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Therapeutic Strategies in Dermatology

Spider Bites: Key Points

…sp; Hairs are ejected from the spider as part of their defense reaction. This may result in a granulomatous contact urticaria or foreign body granuloma. If the hairs enter the eye, it causes ophthalmia nodosa (a form of chorioretinitis). Sac spider…

Therapeutic Strategies in Dermatology

Leprosy/Hansen’s Disease and Reactional States: Overview

…and may progress to complete bowel obstruction. Treatment of reactions Do not reduce or discontinue effective antibacillary therapy during reactions if at all possible. For mild reactions, aspirin and symptomatic measures may be adequate. Severe re…

Therapeutic Strategies in Dermatology

Papular Urticaria: Overview

Hypersensitivity Reactions to Arthropod Bites The bites of many arthropods can trigger hypersensitivity reactions in humans. Exposure to penetrating body parts (setae) of certain moths and caterpillars may cause similar reactions. This chapter discu…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Key Points

…Introduction Humans may be parasitized by three louse types: body lice, head lice, and pubic lice. Body lice live in the patient’s clothing, not on the body. They are often found along seam lines of clothing apparel and can also be found in b…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

Photosensitive drug eruptions, polymorphous light eruption, chronic actinic dermatitis (CAD -includes the conditions previously called photosensitive eczema, actinic reticuloid and persistent light reaction). Photosensitivity dermatoses are caused e…

Therapeutic Strategies in Dermatology

Rosacea: Subtypes of Rosacea and Their Treatment

…njection, sometimes accompanied by eyelid edema (blepharitis), foreign body sensation, and/or glandular inflammation (chalazion) along the eyelid margin. Patients report subjective symptoms: foreign body sensations, dry eyes, itching and burning, pho…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Clinical Cases

…ing on daily skin care (cleansing: soap-free cleanser over the body, mild soap only in the axilla, groin, hands, feet; moisturizing: emollients used immediately after bathing) Face: hydrocortisone 2.5% ointment b.i.d. Body: desonide 0.05% ointment b….

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

…ing the patient for CTCL. Stage IA-patches or plaques <10% body surface area Stage IB-patches or plaques >10% body surface area Stage IIA-patches or plaques < o r> 10% body surface area with palpable lymph nodes without pathologic involv…

Therapeutic Strategies in Dermatology

Drug Eruptions: Therapy

…and/or inadvertent repeat exposure. Pitfalls If the cutaneous reaction does not resolve as expected, consider another diagnosis or the possibility that the offending agent has not been discontinued. Many drugs cross-react, i.e., reactions to one med…

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