Page 160 - LECTURE NOTES
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•  Inflammation reaction results when comedonal material is released to

                              surrounding skin by ruptured follicles
                          •  Subsequent scaring is potential risk.



                       Treatment: Goal of care to promote recover of patient with minimum residual
                       scar.


                       3. General care of patient

                          ¾  Identify acne properly
                          ¾  Instruct the patient not to scrub, rather advice to wash with warm water

                              and soap

                          ¾  Explain or teach importance of maintaining cleanliness of skin
                          ¾  Encourage hand and washing of the area

                          ¾  Avoid scratching that causes secondary bacterial infection

                          ¾  Encourage to ventilate any discomfort
                          ¾ Encourage to shorten nails


                          NB.  Refer if not improved after some days of follow up and care



                   7.6. Psoriasis

                   It is chronic inflammation of the skin producing dry scaly lesions, exacerbation and
                   remission



                   1. Clinical appearance:
                          ¾  Common during adolescent

                          ¾  Raised, erythematic papule or plaques, covered with loose scales
                          ¾  Silvery white scale

                          ¾  Easily bleeding when scale is removed
                          ¾  May be precipitated by trauma

                          ¾  It is gradual or sudden onset





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