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Therapeutic Strategies in Dermatology

Melanoma: Treatment

…mmended. Pitfalls Failure to diagnose a melanoma. Failure to biopsy a suspicious lesion is the most serious pitfall. An inadequate initial biopsy or pathologic evaluation is a major pitfall that may result in inadequate therapy. Inclusion of at lea…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…ther manifestations of hyperandrogenism or virilization A skin biopsy is offered to the patient, which she accepts; she is highly-motivated to confirm the diagnosis of androgenetic alopecia; a 4 mm punch biopsy of the affected area of alopecia is per…

Therapeutic Strategies in Dermatology

Alopecia: Key Points

…in the area of hair loss and a diagnosis is not clear, a scalp biopsy and tissue culture is strongly indicated. Evidence of scarring should also prompt a scalp biopsy. There are numerous pathophysiologic mechanisms that result in alopecia: hair shaf…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Clinical Cases

Clinical Cases Case 1 67-year-old male No significant past medical history Review of systems is notable for six-month history of unexplained weight loss, night sweats, fatigue Presents for management of an extremely painful leg ulcer that rapidl…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

…. Skin lesions are an excellent source of diagnostic material. Biopsy the thickest nonulcerated lesion. Punch, excision, or shave biopsies (of exophytic nodules) are adequate. Do not biopsy at the edge of skin lesions, but rather in the center. Evalu…

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

Warts: Treatment

Treatment First-line therapy: The first-line therapy for warts involves destructive methods tailored to the type of wart. Destruction of wart lesions may be accomplished using cryosurgical or electrosurgical techniques, chemical destruction either…

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