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Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Key Points

Key Points Infection with various Borrelia species causes borreliosis, which may have cutaneous and systemic manifestations. This infection is transmitted through bites of the Ixodes species of ticks. Early Lyme disease (erythema chronicum migrans…

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

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): 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…

Therapeutic Strategies in Dermatology

Candidiasis: Initial Evaluation

Initial Evaluation Candidiasis Intertriginous Oral Paronychia Differential diagnosis Inverse pityriasis rosea Deficiency dermatitis (such as zinc deficiency, aka acrodermatitis enteropathica) Allergic or irritant cont…

A Clinical Atlas of 101 Common Skin Diseases

Psoriasis

An inflammatory disease of genetic nature that begins with red macules that quickly become nonscaly papules that in turn become scaly papules and plaques. If the process becomes widespread, an erythroderma results, and if it is accelerated, pustules…

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…

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…

Histologic Diagnosis of Inflammatory Skin Diseases

Acrodermatitis enteropathica

Acrodermatitis enteropathica Synonyms Zinc deficiency Presentation stereotypical Age and sex Infants of both sexes who suffer from an inherited deficiency of zinc; may occur in adults; characterized in infants by a triad of acral dermatitis, alopeci…

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