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Therapeutic Strategies in Dermatology

Scabies: Principles of Management of Scabies

…he anti-parasitic treatment) and systemic antihistamines (for itch). For patients with dermatitis, prescribe a medium-potency topical steroid (such as triamcinolone acetonide 0.1% lotion, cream, or ointment applied b.i.d.). For patients with pruritu…

Therapeutic Strategies in Dermatology

Xerosis: Overview

…opic diathesis, or it can occur in normal individuals as a consequence of frequent bathing with excessively hot water and harsh soaps and/or after prolonged exposure to unusually low environmental humidity (as occurs with forced-air heating during wi…

Therapeutic Strategies in Dermatology

Exfoliative Erythroderma: Overview

…zine 25-50 mg orally three or four times daily for control of itch and sedation. A high-protein diet with B vitamins, iron supplementation, and adequate nutrition, and correction of any fluid or electrolyte imbalance are essential in this catabolic s…

Therapeutic Strategies in Dermatology

Pruritus Ani: Overview

…is nerve impingement in the sacral region causing neuropathic itch. Rarely, pinworms, contact dermatitis, extramammary Paget’s disease, and streptococcal proctitis can cause perianal itching with minimal changes evident on physical examination….

Therapeutic Strategies in Dermatology

Papular Urticaria: References

…rences Hernandez RG, Cohen BA (2006) Insect bite-induced hypersensitivity and the SCRATCH principles: a new approach to papular urticaria, Pediatrics, 18(1):e189-96. Shmidt E, Levitt J (2012) Dermatologic infestations, Int J Derm, 51(2):131-141….

Therapeutic Strategies in Dermatology

Papular Urticaria: Treatment

…may exacerbate the symptoms. Cercarial dermatitis (swimmer’s itch), sea bather’s eruption/sea lice dermatitis, and moth and caterpillar dermatitis all have similar morphologies and symptomatology to papular urticaria. A careful history is required t…

Histologic Diagnosis of Inflammatory Skin Diseases

Cat-scratch disease

Cat-scratch disease Presentation stereotypical Age and sex Any age and either sex, but children and young adults preponderantly Distribution of lesions Localized at the site of a scratch or a bite by a cat Individual lesions Papules, pustules, or cr…

Dermatology Practical & Conceptual

Notalgia paresthetica: the unreachable itch

…edema. Comment For centuries people have complained about an itch, just between the shoulder blades, that is out of reach to scratch. For some, the itch can become so persistent, so maddening that finding a way to scratch is all consuming. The backs…

Histologic Diagnosis of Inflammatory Skin Diseases

Bacillary angiomatosis and Cat-scratch disease

…se pruritus induces patients to rub the skin intensely and to scratch furiously, the resultant factitious lesions being erythematous, often scaly, macules, patches, papules, and plaques that tend to become lichenified, eroded, ulcerated, and crusted….

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