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Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea unguium/onychomycosis

Therapy: Tinea unguium/onychomycosis Onychomycosis denotes any infection of the nail caused by dermatophyte, yeasts, or non-dermatophyte fungi. Tinea unguium refers strictly to dermatophyte infection of the nail plate. Epidemiology Onychomycosis…

Therapeutic Strategies in Dermatology

Ichthyoses/Disorders of Cornification: Overview

Overview Ichthyosis results from abnormal retention and/or production of the stratum corneum layer of the epidermis. Acquired ichthyosis can be a cutaneous manifestation of an underlying disease (e.g., malignant neoplasm, metabolic disorder, malabso…

Therapeutic Strategies in Dermatology

Pityriasis Rubra Pilaris: Overview

Overview Pityriasis rubra pilaris (PRP) is a unique papulosquamous disease that is resistant to topical therapy. Spontaneous remissions occur within 2-4 years in most adult patients. PRP may be associated with an underlying malignancy. Because the p…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Key Points

Key Points Keratosis pilaris (KP) is a common, often autosomal dominantly inherited benign disorder that presents with hyperkeratotic papules with a central spicule on facial cheeks, upper posterior arms, lateral thighs, and buttocks. KP often pre…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

Initial Evaluation The presentation of allergic contact dermatitis may range from mild edema, erythema, or eczematous papules and plaques, to bright erythema with vesicles, bullae, and crusting; less e…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

Treatment First-line therapy: The first-line therapy for hand dermatitis is to stop any offending agents. The mainstay of treatment is the use of topical medications in conjunction with frequent use of moisturizers. The approach to the management…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Initial Evaluation

Initial Evaluation Erythematous, scaly, excoriated symmetric plaques on the face, with sparing of the nasal tip. Face and neck involvement is common. Other body areas can be affected with more erythema or more…

Therapeutic Strategies in Dermatology

Oral Hairy Leukoplakia: Key Points

Key Points OHL is caused by infection with Epstein-Barr virus (EBV), and usually presents as corrugated white plaques of the lateral tongue. OHL is a clinical manifestation of immunosuppression and classically presents in the setting of HIV infecti…

Dermatology Practical & Conceptual

Acral melanoma with hyperkeratosis mimicking a pigmented wart

…patient had been habitually rubbing it. This might have caused hyperkeratosis in our case. Another reason for hyperkeratosis might be that our patient had tinea pedis. Coexistence of tylosis, clavus, human papilloma virus (HPV) infection, or other hy…

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