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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

…ropriate patch testing are keys to confirming this diagnosis. Ulcerations due to chronic venous insufficiency First-line therapy: The first-line therapy for leg ulcers caused by chronic venous insufficiency includes the consideration of important…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Clinical Cases

…s, fatigue Presents for management of an extremely painful leg ulcer that rapidly developed over the past four days without inciting trauma Currently using antibiotic ointment daily covered by a bandage Reports rapid progression of the ulcer Initial…

Therapeutic Strategies in Dermatology

Syphilis (Lues): Clinical Cases

…able only for recent fevers in association with a new painless ulcer on the penis after a recent sexual encounter without barrier protection Initial evaluation Tired-appearing, slightly cachectic male Fever is noted 1 cm well marginated ulcer with…

Therapeutic Strategies in Dermatology

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

…, and 5% amlexanox paste is approved specifically for aphthous ulcerations. Recurrent aphthous stomatitis, minor ulcerations First steps Topical anesthetics (0.15% benzydamine oral rinse, 2-5% lidocaine gel) may be applied to ulcers four times dail…

Therapeutic Strategies in Dermatology

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

Key Points Recurrent aphthous ulcers are the most common oral ulcerative ailment, which classically appear as shallow, round or oval ulcers with an inflammatory edge and a faint pseudomembrane. Diagnosis may be made by history and physical exam alo…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Treatment

Treatment First-line therapy: All patients should be counseled to protect the ear and avoid repeated external trauma. Initial therapy includes advising patients to avoid pressure to the area. Patients should use a soft pillow, including potentially…

Therapeutic Strategies in Dermatology

Epidermolysis Bullosa: Overview

…tary 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 cell carcinoma. Repeated surgical procedures may be required to r…

Therapeutic Strategies in Dermatology

Venous Stasis: Clinical Cases

…e 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 and water wash; the wound dressing: petrolatum ointment, non-st…

Therapeutic Strategies in Dermatology

Herpes Simplex: Treatment

…ensure adequate hydration to prevent renal impairment. Genital ulcers are difficult to diagnose. HSV II is the most common cause of genital ulcer disease in the United States, and accurate, confirmed diagnosis is essential. Do not tell the patient he…

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