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Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Clinical Cases

Clinical Cases Case 1 68-year-old healthy male No significant past medical history (normal renal function) Review of systems is noncontributory History of primary varicella infection as child No sick contacts Presents for management of 3 days&#8…

Therapeutic Strategies in Dermatology

Impetigo: Key Points

…oses, such as atopic dermatitis or insect bites. Honey-colored crusting or annular erosions with minimal crusting is the typical morphology for impetigo contagiosum; bullous lesions, erosions, scale, or crust occur in bullous impetigo. An important c…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Key Points

Key Points Primary varicella infection (chickenpox) and herpes zoster are both caused by varicella zoster virus (VZV). Herpes zoster (shingles) represents activation of varicella zoster virus from cranial or dorsal root ganglion, thus affecting th…

Therapeutic Strategies in Dermatology

Porokeratosis: Overview

Overview The etiology of this disorder is unknown and therapy is empiric. Treatment First steps Topical 5-fluorouracil (5-FU) 5% cream applied once or twice daily to lesions, until the epidermis desquamates and a crust forms, will often resolve sup…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

Key Points Chondrodermatitis nodularis helicis (CNH) is an uncommon, strikingly painful lesion on the helix or antihelix of the ear, which often appears as a crusted ulceration mimicking a cutaneous malignancy. Diagnosis may be made by clinical exa…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

Initial Evaluation Erythematous, scaly, oily-looking patches on the face (nasolabial folds, medial cheeks, chin, glabella, forehead) and thick crust on the scalp are typical affected areas. Seborrheic dermatitis can also present…

A Clinical Atlas of 101 Common Skin Diseases

Pemphigus Foliaceus

A blistering inflammatory disease in which acantholysis occurs in the upper part of the spinous zone or granular zone of the epidermis, the result of the process being flaccid blisters that give way to erosions and crusts accompanied by erythema. Wh…

A Clinical Atlas of 101 Common Skin Diseases

Seborrheic Dermatitis

An inflammatory process that consists of tiny papules covered by prominent scales and localized typically to the “seborrheic region,” namely, scalp, forehead, eyebrows, malar eminences, paranasal and nasolabial folds, and retroauricular…

Therapeutic Strategies in Dermatology

Herpes Simplex: Treatment

Treatment Table 1. Herpes Simplex Therapy for Adults N.B. Always consider renal dosing in patients with renal impairment Pattern Orofacial Genital Primary infection in immunocompetent patient ACV 400 mg 5x per day x 7-10 days or 200 mg 5x p…

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