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Therapeutic Strategies in Dermatology

Lichen Planus: Treatment

…ating the medication and every 3-6 months while on treatment. Oral lichen planus Most nonulcerative cases are asymptomatic and do not require therapy. Ulcerative disease is often symptomatic and should be treated. Oral lichen planus may affect the…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Key Points

…g to immunologic abnormalities causing the inflammation in the oral cavity. Systemic and local factors may play a role as well, with deficiencies of vitamins (iron, vitamin B, folate), oral trauma, anxiety or stress, food sensitivities, and hormonal…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Treatment

…uch as nuts, acidic foods or drinks, salty meals, and alcohol. Oral hygiene products containing sodium lauryl sulfate may trigger oral ulcers in some patients as well. Systemic therapy is rarely indicated for minor aphthae of recurrent aphthous stoma…

Therapeutic Strategies in Dermatology

Candidiasis: Treatment

…ar candidiasis with vaginal involvement, give a single dose of oral fluconazole 150 mg. For severe cases, or in the case of oral mucosal candidiasis, give fluconazole 100 mg/day or oral nystatin 500,000 U q.i.d. for one week. Clotrimazole troches may…

Therapeutic Strategies in Dermatology

Acrodermatitis Enteropathica: Overview

…ren with hereditary AE have poor absorption and require higher oral doses than adults with acquired AE). Response begins to occur within days. Prescribe oral nystatin suspension or troches for Candida superinfections and to patients whose oral lesion…

Therapeutic Strategies in Dermatology

Angular Cheilitis: Treatment

…ongoing maceration of affected sites. Treatment of concomitant oral candidiasis, when present, is also necessary. Infants: Oral candidiasis (thrush) is almost always present. Treatment is with oral nystatin suspension (100,000 U/ml) q.i.d., plus app…

Therapeutic Strategies in Dermatology

Oral Hairy Leukoplakia: Key Points

…infected individuals, designating it as the fourth most common oral manifestation in this population after oral candidiasis (39.3%), melanotic hyperpigmentation (19.5%), and oral ulcers (11.8%). Other studies investigating oral manifestations in this…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea versicolor

…ed for 10-20 minutes/day followed by a shampooing for 2 weeks. Oral ketoconazole 200 mg daily for 2 weeks is very effective. Oral itraconazole 200 mg daily for 7 days. Oral fluconazole 400 mg qmonth. Benzoyl peroxide 5%-10% wash q.d. for 1 month may…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Treatment

…tion may worsen afterward for a few days to a week. Administer oral doxycycline 100 mg twice daily for 4 weeks, then taper off over 4 to 6 weeks. Metronidazole cream 1% or gel 0.75%, applied twice daily, is an excellent adjunctive treatment to oral d…

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