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Therapeutic Strategies in Dermatology

Vascular Birthmarks: Clinical Cases

…mplications Presents for initial evaluation of a left forehead lesion involving the superior left eyelid Lesion not present at birth Lesion developed at 3 weeks of life and is rapidly growing Lesion is asymptomatic Lesion beginning to distort anatomy…

Therapeutic Strategies in Dermatology

Extramammary Paget’s/Paget’s Disease: Overview

…kin. The term Paget’s disease is used when the cutaneous lesion is identified involving the nipple of the breast, while extramammary Paget’s is used when the skin lesion is identified in an anogenital location. First Steps Evaluate the p…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

…most invariably on the helix or antihelix of the ear. Some CNH lesions may appear dome shaped or have a raised rim, which may appear inflamed and erythematous. Typical lesions are small, ranging from 3 to 10mm in size. The vast majority appear as ulc…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Clinical Cases

Clinical Cases Few lesions of actinic keratosis 72-year-old woman presents with a 3-month history of several new lesions on the dorsal hands She reports increasing scale and crusting of the lesions, noting that the crusting sloughs intermittentl…

Therapeutic Strategies in Dermatology

Warts: Treatment

…tive methods tailored to the type of wart. Destruction of wart lesions may be accomplished using cryosurgical or electrosurgical techniques, chemical destruction either topically-applied or injected into the lesions, or utilizing immunotherapy (harne…

Therapeutic Strategies in Dermatology

Impetigo: Clinical Cases

Clinical Cases Case 1 8-year-old girl with two days’ history of erythema on the upper cutaneous lip extending onto the nose No fevers, chills, malaise No preceding illnesses or trauma Initial visit Obtain skin culture for bacteria; if th…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa/ Mastocytosis: Overview

…s sufficiently, try intralesional triamcinolone 5 mg/cc to the lesion. In an occasional symptomatic case, excision of the lesion may be appropriate. If the child has symptoms of histamine excess, hydroxyzine, nonsedating antihistamines, H2 blockers,…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

…xtended field radiotherapy will control edema as well as local lesions. Solitary or a few lesions may be treated with local destruction by cryotherapy or intralesional injections with vinblastine or vincristine 0.2-0.5 mg/ml. Alitretinoin 0.1% gel ma…

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