Fernanda Horrillo

Final Presentation Outline

Acne Vulgaris: Fernanda Horrillo
Mentor: Tanya Trynosky MD
Bay Area Dermatology
Dermatology
Independent Student Mentorship Fall 2015
Mrs. Click
ISM
Ism is an advanced academic course designed for students who wish to be
mentored by an adult professional in a chosen career. Students develop a unique
plan of study, engage in independent research, and visit their professional mentor
weekly to gain insight and experience in their chosen field.
Course requirements
2 weekly mentorship hours
3 weekly activity hours
Weekly journal entries documenting experience
ISM professional portfolio
Tangible item/final product
Mid- Term Presentation and Final Presentation
Myth or Fact?
Does toothpaste get rid of acne?
Does chocolate make you break out?
Does stress make you break out?
Should you pop your pimples if they look ready?
Audience participated trivia of common myths/facts about Acne.
CURRENTLY IN CONSTRUCTION
Basic Skin Structure
Layers of skin involved in acne
Epidermis: upper most layer; protects muscle/ underlying layers; controls body
temperature

 Dermis: true skin contains all structures vital to skin function

Skin structures and functions involved in acne
Sebaceous glands: secretes oil; moisturizes the skin; lubricates the hair follicle
Hair follicles: also known as pore
Follicular epithelium: cells lining the follicle
Acne Vulgaris
Acne vulgaris is a skin condition characterized by blockage and/or inflammation
of pilosebaceous units
There are three classifications of acne based of morphology
There are three common subtypes or grading of acne based on what one has
Classifications
Comedonal: opened and closed comedones
Inflammatory: papules and pustules
Nodulocystic: nodules and cysts

Pictures

Ratings

Comedonal
Inflammatory
Nodulocystic

1. Mild
Comedones + few inflammatory lesions
2. Moderate
Comedones + marked number of inflammatory lesions
3. Severe
Extensive inflammatory lesions + diffuse scarring
Acne Factors
Factors Involved
Increased sebum production
Hormone influence (androgens)

 Hyper-keratinization; Keratin & sebum clog the follicle

Abnormal desquamation of follicular epithelium; results in hyperkeratosis
P. Acnes
Proliferation and enzyme release and stimulates release of inflammatory
cytokines
Inflammatory Response
Reaction to products/environment/friction
Classifications Basic Treatments
Topical Retinoid
Vitamin A derivative that normalizes the desquamation of follicular epithelium
and promotes cell growth
Forms
Benzoyl Peroxide
Antibacterial and comedolytic
Forms
Oral Antibiotics
Targets P. acnes and reduces inflammation
Forms
Oral Isotretinoin
Retinoic acid derivative that targets all four factors of acne development
Forms
Skin Types
Dry: sensitive skin, could be scaly
Normal: minimal pore vision
Oily: large pores, acne prone
Not-So-Basic Treatments
Tea Tree Oil
Oatmeal

 Toothpaste

My Mentorship

What I saw:
Skin cancer, Keloids, Nodules, Herpes,etc
Picture of each with Descriptions and Treatment
Myth or Fact: Conclusion

Audience answers previously viewed questions with new information presented

Thank You!

Mrs. Click

Parents

Mentor

Evaluators

Friends
Bibliography
Jaliman, Debra, MD. "Acne Visual Dictionary: Pictures of Types of Acne and How to
Treat Them." WebMD.WebMD, 9 May 2014. Web. 1 Oct. 2015.
<http://www.webmd.com/skin-problems-and-treatments/acne/ss/slideshow-acnedictionary>.
"Excellence in Dermatology Excellence in Dermatologic Surgery Excellence in
Medical Dermatology Excellence in Dermatopathology." Learning Module: Acne
and Rosacea. American Academy of Dermatology, Jan. 2015|. Web. 1 Oct. 2015.
<https://www.aad.org/education/basic-dermatology-curriculum/suggested-order-ofmodules/two-week-rotation/week-1/acne-and-rosacea>.
Leyden, Shalita JJ. "Rational Therapy for Acne Vulgaris: An Update on Topical
Treatment." National Center for Biotechnology Information. U.S. National Library of
Medicine, 15 Oct. 1983|. Web. 1 Oct. 2015.
<http://www.ncbi.nlm.nih.gov/pubmed/2945846
Russel, John J. "Topical Therapy for Acne." - American Family Physician|. American
Academy of Family Physicians, 15 Jan. 2000. Web. 1 Oct. 2015.
<http://www.aafp.org/afp/2000/0115/p357.html>.
Dr Amanda Oatley. "Acne Vulgaris." Derm Net MZ. DermNet New Zealand Trust., 1999.
Web. 1 Oct. 2015.