Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…s in which the photosensitizer is delivered topically, as in a sunscreen (see below). Encourage all patients with photosensitivity diseases to use maximal sun protection, which must include an SPF 30 or higher sunscreen with ingredients that shield a…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Clinical Case

…skin on the forehead, lateral cheeks, nose Does not wear daily sunscreen Exercises several times a week outdoors without sunscreen Started taking estrogen-containing birth control pill in the past year Initial evaluation Geographic patches of h…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Treatment

…is an essential aspect of melasma treatment. A broad-spectrum sunscreen should be used daily in combination with hats and sun avoidance. See handout Choosing a Sunscreen. Hydroquinone may also lighten normal skin; it should be applied only to affect…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

…ce photosensitivity, so encourage the use of a non-comedogenic sunscreen. (See handout Choosing a Sunscreen) Facial comedones (especially of the forehead) are often related to oily products applied to the scalp/hair as well as other facial products (…

Therapeutic Strategies in Dermatology

Herpes Simplex: Clinical Cases

Clinical Cases Case 1 7-year-old previously healthy girl with 2 days’ history of erythema on the right oral commissure and right lower cutaneous lip No fevers, chills, malaise No preceding illnesses or trauma Initial visit Obtain viral D…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

Principles of Psoriasis Management Topical therapy is usually appropriate for treatment of patients with less than 10% body surface area (see table below). Systemic therapies (see table below) are indicated when one or more of the following are pre…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): References

References Cowen EW, Nguyen JC, Miller DD, et al (2010) Chronic phototoxicity and aggressive squamous cell carcinoma of the skin in children and adults during treatment with voriconazole, JAAD, 62(1):31-37. Criscione VD, Weinstock MA, Naylor MF, et…

Therapeutic Strategies in Dermatology

Rosacea: Clinical Cases

Clinical Cases Case 1. Erythemato-telangiectatic rosacea 55-year-old woman Chronic flushing, erythema and telangiectasias on cheeks, nose Not responding to topical antibiotics Treatment Discontinue topical antibiotics Topical brimonidine 0.33%…

Therapeutic Strategies in Dermatology

Warts: Treatment

Treatment First-line therapy: The first-line therapy for warts involves destructive methods tailored to the type of wart. Destruction of wart lesions may be accomplished using cryosurgical or electrosurgical techniques, chemical destruction either…