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Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Clinical Cases

…h smaller in size, flatter, softer) No adverse effects noted: atrophy, telangiectasias Repeat injections to several persistently thickened lesions Several lesions require intralesional triamcinolone at 40 mg/cc Follow-up in 4-week intervals (requires…

Therapeutic Strategies in Dermatology

Lupus: Treatment

…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 result in further spread or reactivation of quiescent disease. Pho…

Therapeutic Strategies in Dermatology

Vitiligo: Treatment

…ve 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) applied to affected areas twice daily. Once daily application i…

Therapeutic Strategies in Dermatology

Lupus: Key Points

…on 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 histologically, the infiltrate of which may be comprised of neu…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…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 introduced by dermatologist by evaluating accompanying skin and joint di…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Treatment

…tiple injections with ongoing monitoring for adverse effects (atrophy, telangiectasias, hypopigmentation). First steps Keloids can be softened progressively, and made less painful by injections of triamcinolone acetonide (such as Kenalog) 20 mg/cc d…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Treatment

…adverse effects of long-term topical corticosteroid use (skin atrophy, erythema, striae, or telangiectasias). Adjust the treatment regimen or patient education on the potencies of their prescribed medications and how to increase or reduce the potency…

Therapeutic Strategies in Dermatology

Cheilitis Granulomatosa: Overview

…lls 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 cheilitis granulomatosa. A biopsy will help to differentiate, as will s…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…corticosteroids are first-line therapy, these may cause skin atrophy with prolonged use. Daily use of corticosteroids for up to a month should be tapered down to use two or three times a week for maintenance therapy. Both acute and chronic hand derm…

Therapeutic Strategies in Dermatology

Stings: Treatment

…eyes may be complicated by severe ophthalmic sequelae (e.g., atrophy of the iris, cataract, globe perforation, or glaucoma). If eye symptoms develop acutely or later, refer the patient to an ophthalmologist. Local bacterial infection (cellulitis) ma…

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