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Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Initial Evaluation

Initial Evaluation Erythema chronicum migrans Acrodermatitis chronica atrophicans These lesions may occur at the sites of prior erythema chronicum migrans. Atrophic epidermis is the hallmark. Sclerodermatous changes, with thickening a…

Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Key Points

…ients, early neurologic involvement in 3%, lymphocytoma in 2%, acrodermatitis chronicum atrophicans in 1%, and <1% with cardiac manifestations. Similar complication rates have been reported in American case series, with the key exception of late c…

A Clinical Atlas of 101 Common Skin Diseases

Borreliosis (Lyme Disease)

An inflammatory disease caused by the spirochete Borrelia burgdorferi that manifests itself in the skin as erythematous lesions with figurate shapes, e.g., (round, ellipsoid, and arcuate) (erythema chronicum migrans), pseudolymphomatous nodules (lym…

Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Treatment

Treatment First-line therapy: Systemic antibiotics is first-line treatment. Borreliosis will respond to tetracyclines, penicillins, most second or third generation cephalosporins, and macrolides. Therapy for two to four weeks is required. There is…

Histologic Diagnosis of Inflammatory Skin Diseases

Acrodermatitis chronica atrophicans

Acrodermatitis chronica atrophicans Presentation stereotypical Age and sex Middle aged to elderly women especially Distribution of lesions Distal part of extremities, particularly of legs; nodules develop especially near knees and elbows Configurati…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: References

References Flynn V, Chisholm C, Grimwood R (2011) Topical nitroglycerin: a promising treatment option for chondrodermatitis nodularis helicis. J Am Acad Dermatol, 65:531-536. Moncrieff M, Sassoon EM (2004) Effective treatment of chondrodermatitis no…

Therapeutic Strategies in Dermatology

Acrodermatitis Enteropathica: Overview

Zinc Deficiency Zinc deficiency may be seen in infants (hereditary or acquired) or adults (acquired). Some breastfed infants, especially if born prematurely, may develop acrodermatitis enteropathica due to zinc deficiency in mother’s breast mi…

Therapeutic Strategies in Dermatology

Mucha-Habermann Disease: Overview

…is Lichenoides et Variolaformis Acuta / Pityriasis Lichenoides Chronica This condition is a benign and often self-limited lymphocytic vasculitis. Pityriasis lichenoides chronica (PLC) is treated like pityriasis lichenoides et varioliformis acuta (PLE…

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