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Therapeutic Strategies in Dermatology

Impetigo: Key Points

…oses, such as atopic dermatitis or insect bites. Honey-colored crusting or annular erosions with minimal crusting is the typical morphology for impetigo contagiosum; bullous lesions, erosions, scale, or crust occur in bullous impetigo. An important c…

Therapeutic Strategies in Dermatology

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

…several new lesions on the dorsal hands She reports increasing scale and crusting of the lesions, noting that the crusting sloughs intermittently (but then recurs) No prior history of skin cancer History of extensive sun exposure during her youth and…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Key Points

Key Points Seborrheic dermatitis is a chronic intermittent rash typically affecting the face, ears, scalp, and trunk. It is marked by an erythematous papular or macular eruption often with greasy yellow scale, sometimes accompanied by pruritus. Thi…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Clinical Cases

Clinical Cases Case 1 68-year-old healthy male No significant past medical history (normal renal function) Review of systems is noncontributory History of primary varicella infection as child No sick contacts Presents for management of 3 days…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

…bial folds, medial cheeks, chin, glabella, forehead) and thick crust on the scalp are typical affected areas. Seborrheic dermatitis can also present as erythematous papules without scale. The distribution of affected areas on the…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Clinical Cases

Clinical Cases Mild disease 9-year-old girl with chronic dry skin, who developed hypopigmented, fine scaling patches on the face and trunk She reports new pruritus of the skin No prior treatment Treatment Counseling on daily skin care (clea…

Therapeutic Strategies in Dermatology

Erythema Annulare Centrifugum: Overview

…the classic annular morphology and the “trailing” scale. The deep type are usually “urticarial” lesions, with no scale. This discussion does not apply to the following members of the erythema group: erythema gyratum repens, w…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea versicolor

Therapy: Tinea versicolor Tinea versicolor is a superficial skin infection by Malassezia furfur (a.k.a. Pityrosporum ovale and Pityrosporum orbiculare). Epidemiology Tinea versicolor is a very common skin infection, affecting up to 2-8% individuals…

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

Xerosis: Overview

…10% to 20% or lactic acid up to 12% are very effective for the scale accompanying xerosis. The can be added to the hydrating approaches above, if visible xerotic scale is still present. Subsequent Therapy Severe xerosis responds dramatically to occl…

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