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Therapeutic Strategies in Dermatology

Viral Exanthems: Initial Evaluation

Initial Evaluation Patients with a viral exanthem often present with a non-specific morbilliform eruption. In some cases, the skin disease as part of a constellation of other symptoms may indicate a specific viral etiology. Measles German m…

Therapeutic Strategies in Dermatology

Sweet’s Syndrome (Acute Febrile Neutrophil Dermatosis): Key Points

…ithout leukocytoclastic vasculitis Minor criteria: Preceding fever or infection Accompanying fever, arthralgia, conjunctivitis, or underlying malignant lesion Leukocytosis Good response to systemically administered corticosteroids and not to antibi…

Therapeutic Strategies in Dermatology

Erythema Multiforme: Clinical Cases

…pain, and 4 days’ history of cough He has had subjective fevers and malaise over the past week He denies taking any regular or occasional medications Initial evaluation The patient has fever, mild tachycardia, slight hypotension, with increas…

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Key Points

Key Points Erysipelas and cellulitis are infections of the dermis and subcutaneous layers of the skin that are rapidly progressive and are often accompanied by systemic signs, such as fever, leukocytosis, and elevated markers of systemic inflammat…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Key Points

Key Points Pediculosis, or louse infestation, is a common clinical issue that is of limited morbidity but significant public health concern, especially in school-age children. Humans may be parasitized by three louse types: body lice, head lice, an…

Therapeutic Strategies in Dermatology

Viral Exanthems: Clinical Cases

Clinical Cases Case 1 6-year-old girl with fever, malaise, brightly erythematous patches on bilateral cheeks Previously healthy No sick contacts Develops asymptomatic reticulate erythematous patches on bilateral arms and legs Initial evaluat…

Therapeutic Strategies in Dermatology

Urticaria: Clinical Cases

Clinical Cases Case 1 12-year-old girl 3-day history of pruritic urticarial lesions on chest, back, and abdomen No associated symptoms of fever, shortness of breath 1 week ago: 2-day history of sore throat No medications Initial treatment S…

Therapeutic Strategies in Dermatology

Venous Stasis: Key Points

Key Points Chronic venous insufficiency stems from the acquired incompetence of venous valves that prevent retrograde blood flow through the venous system, resulting in complications, including edema, prominent veins, stasis dermatitis, and ulcers….

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

Overview Kaposi’s sarcoma (KS) results from endothelial cell proliferation caused by infection with human herpesvirus 8 and occurs in four settings: classic KS, African (endemic) KS, immunosuppressive-associated KS, and AIDS-associated KS. The…

Therapeutic Strategies in Dermatology

Drug Eruptions: Initial Evaluation

…with minimal constitutional symptoms. In rare cases, low-grade fever or malaise may accompany the rash. Warning signs of a drug eruption with systemic involvement include: Fever Hypotension Myalgias or weakness Respiratory distress Facial swelling S…

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