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A Clinical Atlas of 101 Common Skin Diseases

Scars, Keloids, and Anetodermas

A type of fibrosing inflammation characterized clinically by lesions that at first are elevated and that do not extend beyond the exact site of injury and that in time tend to shrink, sometimes even becoming atrophic….

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…tion to control bacterial overgrowth. Becaplermin to stimulate granulation tissue (in slowly responding ulcers). Desiccated animal collagen (xenograft) if needed to accelerate wound healing (in slowly responding ulcers). Semipermeable dressing over t…

A Clinical Atlas of 101 Common Skin Diseases

Epidermal Nevi

Epidermal nevi are hamartomas in which the epidermis is abnormal, being hyperkeratotic, and in which lesions are aligned along Blaschko’s lines….

Therapeutic Strategies in Dermatology

Pernio/Chilblains: Key Points

…trict variably based on the need to conserve heat or to ensure tissue perfusion and prevent ischemia; in patients with pernio some have postulated that there is either prolonged vasoconstriction leading to mild tissue hypoperfusion and localized infl…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea capitis

…n of the scalp. The development of a very inflammatory, boggy, granulation tissue-like plaque on the scalp in the setting of tinea capitis is termed kerion. Initial therapy Antifungal therapy (griseofulvin, ketoconazole, fluconazole or itracon…

Therapeutic Strategies in Dermatology

Urticaria: Initial Evaluation

Initial Evaluation Acute urticaria Migrating pruritic edematous papules and plaques of variable size, surrounded by erythema or an area of vasoconstriction (i.e., wheal). Can be intermittent, with the skin returning to normal appearance in less tha…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

Overview Kaposi’s sarcoma (KS) results from endothelial cell proliferation caused by infection with human herpesvirus 8 and occurs in four settings: classic KS, African (endemic) KS, immunosuppressive-associated KS, and AIDS-associated KS. The…

Therapeutic Strategies in Dermatology

Extramammary Paget’s/Paget’s Disease: Overview

Overview The diagnosis of Paget’s disease or extramammary Paget’s is made when Paget cells are identified in histopathologic specimens from involved skin. The term Paget’s disease is used when the cutaneous lesion is identified inv…

Therapeutic Strategies in Dermatology

Acne Keloidalis Nuchae: Overview

…ld be minimal to prevent a spread scar and keloid formation. A tissue expander may provide adequate tissue for primary closure of large lesions. If surgical removal is performed, intralesional injection of triamcinolone into the scar may be required…

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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