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A Clinical Atlas of 101 Common Skin Diseases

Nummular Dermatitis

An inflammatory process of unknown cause consisting of pruritic coin-shaped lesions of different sizes and made up of vesicles that soon are scratched away, leaving erosions, ulcerations, and crusts as residua….

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

…ar eczema is an eczematous disorder consisting of one or more coin-shaped patches, usually on the legs, and often on the arms and trunk, as well. Lesions are usually few and localized, but over weeks to months, new lesions occur and become more gener…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea versicolor

…s on the trunk/ upper extremities, and occasionally the face; rubbing can manifest subtle scale. Differential diagnosis Includes seborrheic dermatitis, pityriasis rosea, pityriasis alba, leprosy, syphilis, vitiligo, parapsoria…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…day. Selenium sulfide shampoo, applied to the trunk by gentle rubbing with a washcloth, daily for the first 2 weeks, and then weekly thereafter for prevention. Follow-up The patient reports recurrent infection six months after the initial treatment…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

…, etc.) comedogenic cosmetics and creams friction (e.g., from rubbing or self-manipulation/picking) In female patients with a clear premenstrual trigger, consider spironolactone (such as Aldactone) 50 mg to 100 mg daily with or without oral contrac…

Therapeutic Strategies in Dermatology

Alopecia: Key Points

…men who are not of child-bearing potential) Alopecia areata Coin-shaped (nummular) patches of non-inflammatory hair loss; exclamation hairs; may involve the entire scalp (totalis) or body (universalis) Likely autoimmune; often associated with autoi…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Clinical Case

…s Diagnosis: Urticaria Pigmentosa Recommend avoiding excess rubbing, friction, or pressure, along with avoidance of extreme temperatures, particularly extreme heat Non-sedating H1 antihistamine trial initiated Counseled about signs and symptoms of…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…s mast cells often contain granules of histamine. Stroking or rubbing a lesion of cutaneous mastocytosis can elaborate these signaling molecules, and often results in a localized wheal response, where the lesion while form a hive; this is called “Dar…

Histologic Diagnosis of Inflammatory Skin Diseases

Dermatosis secondary to rubbing and/or scratching

An inflammatory process of unknown cause consisting of pruritic coin-shaped lesions of different sizes and made up of vesicles that soon are scratched away, leaving erosions, ulcerations, and crusts as residua….

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