Sign up now for ease of access to The Medical Independent, Ireland’s most frequently published medical newspaper, delivering award-winning news and investigative reporting.

  • receive the eCopy two days prior to the printed edition.
  • can partake in our online MCQs.
  • can enter our online sports quiz.


Medicalindependent.ie is Ireland's only investigative medical news website for doctors, healthcare professionals and anyone with an interest in health issues.

Established in 2010, along with its sister publication The Medical Independent, our stated aim is to investigate and analyse the major issues affecting healthcare and the medical profession in Ireland. The Medical Independent has won a number of awards for its investigative journalism, and its stories are frequently picked up by national digital, broadcast and print media. The Medical Independent is published by GreenCross Publishing.

Address: Top Floor, 111 Rathmines Road Lr, Dublin 6

Tel: 353 (01) 441 0024

GreenCross Publishing is owned by Graham Cooke.

Treating acne and rosacea in patients with skin of colour

By Mindo - 13th Mar 2019 | 76 views

Prof Jerry Tan highlighted the challenges in treating acne and rosacea in patients with skin of colour at the PCDSI annual meeting in Galway recently.

Making a diagnosis is challenging due to the modifying effect of pigment against underlying inflammation. Management can also prove difficult due to the post-inflammatory or macular hyperpigmentation, Prof Tan told delegates.

It is almost impossible to see red against a darker background, which is why patients should be questioned about pain, heat and swelling during consultations, he recommended.

Spectral subtraction imaging (RBX) is used for patients with skin of colour who have acne, including when making a decision on when to stop isotretinoin, Prof Tan explained.

The tool has proved highly beneficial in acne diagnosis and management, as in the past there was a widely-held view that rosacea did not exist among Asian patients, Prof Tan revealed.

RBX allows clinicians to see what is below the skin and, therefore, enables doctors to treat the condition effectively, he explained.

In a separate talk on acne in the adult female, GP Dr Johnny Loughnane revealed that the condition has become more common in recent times.

In 80 per cent of cases, post-adolescent female acne fails to respond to conventional therapy. Furthermore, such cases involve a 30 per cent relapse rate with isotretinoin treatment, he noted.

Hormonal treatment is the most effective agent for adult female acne, he advised, but a positive response to treatment can take up to six months.

He provided an overview of acne in pregnancy, severe acne in females, the advantages and disadvantages of different hormone regimens, and spironolactone as a treatment option.

Leave a Reply

Latest
Latest Issue
The Medical Independent 19th May 2022

You need to be logged in to access this content. Please login or sign up using the links below.

Most Read