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Therapeutic Strategies in Dermatology

Impetigo: Key Points

…ses, such as atopic dermatitis or insect bites. Honey-colored crusting or annular erosions with minimal crusting is the typical morphology for impetigo contagiosum; bullous lesions, erosions, scale, or crust occur in bullous impetigo. An important co…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Clinical Cases

…everal new lesions on the dorsal hands She reports increasing scale and crusting of the lesions, noting that the crusting sloughs intermittently (but then recurs) No prior history of skin cancer History of extensive sun exposure during her youth and…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Key Points

…hematous papular or macular eruption often with greasy yellow scale, sometimes accompanied by pruritus. This condition is believed to result from seborrhea and from an inflammatory response to the commensal skin organism, Malassezia fungi. Thus, the…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Clinical Cases

…s 3-4 times daily Recommend contact precautions until lesions crust over Follow-up in 2 weeks 2-week follow-up evaluation No active vesicular lesions Minimal hyperpigmented macules marking prior sites of cutaneous involvement Patient denies neurolo…

Therapeutic Strategies in Dermatology

Erythema Annulare Centrifugum: Overview

…the classic annular morphology and the “trailing” scale. The deep type are usually “urticarial” lesions, with no scale. This discussion does not apply to the following members of the erythema group: erythema gyratum repens, wh…

Therapeutic Strategies in Dermatology

Xerosis: Overview

…0% to 20% or lactic acid up to 12% are very effective for the scale accompanying xerosis. The can be added to the hydrating approaches above, if visible xerotic scale is still present. Subsequent Therapy Severe xerosis responds dramatically to occlu…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Key Points

…e face that is marked by erythematous papules, sometimes with scale. Comedones are typically not present and enable its distinction from classic acne. It typically affects the perioral (most common), perinasal, and periocular areas. It may be trigger…

Therapeutic Strategies in Dermatology

Psoriasis: Clinical Overview

…erythematous papules and plaques with silvery hyperkeratotic scale that affects the scalp, ears, palms, soles, elbows, knees, and intergluteal cleft; it usually spares the face in adults, but may involve the face in approximately half of affected ch…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Tinea versicolor

…ities, and occasionally the face; rubbing can manifest subtle scale. Differential diagnosis Includes seborrheic dermatitis, pityriasis rosea, pityriasis alba, leprosy, syphilis, vitiligo, parapsoriasis, mycosis fungoides, anet…

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