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A Clinical Atlas of 101 Common Skin Diseases

Lupus Erythematosus

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An inflammatory process that expresses itself in the skin in protean ways that are variations on a basic pathologic theme, and includes evanescent patches on the face (“butterfly blush”), scaly papules and plaques that resolve with atrophy and hyperpigmentation (classic discoid lupus erythematosus), arcuate, annular, and serpiginous lesions (subacute cutaneous lupus erythematosus), nonscaling plaques (tumid lupus erythematosus), subcutaneous nodules (lupus profundus), and blisters (bullous lupus erythematosus).

A Clinical Atlas of 101 Common Skin Diseases

Lupus Erythematosus

An inflammatory process that expresses itself in the skin in protean ways that are variations on a basic pathologic theme, and includes evanescent patches on the face (“butterfly blush”), scaly papules and plaques that resolve with atrop…

Therapeutic Strategies in Dermatology

Pemphigus Foliaceus, Pemphigus Erythematosus

An inflammatory process that expresses itself in the skin in protean ways that are variations on a basic pathologic theme, and includes evanescent patches on the face (“butterfly blush”), scaly papules and plaques that resolve with atrop…

Therapeutic Strategies in Dermatology

Lupus

An inflammatory process that expresses itself in the skin in protean ways that are variations on a basic pathologic theme, and includes evanescent patches on the face (“butterfly blush”), scaly papules and plaques that resolve with atrop…

Therapeutic Strategies in Dermatology

Lupus: Key Points

…ient with lupus should be aimed at understanding which form of lupus the patient has; the specific diagnosis should inform appropriate treatment. Since the faces of patients with the classic facial eruption of systemic lupus erythematosus usually cle…

Therapeutic Strategies in Dermatology

Pernio/Chilblains: Key Points

…environments. Cases which persist or occur in association with systemic symptoms may be an indication of a multisystem disease such as chilblain lupus erythematosus, a rare variant of systemic lupus Introduction Chilblains, also termed pernio, is a…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…e diagnosis is not clear Joint involvement Psoriasis requiring systemic immunosuppression, biologic therapy, or phototherapy Localized psoriasis of the scalp, hands, feet, or nails (which often require systemic immunosuppression in the setting of sev…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa/ Mastocytosis: Overview

…mic corticosteroids (25 mg-50 mg/d Prednisone) may be used for severe flares. Interferon alpha starting at 3 million units three times weekly may be used in patients with severe, refractory symptoms alone or in combination with systemic glucocorticoi…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

…with recurrent lesions on cheeks and scalp Negative workup for systemic lupus erythematosus (recent) Lesions are itchy, exacerbated by sun exposure No current treatment Initial evaluation Diagnosis: Discoid lupus (confirmed by biopsy) Desonide 0.05…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…. Check appropriate patients with chronic photosensitivity for systemic lupus erythematosus and porphyria cutanea tarda, with an ANA, Ro, La, and urine porphyrins. Chronic actinic dermatitis may mimic the S├ęzary syndrome variant of cutaneous T-cell l…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

…t bacteria. Maintenance therapy: topical retinoid Moderate to severe acne (severe disease, involvement of the trunk, +/- scarring) First-line therapy: topical retinoid + systemic antibiotic + benzoyl peroxide Combine a systemic antibiotic…

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