Acne Vulgaris Nursing Care Plan & Management Definition Acne vulgaris is an inflammatory disease of the sebaceous follicles. Risk Factors Highest incidence at puberty Genetics Hormonal factors Bacterial infection Pathophysiology Acne eruptions are initiated by increased sebum production activated by androgenic hormones. Sebum is secreted into dilated hair follicles containing normal skin bacteria. The bacteria secrete the enzyme lipase, which reacts with sebum to produce free fatty acids to trigger inflammation. At the same time, keratin produced by the hair follicles combines with sebum to form plugs in dilated follicles. Assessment/Clinical Manifestations/Signs and Symptoms Closed comedones (i.e. whiteheads) Open comedones (i.e. blackheads) Papules, pustules, nodules, cysts Primarily appear on the face, shoulders, and upper back Medical Management The goals of management are to reduce bacterial colonies, decrease sebaceous gland activity, prevent the follicles from becoming ...
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