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Main Programme
Main Programme
Saturday 11th June 2011
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Some forms of food allergy (eg milk allergy) are often time limited, while others are more likely to be
permanent (eg shellfish allergy). CAP- RAST tests can be used to follow patients to determine when they
may have achieved a remission.
In this lecture advances in food allergy will be discussed including allergen desensitisation anti-IgE therapy
etc.
Notes
Clinical Associate Professor Amanda Oakley
Acne - Main Session (Breakout options scheduled)
Saturday, 11 June 2011 Start 9:45am Duration: 25mins Baytrust Forum
Acne is a common reason for consultation in general practice. Those with mild acne are best treated with
long term topical retinoids (tretinoin cream and adapalene cream/gel are now funded) and/or benzoyl
peroxide applied to all affected areas. Wash with non-soap gentle cleanser once or twice daily. For those
with moderate acne, also prescribe oral antibiotic (usually doxycycline) for three to six months and/or, in
females, consider various hormonal contraceptive options. Ensure inappropriate comedogenic cosmetics
are abandoned. Consider whether medications are contributing to the acne. The role of diet remains
controversial but it’s probably appropriate to advise low glycaemic, low dairy foods.
Consider isotretinoin for longstanding, treatment resistant, or severe acne. If keen to prescribe yourself,
update your knowledge with at least the BPAC article / Decision Support tool and BMJ learning article
on isotretinoin before applying for Special Authority approval for funding. Choose well-motivated and
mature patients that will do well with low-doses and can be relied on not to get pregnant. As GPs rarely
manage many patients with severe acne, refer these, as they may need additional treatment and higher
doses of isotretinoin thus experiencing troublesome mucocutaneous side effects.
Notes
09-12 June 2011 | Energy Events Centre | Rotorua