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Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Clinical Cases

Clinical Cases Case 1 16-year-old healthy male Past medical history includes nodulocystic acne with scarring Presents for management of acne scarring Initial evaluation Healthy-appearing male Firm, raised, indurated papular and linear plaques…

Therapeutic Strategies in Dermatology

Lupus: Treatment

Treatment First-line treatment: Photoprotection is critical for all patients with cutaneous lupus erythematosus (CLE). Inflammation should be targeted via topical, intralesional, or systemic immunosuppression, or a combination therapeutic approach…

Therapeutic Strategies in Dermatology

Vitiligo: Treatment

Treatment Localized disease, <5% body surface area First-line therapy: Topical treatment options include a mid- to superpotent topical steroid (such as betamethasone or clobetasol) applied twice daily to the skin. Evidence supports that this is…

Therapeutic Strategies in Dermatology

Lupus: Key Points

Key Points Lupus is a disease that presents across a broad spectrum of cutaneous and systemic manifestations. It may be cutaneous-only or systemic with cutaneous manifestations; some patients with systemic lupus do not have cutaneous involvement. D…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

Principles of Psoriasis Management Topical therapy is usually appropriate for treatment of patients with less than 10% body surface area (see table below). Systemic therapies (see table below) are indicated when one or more of the following are pre…

Therapeutic Strategies in Dermatology

Balanitis: Overview

Overview Balanitis is a nonspecific term meaning inflammation of the glans penis. It is most commonly multifactorial in etiology, restricted to the uncircumcised, and presents as a mildly symptomatic scaly, red macule or patch. Acute suppurative bal…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Treatment

Treatment First-line therapy: Intralesional corticosteroids remain the first-line therapy for keloids and hypertrophic scars. They may be effective in 50-100% of cases but may be associated with recurrence in up to half of cases. Treatment of keloid…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

Clinical Cases Case 1 31-year-old woman with recurrent lesions on cheeks and scalp Negative workup for systemic lupus erythematosus (recent) Lesions are itchy, exacerbated by sun exposure No current treatment Initial evaluation Diagnosis: Disc…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

Treatment First-line therapy: The first-line therapy for hand dermatitis is to stop any offending agents. The mainstay of treatment is the use of topical medications in conjunction with frequent use of moisturizers. The approach to the management…

Therapeutic Strategies in Dermatology

Stings: Treatment

Treatment Local toxic reactions Initial therapy First-line therapy: Remove all embedded stingers (if present) as promptly as possible, as venom continues to be injected after the stinger is detached from the insect. Do not squeeze or pick up the s…

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