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Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…types of cutaneous mastocytosis are urticaria pigmentosa (UP), diffuse cutaneous mastocytosis, and the presence of a single mastocytoma. Urticaria pigmentosa is most common in childhood, and less likely to have systemic involvement than adult forms o…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…e diagnosis is not clear Joint involvement Psoriasis requiring systemic immunosuppression, biologic therapy, or phototherapy Localized psoriasis of the scalp, hands, feet, or nails (which often require systemic immunosuppression in the setting of sev…

A Clinical Atlas of 101 Common Skin Diseases

Leprosy

An inflammatory disease caused by Mycobacterium leprae. It can involve internal organs or be localized to the skin, where its clinical presentation is dependent on the immunologic status of the host. Persons who are competent immunologically have pa…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

Initial Evaluation The presentation of allergic contact dermatitis may range from mild edema, erythema, or eczematous papules and plaques, to bright erythema with vesicles, bullae, and crusting; less e…

Therapeutic Strategies in Dermatology

Rosacea: Subtypes of Rosacea and Their Treatment

Subtypes of Rosacea and Their Treatment Erythemato-telangiectatic (E-T) subtype: Characterized by diffuse erythema and telangiectasias on the cheeks, forehead, dorsal nose, or entire face. Patients often complain of intolerance or sensitivity to topical products and cosmetics. This subtype is best treated with avoidance of flushing, photoprotection, and surgical or laser therapies (see table, Subtype Directed […]

Therapeutic Strategies in Dermatology

Erythema Multiforme: Clinical Cases

Clinical Cases Case 1 24-year-old woman with history of recurrent orolabial herpes infection Presents with asymptomatic lesions on the palms (approximately 8 on each hand) and soles (approximately 4-5 on each foot) that developed one day after n…

Therapeutic Strategies in Dermatology

Flushing: Key Points

Key Points Flushing may be associated with a broad spectrum of underlying causes: medications, endocrine disease, neuroendocrine tumors, and neurologic diseases. ┬áIt is typically mediated by adrenergic hyperactivity, and only in rare cases is media…

Therapeutic Strategies in Dermatology

Alopecia: Key Points

Key Points Alopecia, or hair loss, has a broad spectrum of causes. In order to appropriately treat alopecia, the type of hair loss or pathophysiology must be clearly identified. The evaluation for hair loss requires a very thorough history and phys…

Therapeutic Strategies in Dermatology

Pernio/Chilblains: Key Points

…environments. Cases which persist or occur in association with systemic symptoms may be an indication of a multisystem disease such as chilblain lupus erythematosus, a rare variant of systemic lupus Introduction Chilblains, also termed pernio, is a…

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