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Therapeutic Strategies in Dermatology

Herpes Simplex: Treatment

…perinfection (usually S. aureus) and treat appropriately. For eczema herpeticum, treat the underlying atopic dermatitis as well. For genital HSV, evaluate for other sexually transmitted infections. For the immunosuppressed, topical acyclovir 5% ointm…

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

Overview Eczema is an all-inclusive term for dermatitis of diverse origin, including atopic dermatitis, dyshidrotic eczema, hand eczema, seborrheic dermatitis, and stasis dermatitis (see appropriate chapters for descriptions of therapy for these dis…

Therapeutic Strategies in Dermatology

Hand Dermatitis: References

References Coenraads PJ (2012) Hand eczema, NEJM, 367: 1829-1837. Bissonnette R et al (2010) Redefining treatment options for chronic hand eczema, JEADV, 24 (Suppl.3): 1-20. Dirschka T et al (2008) An open-label study assessing the safety and effica…

Therapeutic Strategies in Dermatology

Herpes Simplex: Initial Evaluation

…low may occur when digits are exposed to herpetic lesions. Eczema herpeticum, superinfection of atopic dermatitis with HSV, is common and can be difficult to distinguish from impetiginized eczema (i.e., atopic dermatitis with bacterial superinfect…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: References

References Williams HC, Grindlay DJ. What’s new in atopic eczema? An analysis of systematic reviews published in 2007 and 2008. Part 1. Definitions, causes and consequences of eczema. Clin Exp Dermatol. 2010;35(1):12-15. Darsow U, Wollenberg A, Simo…

Therapeutic Strategies in Dermatology

Herpes Simplex: Key Points

…a pre-existing skin disease (usually atopic dermatitis, e.g., eczema herpeticum). Acyclovir is almost always the first-line treatment given to individuals with healthy immune systems; in immunosuppressed individuals (especially HIV-infected persons),…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Principles of Management of Atopic Dermatitis

…eus (impetiginization) and sometimes by herpes simplex virus (eczema herpeticum) Pruritus: can exacerbate atopic dermatitis carries significant morbidity (i.e., lack of sleep, excoriations that further impair the skin barrier and predispose to secon…

Therapeutic Strategies in Dermatology

Impetigo: Initial evaluation

…with scalloped borders are suggestive of herpes. Eczema herpeticum: Superinfection of atopic dermatitis with herpes or impetiginizing bacteria (staphylococcus or streptococcus) is common and can be difficult to distinguish clinically. Ba…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Initial Evaluation

…la infection Differential diagnosis Herpes simplex virus (oral) Note that the vesiculopustular lesions of HSV are also grouped, as in zoster. Herpes simplex virus (genital) Eczema herpeticum Erythema multiforme…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…CAD -includes the conditions previously called photosensitive eczema, actinic reticuloid and persistent light reaction). Photosensitivity dermatoses are caused either by an exogenous substance (either topical or systemic), or are idiopathic. These co…

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