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Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Clinical Cases

…n including age-appropriate cancer screening, chest X-ray, and blood tests including complete blood count with differential, erythrocyte sedimentation rate, and rheumatologic serologies Follow-up in 1 week Follow-up evaluation The ulcer has not pr…

Therapeutic Strategies in Dermatology

Urticaria: Clinical Cases

…episodes since last clinic visit Escalate dose of fexofenadine Blood test: complete blood count with differential, ESR Follow-up evaluation at 4 weeks Follow-up evaluation at 4 weeks Patient reports ongoing improvement Blood test results show sligh…

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…espond after 48-72 hours, is febrile, or has an elevated white blood cell count, hospitalize the patient, culture the blood, and treat the patient with intravenous antibiotics to provide coverage for staphylococcal and streptococcal cellulitis. Subs…

Therapeutic Strategies in Dermatology

Leukocytoclastic Vasculitis: Key Points

  Leukocytoclastic vasculitis (LCV) represents inflammation of small vessels in the skin stemming from immune complex deposition. Clinically, LCV presents with an eruption of palpable monomorphous purpuric papules, which may have central vesic…

Therapeutic Strategies in Dermatology

Sweet’s Syndrome (Acute Febrile Neutrophil Dermatosis): Clinical Cases

…n including age-appropriate cancer screening, chest X-ray, and blood tests including complete blood count with differential, erythrocyte sedimentation rate, and rheumatologic serologies; given the absence of gastrointestinal symptoms, a colonoscopy t…

Therapeutic Strategies in Dermatology

Livedo Vasculitis/Livedo Reticularis/Atrophie Blanche: Overview

Atrophie Blanche, Livedoid Vasculitis – Segmental, and Hyalinizing Vasculitis – Summer/Winter Ulcerations This group of terms applies to a condition affecting primarily the lower extremities resulting in ulceration. Affected patients are…

Therapeutic Strategies in Dermatology

Lymphomatoid Papulosis: Overview

…an inflammatory disorder affecting primarily the upper dermal blood vessels. It is characterized by the presence of CD30-positive lymphocytes (sometimes large and atypical) in the dermal infiltrate. Individual lesions resolve spontaneously (albeit o…

Therapeutic Strategies in Dermatology

Venous Stasis: Key Points

Key Points Chronic venous insufficiency stems from the acquired incompetence of venous valves that prevent retrograde blood flow through the venous system, resulting in complications, including edema, prominent veins, stasis dermatitis, and ulcers….

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Clinical Cases

Clinical Cases Case 1 21-year-old male History of trauma to the leg while playing sports Three days later developed progressively worsening redness and warmth around the site of trauma Febrile, feels unwell No prior medical history Initial eval…

Therapeutic Strategies in Dermatology

Alopecia: Key Points

Key Points Alopecia, or hair loss, has a broad spectrum of causes. In order to appropriately treat alopecia, the type of hair loss or pathophysiology must be clearly identified. The evaluation for hair loss requires a very thorough history and phys…

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