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Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Onychomycosis

…es of distal involvement (without matrix involvement): topical nail lacquer can be used (e.g. ciclopirox nail lacquer, amorolfine lacquer [not available in all countries]). Because of the possible toxicity from long-term therapy with systemic antifu…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea unguium/onychomycosis

…ium/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 is a common conditi…

A Clinical Atlas of 101 Common Skin Diseases

Lichen Planus

An inflammatory process consisting usually of violaceous papules that have a polygonal outline and flat top, and that tends to favor flexural surfaces of skin and the buccal mucosa of the oral cavity. It sometimes affects follicles and nail units as…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…ist to the above topical regimen. Therapy of psoriasis of the nails First-line therapy: High potency corticosteroids, tazarotene gel, vitamin D derivatives, and combinations. Medications should be applied to the proximal nail and nailfold and occlu…

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

Clinical Cases Case 1 18-year-old healthy female Obese body habitus Presents for evaluation and management of long-standing “rash” underneath bilateral groin folds and infra-abdominal pannus Rash slightly tender to touch Initial…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…candidiasis, involving mucosal and skin sites (especially the nails and nail folds), may suggest an immunodeficiency disorder, such as chronic mucocutaneous candidiasis. The differential diagnosis of candidiasis, especially in the groin area, includ…

Therapeutic Strategies in Dermatology

Psoriasis: Clinical Overview

Clinical Overview Psoriasis is a chronic, intermittent skin disease classically marked by sharply-demarcated erythematous papules and plaques with silvery hyperkeratotic scale that affects the scalp, ears, palms, soles, elbows, knees, and interglut…

Therapeutic Strategies in Dermatology

Psoriasis: Clinical Cases

…;10 year history of isolated plaques on both elbows, also with nail pitting. He is not concerned with the nail changes. Uses emollients and/or hydrocortisone daily without resolution of his symptoms. Treatment Triamcinolone 0.1% ointment b.i.d. for…

Therapeutic Strategies in Dermatology

Darier’s Disease: Key Points

Key Points Darier’s disease is a genodermatosis of autosomal dominant inheritance causing abnormalities of keratinization stemming from defects in calcium regulation in keratinocytes. The classic skin manifestation is an eruption of hyperkeratotic…

A Clinical Atlas of 101 Common Skin Diseases

Candidiasis

An inflammatory disease caused by the yeast Candida albicans and manifested clinically as erythematous papules and pustules that may become confluent to form plaques in the case of the former and erosions in the case of the latter. The nail unit may…

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