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Therapeutic Strategies in Dermatology

Acne Vulgaris: Initial Evaluation

…Non-inflammatory (comedones) Inflammatory (papules-pustules-nodules) Scars (Keloidal scarring is present on the central chest. The other three images show atrophic scarring on the face.) Types of acne Comedonal acne: Ope…

A Clinical Atlas of 101 Common Skin Diseases

Folliculitis (Infundibulitis) and Pseudofolliculitis (Pseudoinfundibulitis)

…olves infundibula, is either noninfectious, as in the case of pustules of acne vulgaris, or infectious, as in the case of pustules caused by Staphylococcus aureus. In contrast, pseudoinfundibulitis is a foreign-body type of inflammatory process that…

A Clinical Atlas of 101 Common Skin Diseases

Psoriasis

…idespread, an erythroderma results, and if it is accelerated, pustules form. The scaly discrete lesions favor extensor surfaces, especially elbows and knees, but any site may be affected, including nail units and, uncommonly, mucous membranes. Approx…

Therapeutic Strategies in Dermatology

Rosacea: Initial Evaluation

…Papulo-pustular subtype: Characterized by papules and pustules often on a blush of erythema primarily affecting the nose, cheeks, and forehead. Predilection of lesions is on the central aspect of the face, sometimes with central facial edema….

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

…ythematous macerated patches with minimal scale and satellite pustules KOH prep of fluid taken from unroofed pustule reveals pseudohyphae and yeast forms Diagnosis: Candidiasis Recommendation: clotrimazole 1% cream b.i.d. to affected areas Skin care…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

…tial evaluation Healthy appearing male Scattered papules and pustules on the chin, upper cutaneous lip, and cheeks Analysis of the pustular contents in the clinic does not reveal any organisms Bacterial and viral cultures are taken Recommend doxycyc…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Key Points

…arising from areas of KP may result in increased erythema or pustules in the affected area. Long-term management to reduce hyperkeratosis is the mainstay of the therapeutic strategy and sometimes improves cosmetic appearance. Several treatments redu…

Therapeutic Strategies in Dermatology

Rosacea: Treatment

…cream), such as Azelex or Finacea, applied b.i.d. If papules/pustules persist or do not respond to topicals, consider low-dose doxycycline 40 mg once daily (Oracea) or oral tetracycline 250-500 mg daily to b.i.d., minocycline (such as Minocin or Sol…

Therapeutic Strategies in Dermatology

Leukocytoclastic Vasculitis: Clinical Case

…e a symmetric eruption of palpable purpuric papules and small pustules on the arms and legs, which she states has been present for two days No significant past medical history and she takes no medications except for an opiate-based pain medication fo…

Therapeutic Strategies in Dermatology

Leukocytoclastic Vasculitis: Key Points

…morphous purpuric papules, which may have central vesicles or pustules and may coalesce into larger plaques. It favors dependent areas of the body. In approximately 50% of cases, cutaneous LCV is caused by medications, drugs (cocaine), infection (suc…

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