NHG-Richtlijnen
NHG-Standaard
M15
4.2
april 2017
december 2024
S. Huid en subcutis

Begrippen

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Richtlijnen diagnostiek

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Anamnese

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Lichamelijk onderzoek

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Evaluatie

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Richtlijnen beleid

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Voorlichting en advies

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Medicamenteuze behandeling

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Controles

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Consultatie en verwijzing

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Belangrijkste wijzigingen

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Kernboodschappen

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Inleiding

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Scope

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Belangrijkste doelen behandeling

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Achtergronden

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Begrippen

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Acne vulgaris

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Acne conglobata

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Epidemiologie en beloop

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Incidentie en prevalentie

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Klinisch beeld en beloop

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Pathofysiologie

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Etiologie

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Richtlijnen diagnostiek

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Anamnese

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Aard, ernst en gevolgen

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Oorzakelijke factoren

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Aansluiten bij voorlichting en behandeling

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Lichamelijk onderzoek

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Evaluatie en differentiaaldiagnose

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Ernst

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Mild
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Matig ernstig
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Ernstig
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Differentiaaldiagnose

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Rosacea
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Dermatitis perioralis
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Folliculitis
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Hidradenitis suppurativa (acne inversa of acne ectopia)
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Acne aestivalis (‘mallorca-acne’)
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Richtlijnen beleid

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Voorlichting en advies

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Thuisarts

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Medicamenteuze behandeling

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Benzoylperoxide

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Lokale retinoïden

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Lokale antibiotica

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Combinatiepreparaten
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Orale antibiotica

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Doxycycline
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Tetracycline
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Erytromycine
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Azitromycine en minocycline
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Oraal isotretinoïne

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Orale hormonale combinatiepreparaten

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Behandelingsplan

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Instructies en aanvullende overwegingen

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Zwangerschap en lactatie

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Donkere huid

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Controles

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Consultatie en verwijzing

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Isotretinoïne (facultatief)

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Referenties

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NHG-werkgroep:
Bruinsma M, De Ruijter W, Jaspar AHJ, Van der Zee HH,Van Vugt SF, Verhoeven ICL, Verstappen V en Wiersma TJ
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