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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…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…Case 1 8-year-old healthy girl with a two-year history of hair loss Irregular, jagged and scattered patches of hair loss on the scalp; no eyelashes Parents note that hair loss started when the family moved to a new state and describe a difficult…

Therapeutic Strategies in Dermatology

Alopecia: Treatment

…eatment First-line treatment strongly depends on the type of hair loss. Specific pharmacologic treatments are discussed below for the two most common causes of alopecia: androgenetic alopecia and alopecia areata. Ancillary therapy In all cases of…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Key Points

…llenging condition in which a chronic folliculitis develops in hair-bearing areas. A combination of alternative epilation, topical corticosteroids, keratolytics, and laser hair removal (where available) is the first-line therapeutic strategy. Introd…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Treatment

…product (78% isopropyl alcohol). It should be applied onto dry hair and allowed to dry without use of a hair dryer or other heat supply. If live lice persist, it should be reapplied in 9 days; however, malathion is highly effective after a single app…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…e-blue macules) on areas of skin that come in contact with the hair. The eggs of head lice are highly monomorphous ovoid structures that are firmly attached to the hair shaft via a white concretion such that they are challenging to remove. These a…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea capitis

…hampoo q.d. or every other day is adjunctive therapy. Apply to hair, lather, allow it to contact the hair for ten minutes, then rinse. Alternative therapy Ketoconazole 200 mg/day for adults (or 3.3 mg/kg/day for children) is as effective as griseof…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Treatment

…t-line therapy for PFB is to devise a strategy for alternative hair epilation, if possible. A combination of topical steroids and retinoids may be a helpful adjunctive therapy. Laser hair removal, when possible, is an important therapeutic considerat…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Clinical Case

…n school athletic team Denies recent travel, new cosmetics for hair or skin Initial evaluation Healthy appearing female teenager Scattered erythematous macules and excoriated papules on the neck; several lice and egg casings are noted in the scalp…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Principles of Seborrheic Dermatitis Management

Principles of Seborrheic Dermatitis Management Seborrheic dermatitis is a chronic intermittent condition. There is an initial treatment period followed by maintenance therapy. Many patients will relapse if maintenance therapy is not adequate. Topi…

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