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Therapeutic Strategies in Dermatology

Geographic tongue / Benign migratory glossitis / Annulus migrans: Overview

…ve border are intermittently visible on the dorsal and lateral tongue. Geographic tongue is diagnosed by clinical appearance, and is usually asymptomatic, requiring no treatment. It is most commonly an isolated finding but may be seen in psoriasis an…

Therapeutic Strategies in Dermatology

Oral Hairy Leukoplakia: Initial Evaluation

Initial Evaluation Oral hairy leukoplakia Differential diagnosis Oral candidiasis Geographic tongue Syphilitic mucous patches Oral Graft-versus-host-disease Lichen planus of the tongue

Therapeutic Strategies in Dermatology

Oral Hairy Leukoplakia: Key Points

…presents as vertically corrugated white lesions of the lateral tongue. It may be unilateral or bilateral, and may also affect the dorsal or ventral tongue, gingiva, or oral mucosa. Lesions of OHL may appear as smooth white papules or plaques with a b…

Therapeutic Strategies in Dermatology

Oral Hairy Leukoplakia: Clinical Cases

Clinical Case Case 1 37-year-old male with recent diagnosis of HIV infection Not yet started on anti-retroviral medications Elevated viral load and reduced CD4 lymphocyte count (240) Presents for evaluation and management of long-standing “tongue

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Clinical Case

Clinical Case 32-year-old healthy woman Six months’ history of progressively darkening skin on the forehead, lateral cheeks, nose Does not wear daily sunscreen Exercises several times a week outdoors without sunscreen Started taking e…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Initial Evaluation

Initial Evaluation Clinical images show homogeneously hyperpigmented macules and geographic or irregular patches typically located on forehead, zygomatic cheeks, upper cutaneous lip, and nose. Central facial involvement is most common but mandibular…

Therapeutic Strategies in Dermatology

Spider Bites: Key Points

Key Points Spiders are 8-legged (arthropod) members of the order Araneae. Spider bites result from a self-defense reaction when a spider feels threatened and typically arise due to inadvertent meeting with a spider (i.e., accidental). There are sev…

Therapeutic Strategies in Dermatology

Vascular Birthmarks: Key Points

Key Points Vascular birthmarks are cutaneous vascular lesions present at, or shortly after, birth. They may be categorized as vascular tumors or vascular malformations. The term hemangioma has previously been used to describe many common, typicall…

Therapeutic Strategies in Dermatology

Leishmaniasis: Overview

Overview As with all infectious diseases, the diagnosis of leishmaniasis should be established by identifying the causative agent in the affected tissue by culture, scrapings, or biopsy. Response to therapy is significantly related to the causative…

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