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Therapeutic Strategies in Dermatology

Alopecia: Key Points

…scarring alopecia, with collections of lymphocytes at terminal hair follicles Intralesional triamcinolone 10mg/cc for isolated lesions PUVA Anthralin Topical immunotherapy (such as DCNB) Telogen effluvium Rapid onset of diffuse, non-inflammatory ha…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…Case 1 8-year-old healthy girl with a two-year history of hair loss Irregular, jagged and scattered patches of hair loss on the scalp; no eyelashes Parents note that hair loss started when the family moved to a new state and describe a difficult…

Therapeutic Strategies in Dermatology

Alopecia: Treatment

…eatment First-line treatment strongly depends on the type of hair loss. Specific pharmacologic treatments are discussed below for the two most common causes of alopecia: androgenetic alopecia and alopecia areata. Ancillary therapy In all cases of…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Key Points

…llenging condition in which a chronic folliculitis develops in hair-bearing areas. A combination of alternative epilation, topical corticosteroids, keratolytics, and laser hair removal (where available) is the first-line therapeutic strategy. Introd…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Treatment

…product (78% isopropyl alcohol). It should be applied onto dry hair and allowed to dry without use of a hair dryer or other heat supply. If live lice persist, it should be reapplied in 9 days; however, malathion is highly effective after a single app…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…e-blue macules) on areas of skin that come in contact with the hair. The eggs of head lice are highly monomorphous ovoid structures that are firmly attached to the hair shaft via a white concretion such that they are challenging to remove. These a…

A Clinical Atlas of 101 Common Skin Diseases

Alopecias

Loss of hair attributable either to the effects of inflammatory cells on follicles or to physiological or mechanical factors in which inflammatory cells play no role. Although the scalp is the site most often affected, any region of the skin that be…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea capitis

…hampoo q.d. or every other day is adjunctive therapy. Apply to hair, lather, allow it to contact the hair for ten minutes, then rinse. Alternative therapy Ketoconazole 200 mg/day for adults (or 3.3 mg/kg/day for children) is as effective as griseof…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Treatment

…t-line therapy for PFB is to devise a strategy for alternative hair epilation, if possible. A combination of topical steroids and retinoids may be a helpful adjunctive therapy. Laser hair removal, when possible, is an important therapeutic considerat…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Clinical Case

…n school athletic team Denies recent travel, new cosmetics for hair or skin Initial evaluation Healthy appearing female teenager Scattered erythematous macules and excoriated papules on the neck; several lice and egg casings are noted in the scalp…

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