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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: Key Points

Key Points Acne is a common condition affecting persons of almost all ages; it may begin as early as the neonatal period, and peaks between ages of 13-17. For some patients, acne will persist into the fourth or fifth decade of life. Acne is a chron…

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

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

Lichen Planus: Key Points

Key Points Lichen planus (LP) is a pruritic eruption that may be self-limited or chronic, and may affect skin, mucosa (including the esophagus), and hair. The classic morphology of lichen planus is violaceous-to-purple, flat-topped polygonal papule…

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