Outcome evaluation

Depending on severity, complete resolution of acne may take weeks to months. Monitor patients after 6 weeks of pharmacologic therapy for any improvement of signs and symptoms12 :

• Decreased number of lesions

• Decreased severity of lesions

• Relief of pain/irritation

If no improvement is reported or symptoms have worsened, patients should be reevaluated and a change in the current treatment regimen may be necessary.

Educate patients on the possibility of adverse effects. Consider a change in therapy if a patient experiences effects that are not tolerated or are considered a compromise to their health.

CONTACT DERMATITIS

Contact dermatitis is a condition in which exposure to an offending substance produces inflammation, erythema, and pruritus of the skin.26 More specifically, contact dermatitis can be divided into either irritant or allergic forms. ' Irritant contact dermatitis results from first-time exposure to irritating substances such as soaps, plants, cleaning solutions, or solvents. Allergic contact dermatitis occurs after an initial sensitivity and further exposure to allergenic substances, including poison ivy, latex, and certain types of metal.28 (See Figs. 65-4 and 65-5.) Table 65-5 lists agents commonly responsible for irritant and allergic contact dermatitis. While generally occurring on the exposed skin, such as the hands and face, contact dermatitis can appear anywhere on the body.26 Although most cases are easily treated, contact dermatitis remains an uncomfortable and sometimes embarrassing skin condition.

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