What is included in the workup of Cutibacterium (Propionibacterium) acne vulgaris?

Updated: Dec 03, 2019
  • Author: Sajeev Handa, MBBCh, BAO, LRCSI, LRCPI; Chief Editor: John L Brusch, MD, FACP  more...
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Answer

A hormonal workup may be appropriate in adult female acne patients with signs of androgen excess, such as virilization. Hormonal workup may also be appropriate in preadolescent patients presenting with acne to evaluate for precocious puberty.

In some high-risk patients, Cutibacterium species are capable of causing significant infections, and efforts should be made to obtain specimens free of contamination by the normal flora of the mucous membranes and skin, where they reside. In addition, strict anaerobic technique should be followed to ensure isolation in suspected cases of Cutibacterium infection. The generation time of C acnes is 5.1 hours compared with the approximate 24-minute generation time of Staphylococcus aureus. [20]


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