Therapeutic Strategies in Dermatology

Eosinophilic Fasciitis: Overview

Overview Eosinophilic fasciitis is distinguished from scleroderma by its acute onset; its lack of hand and foot or visceral involvement; the characteristic involvement of the extremities (usually distal legs and arms); its tendency to spontaneously…

Therapeutic Strategies in Dermatology

Lupus: Key Points

Key Points Lupus is a disease that presents across a broad spectrum of cutaneous and systemic manifestations. It may be cutaneous-only or systemic with cutaneous manifestations; some patients with systemic lupus do not have cutaneous involvement. D…

Therapeutic Strategies in Dermatology

Balanitis: Overview

Overview Balanitis is a nonspecific term meaning inflammation of the glans penis. It is most commonly multifactorial in etiology, restricted to the uncircumcised, and presents as a mildly symptomatic scaly, red macule or patch. Acute suppurative bal…

Therapeutic Strategies in Dermatology

Melanoma: Clinical Cases

Clinical Cases Case 1 37-year-old woman with >75 atypical nevi No family history of atypical nevi or melanoma Presents for an evaluation of a “new mole” that rapidly developed on the right leg A full-body skin examination is performed and doe…

Therapeutic Strategies in Dermatology

Melanoma: Principles of Management of Melanoma

Principles of Management of Melanoma Prognosis is largely determined by histologic features of the primary melanoma (depth of invasion and/or the degree to which the tumor has invaded the skin, as well as ulceration and mitotic index). The major ind…

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

Treatment Stasis dermatitis First-line therapy: The first-line therapy for stasis dermatitis includes control of edema, if possible, and use of an anti-inflammatory topical medication such as a medium potency topical corticosteroid. Stasis dermati…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Treatment

Treatment First-line therapy: The first-line therapy for pyoderma gangrenosum is comprised of two key elements: controlling inflammation and optimizing wound care. Inflammatory control may require systemic immunosuppression and/or the use of multip…

Therapeutic Strategies in Dermatology

Alopecia: Treatment

Treatment First-line treatment strongly depends on the type of hair loss. Specific pharmacologic treatments are discussed below for the two most common causes of alopecia: androgenetic alopecia and alopecia areata. Ancillary therapy In all cases…

Therapeutic Strategies in Dermatology

Hidradenitis Suppurativa: Clinical Cases

Clinical Cases Case 1 27-year-old female No significant past medical history and she takes no medications Denies GI symptoms Presents for management of painful cysts on bilateral axilla with purulent drainage Initial evaluation Obese young fem…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

Key points Chondrodermatitis nodularis helicis (CNH) is an uncommon, strikingly painful lesion on the helix or antihelix of the ear, which often appears as a crusted ulceration mimicking a cutaneous malignancy. Diagnosis may be made by clinical exa…