Search Results for: ulcer

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A Clinical Atlas of 101 Common Skin Diseases

Stasis Changes and Venous Ulcers

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Alterations in the skin and subcutaneous fat, such as pigmentation and induration, secondary to the effects of long-term stasis, and ulcers that occur on the lower part of the legs as a consequence of the effects, combined, of incompetent valves of veins and thrombosis within veins situated deep.

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…cases vascular evaluation (by Doppler ultrasound) may be required to confirm venous insufficiency as the etiology of the leg ulcer. In all ulcerations, if appropriate and progressive healing does not occur, a biopsy is indicated. Patients with a…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Clinical Cases

…rs present on bilateral ankles that rapidly developed over the past two weeks without inciting trauma Currently covering the ulcers with bandages only Reports rapid progression of the ulcers over the past two days Initial evaluation Thin,…

Therapeutic Strategies in Dermatology

Syphilis (Lues): Clinical Cases

…e and raised indurated border on the penile shaft with palpable inguinal lymphadenopathy Diagnosis: favor syphilitic chancre Ulcer fluid is evaluated by darkfield testing RPR, VDRL are tested Follow-up evaluation 3 days later Follow-up evaluation…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Treatment

…Long-term use of local steroids can lead to systemic absorption when applied to the mucosa, particularly when the surface is ulcerated. Any oral mucosal ulcer which fails to heal after three or four weeks warrants evaluation and possible biopsy to…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Treatment

…definitive lesion removal, ranging from simple excision to excision of the nodule and paring or excision of the altered sub-ulcer cartilage (wedge resection), which may require a flap or other tissue manipulation to cover the affected collagen;…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Key Points

…e more likely to prompt patients to seek treatment, as they may last for weeks with significant discomfort. Therapy for oral ulcerations is aimed at providing symptomatic relief and promoting ulcer healing. For major disease, systemic medications…

Therapeutic Strategies in Dermatology

Venous Stasis: Clinical Cases

…perinfection is present Normal sensory and motor testing of the legs Strong, symmetric pedal pulses Diagnosis: venous stasis ulceration Recommend weekly wound care changes in the clinic; the ulceration is measured and then cleansed with dilute soap…

Therapeutic Strategies in Dermatology

Herpes Simplex: Treatment

…sting are usually not available for days, and are only retrospectively of benefit in the rare case. Be alert for the genital ulcer containing multiple pathogens and evaluate patients with genital HSV for other STDs. Rarely acyclovir-resistant…

Therapeutic Strategies in Dermatology

Epidermolysis Bullosa: Overview

…mentation is often necessary. High-fiber diet is required. Dietary consultation is essential in severe cases. Any nonhealing ulcer or lesion appearing at the edge of a nonhealing ulcer should be carefully evaluated for the possibility of squamous…

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