic therapeutic Oral antibiotic & azelaic acid |
Alternatives | Azelaic acid | Azelaic acid if necessary in combination with basic therapeutics or top. Antibiotics | Azelaic acid & basic therapeutics oral antibiotic & azelaic acid | Oral isotretinoin | Oral isotretinoin |
Women | s.o. | s.o. | Oral antiandrogenic contraceptive & 1st choice | Oral antiandrogenic contraceptive & 1st choice | Oral antiandrogen contraceptive & 1st choice |
In pregnancy | Azelaic acid | Azelaic acid Top. Erythromycin & BPO | Oral Erythromycin & azelaic acid Oral erythromycin & BPO | Oral erythromycin & Azelaic acid & BPO | Oral erythromycin & Azelaic acid & BPO possibly oral prednisolone short-term |
maintenance therapy |
Source: Nast, A. (2016). S2 guideline: treatment of acne. Awmf.org. Retrieved 1 June 2016, from http://www.awmf.org/leitlinien/detail/ll/013-017.html
- Topical therapy
- Radiation therapy
- Systemic therapy
In the 1st trimester systemic therapy may be discussed, from the 2nd trimester recommended.
Therapy of 1st choice. Choice after Lebwohl | |
Akne comedonica | |
Topical retinoids | B |
Dapson gel & topical retinoids | B |
Mild acne papulopustolosa | |
Benzoyl peroxide & topical retinoids | A | Benzoyl peroxide & topical antibiotics | A |
Moderate acne papulopustolosa without scars | Benzoyl peroxide & topical retinoids | A |
Benzoyl peroxide & topical antibiotics | A |
Moderate acne papulopustolosa with scars | |
Men: Oral antibiotics & benzoyl peroxide & topical retinoid | A |
Women: Oral antiandrogen contraceptives & benzoyl peroxide & topical retinoid | A |
Moderate acne papulopustolosa with scars | |
Acne conglobata | Isotretinoin p.o. | A |
Acne fulminans | |
Isotretinoin p.o & systemic glucocorticoids | C |
Plewig G., Kligman A.M. (1994) Acne tropicalis (Tropenakne). In: Akne und Rosazea. Springer, Berlin, Heidelberg, https://doi.org/10.1007/978-3-642-57960-8_26
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