Therapeutic Strategies in Dermatology

Vascular Birthmarks: Key Points

…or may be almost imperceptible-sometimes with trace epidermal atrophy only. In many cases, spontaneous involution may achieve better cosmetic results than early surgical or laser removal. Port-wine stain (PWS) Port-wine stains are capillary-venular m…

Therapeutic Strategies in Dermatology

Lichen Sclerosus et Atrophicus: Overview

…ed once or twice daily is also effective and is used to avoid atrophy induced by superpotent topical steroids but should be reserved for patients in whom topical steroids are ineffective or not tolerated. Topical calcipotriene (once or twice daily) o…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

…al corticosteroids 1-month follow-up Repeat lab studies are normal Lesions are fading with telangiectasias and mild skin atrophy Topical corticosteroids are discontinued Dermatologic, rheumatologic, and cardiac follow-up evaluation is recommended…

Therapeutic Strategies in Dermatology

Balanitis: Overview

…performed. Avoid prolonged steroid use on the glans penis, as atrophy is common. In addition, the withdrawal of topical steroids when they have been used chronically often results in a flare of symptoms. Steroid dependency becomes a problem. Acute S…

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

Lupus Erythematosus

…ly blush”), scaly papules and plaques that resolve with atrophy and hyperpigmentation (classic discoid lupus erythematosus), arcuate, annular, and serpiginous lesions (subacute cutaneous lupus erythematosus), nonscaling plaques (tumid lupus ery…

A Clinical Atlas of 101 Common Skin Diseases

Porokeratosis

…e manifestation) is a keratotic ring around a central zone of atrophy, e.g., in a congenital expression that takes the form of a plaque (Mibelli), in a congenital manifestation in which lesions are in linear array (segmental), in an acquired type ind…

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

Syphilis

An inflammatory process, caused by the spirochete Treponema pallidum, that tends to evolve through three stages, namely, primary (typified usually by a solitary chancre), secondary (characterized by widespread macules and papules on skin and mucous…