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Therapeutic Strategies in Dermatology

Alopecia: Key Points

…y, vitamin D deficiency, iron deficiency, or due to shifts of hair from the growth phase to shedding phase, known as telogen effluvium) idiopathic (such as frontal fibrosing alopecia) A biopsy may be helpful to discriminate between these entities, a…

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

…atment 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 h…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Key Points

…lenging 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. Introdu…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Treatment

…removal of the lice and nits from the clothing (body lice) or hair (hair or pubic lice) is the priority of treatment. Body lice All of the patient’s infested clothing and bedding should be disposed of if possible. The remaining bedding and clo…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…-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 ar…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea capitis

…inea capitis is superficial fungal infection of the scalp and hair It is mainly caused by any pathogenic dermatophyte except E. floccosum and T. concentricum The most common cause worldwide is M. canis, whereas in the USA it is T. tonsurans Epidemio…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Treatment

…-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 considerati…

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

Pediculosis (Lice): Clinical Case

…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 h…

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