Chan Kam Tim Michael
Association of Integrative Aesthetic Medicine, Hong Kong
Title: Severe Acneiform facial eruption an updated prevention, pathogenesis and management
Biography
Biography: Chan Kam Tim Michael
Abstract
Acne scarrings and papulopustular rosacea (PPR) are well documented cutaneous condition associated with major psychosocial morbidity: social isolation, depression and suicidal ideation. The disease burden to the family and society is significant. A positive family history is a predictor. Emerging data revealed early retinoid used, positive life-style modifications may prevent scarrings. Energy device like radiofrequency microneedling, fractional laser and superficial radiotherapy, intralesional cryotherapy are recognized new attempts to treat atrophic scars and painful severe hypertrophic keloid scars in Asian dark skin types, respectively. The presentation will discuss these new strategies and examined its potential advantages and drawbacks. PPR are increasing in prevalence as seen in local skin clinics due to increasing non-judicious topical steroids use; propensity of topical cosmeceuticals in Asian markets and the use of epidermal growth factor receptor (EGFR) inhibitors in treating metastatic lung cancer. Recent investigations highlighted the importance of the Demodex mites, vascular epidermal growth factor (VEGF), dermal inflammation and impaired epidermal barrier dysfunction in its pathogenesis. New promising treatments are emerging. The dysmorphic acne excoriee and acneiform eruption associated with antipsychotics including recreational drugs abuse will also be discussed.