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Therapeutic Strategies in Dermatology

Keratosis Pilaris: Key Points

…atch. On biopsy, these lesions are characterized by keratinous follicular plugging with orthohyperkeratosis to create a follicular spicule. Typical sites of involvement include facial cheeks, upper posterior arms, lateral thighs, and buttocks, and in…

Therapeutic Strategies in Dermatology

Vitiligo: Clinical Cases

Clinical Cases Case 1 5-year-old boy Four month history of an enlarging depigmented patch on right lower cutaneous lip and chin Otherwise healthy Family history notable for mother with autoimmune thyroiditis Initial evaluation Wood’s lam…

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…

A Clinical Atlas of 101 Common Skin Diseases

Alopecias

Loss of hair attributable either to the effects of inflammatory cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role. Although the scalp is the site most often affected, any region of the skin that be…

Therapeutic Strategies in Dermatology

Hidradenitis Suppurativa: Key Points

Key Points Hidradenitis suppurativa (HS) is a chronic inflammatory process affecting skin bearing apocrine glands; the groin, axillae, and inframammary areas are typically involved. The classic lesions of HS include cysts, nodules, sinus tracts, an…

A Clinical Atlas of 101 Common Skin Diseases

Cysts and Cystic Hamartomas

Papules, nodules, and tumors that, on gross examination, are usually skin colored and, on histopathologic examination, consist of an epithelium-lined sac that contains fluid, cells, or both in the case of true cysts and of cysts that are associated…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Initial Evaluation

Initial Evaluation Determine the type, severity, and location of acne, and presence of scarring. Acne lesions Non-inflammatory (comedones) Inflammatory (papules-pustules-nodules) Scars (Keloidal scarring is present on the central ch…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Treatment

Treatment First-line therapy: Educate patients so that they understand that KP is not curable and that any therapeutic option only minimizes but does not eradicate the clinical lesions. Long-term management improves and maintains the cosmetic appe…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions of lichen planus are marked by violaceous-to-purple flat-topped papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (de…

Therapeutic Strategies in Dermatology

Rosacea: Subtypes of Rosacea and Their Treatment

Subtypes of Rosacea and Their Treatment Erythemato-telangiectatic (E-T) subtype: Characterized by diffuse erythema and telangiectasias on the cheeks, forehead, dorsal nose, or entire face. Patients often complain of intolerance or sensitivity to to…

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