Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…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 ag…

Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Clinical Case

…kin 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 hy…

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 affecte…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

…e 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 (m…

Therapeutic Strategies in Dermatology

Herpes Simplex: Clinical Cases

…esolved Acyclovir is discontinued Patient is counseled to use sunscreen-containing lip balm, as sun exposure may trigger recurrences Case 2 4-year-old boy with prior history of atopic dermatitis with a 5-day history of yellow-colored crusting…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…he treatment and protective prescription grade sunglasses and sunscreen should be used for several hours after ingestion of systemic psoralen. Late side effects include skin carcinogenesis (SCC > BCC > controversial increase in melanoma), enhan…

Therapeutic Strategies in Dermatology

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

…n Dermatology, 2005, JAAD, 56:125-43. Ulrich C, Jurgensen JS, Degen A, et al (2009) Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24 months, prospective, case-control study, BJD, 161(S3): 78-84….

Therapeutic Strategies in Dermatology

Rosacea: Clinical Cases

…tics Topical brimonidine 0.33% gel (Mirvaso) Photoprotection, sunscreen use advised, appropriate skin care (gentle facial cleanser and moisturizer) Identify and avoid triggers of flushing Consider referral to laser treatment for vascular features Ca…

Therapeutic Strategies in Dermatology

Warts: Treatment

…d head with clothing. In addition, a broad-spectrum, high-SPF sunscreen must be applied daily to the sun-exposed areas. Any suspicious, nonhealing, and nonresolving lesion should be biopsied. When to refer to a dermatologist If the diagnosis of war…