Search Results for: atrophy

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Therapeutic Strategies in Dermatology

Lupus: Treatment

…deeper (i.e., dermal or subcutaneous) lesions. Do not perform this therapy more often than once every 3-4 weeks to minimize atrophy. All patients with CLE should practice strict photoprotection and sun avoidance, as even minimal sun exposure can…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Clinical Cases

…in 4 weeks Four-week follow-up evaluation Improved (lesions much smaller in size, flatter, softer) No adverse effects noted: atrophy, telangiectasias Repeat injections to several persistently thickened lesions Several lesions require intralesional…

Therapeutic Strategies in Dermatology

Vitiligo: Treatment

…betamethasone or clobetasol) applied twice daily is an effective alternative. Response rates are similar to tacrolimus, but atrophy commonly complicates such prolonged use of potent topical steroids. Tacrolimus ointment 0.1% (or 0.03% for the face)…

Therapeutic Strategies in Dermatology

Lupus: Key Points

…ral reveals a vacuolar interface dermatitis, often in association with a lymphocytic infiltrate with plasma cells, epidermal atrophy, and mucin. Variants exist, such as bullous lupus, which is marked by the presence of bullous lesions clinically and…

Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Treatment

…(flurandrenolide tape) applied over the lesions. Intralesional triamcinolone injections (strength varying based on degree of atrophy/ulceration, generally starting with 10-20 mg/mL, up to 40 mg/mL). Subsequent steps If there is concern for…

Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Key Points

…scalp, trunk, upper extremities, or genitalia, but is very uncommon. As lesions persist they usually develop more prominent atrophy and telangiectasias, followed by ulceration in one-third of cases. As with other granulomatous lesions, trauma may…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…ed nightly with vinyl or cotton gloves. Therapy may be required for at least 6 months before any benefit is appreciated, and atrophy of the nailfolds may develop with prolonged use of corticosteroids under occlusion. Systemic agents can be…

Therapeutic Strategies in Dermatology

Balanitis: Overview

…o not refer a patient for circumcision until a biopsy has been performed. Avoid prolonged steroid use on the glans penis, as atrophy is common. In addition, the withdrawal of topical steroids when they have been used chronically often results in a…

Therapeutic Strategies in Dermatology

Cheilitis Granulomatosa: Overview

…lone acetonide may be used to treat or prevent recurrence. Pitfalls Repeated triamcinolone injections in the lip may lead to atrophy or weakness. Cheilitis glandularis (swelling of the lower lip with enlarged mucous glands) may closely mimic…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

…opical corticosteroids 1-month follow-up Repeat lab studies are normal Lesions are fading with telangiectasias and mild skin atrophy Topical corticosteroids are discontinued Dermatologic, rheumatologic, and cardiac follow-up evaluation is…

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