Therapeutic Strategies in Dermatology

Vascular Birthmarks: Key Points

Key Points Vascular birthmarks are cutaneous vascular lesions present at, or shortly after, birth. They may be categorized as vascular tumors or vascular malformations. The term hemangioma has previously been used to describe many common, typicall…

Therapeutic Strategies in Dermatology

Lichen Sclerosus et Atrophicus: Overview

Kraurosis Vulvae / Balanitis Xerotica Obliterans Patients can be divided into three clinical groups for management: prepubertal children, adults with anogenital disease, and adults with extragenital disease. Prepubertal children at times have sponta…

Therapeutic Strategies in Dermatology

Cheilitis Granulomatosa: Overview

Melkersson-Rosenthal Syndrome Cheilitis granulomatosa is sudden onset of swelling of the lips which progresses to chronic enlargement. The Melkersson-Rosenthal syndrome diagnosis is made when lip enlargement is accompanied by facial paralysis or par…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Treatment

Treatment Initial therapy Hydration: Regular use of emollients during and between flares can provide effective hydration. See patient handout Skin Care in Atopic Dermatitis Suppression of inflammation: A topical corticosteroid should be applied…

A Clinical Atlas of 101 Common Skin Diseases

Scars, Keloids, and Anetodermas

A type of fibrosing inflammation characterized clinically by lesions that at first are elevated and that do not extend beyond the exact site of injury and that in time tend to shrink, sometimes even becoming atrophic….

A Clinical Atlas of 101 Common Skin Diseases

Porokeratosis

A constellation of conditions that assumes various forms clinically but whose most dependable denominator in common (the exception being the punctate manifestation) is a keratotic ring around a central zone of atrophy, e.g., in a congenital expressi…

A Clinical Atlas of 101 Common Skin Diseases

Lupus Erythematosus

An inflammatory process that expresses itself in the skin in protean ways that are variations on a basic pathologic theme, and includes evanescent patches on the face (“butterfly blush”), scaly papules and plaques that resolve with atrop…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

Treatment Mild to moderate acne First-line therapy (comedonal acne only): topical retinoid First-line therapy (mild inflammatory acne): topical retinoid alone, topical retinoid + topical antimicrobial Topical retinoids are considered first…

A Clinical Atlas of 101 Common Skin Diseases

Dermatomyositis

An inflammatory disease of children and adults that tends to involve skin and skeletal muscle mostly, the findings in the skin being patches with the color of heliotrope, especially in the periocular region. The disease manifests itself as poikilode…