Search Results for: biopsy

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

…ent Initial evaluation Diagnosis: Discoid lupus (confirmed by biopsy) Desonide 0.05% ointment b.i.d. (face) Clobetasol 0.05% ointment b.i.d. (scalp) Counseling on photoprotection and sun avoidance Vitamin D supplementation is recommended 4-week follo…

Therapeutic Strategies in Dermatology

Sarcoidosis: Key Points

…fic lesions,” those that display characteristic granulomas on biopsy, and “sarcoid non-specific lesions,” which generally refers to erythema nodosum. Erythema nodosum (EN) is most often seen in patients of Northern European ancestry, presenting with…

Therapeutic Strategies in Dermatology

Warts: Treatment

…. Curettage of refractory acral lesions with or without shave biopsy of a portion for histopathologic evaluation may be useful. Local anesthesia (1% lidocaine) is required. Bleeding may be controlled with 20% aluminum chloride or very light electrode…

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…ons, if appropriate and progressive healing does not occur, a biopsy is indicated. Patients with a tendency to low leg ulcerations may have inherited or acquired defects in their fibrinolytic systems. Appropriate evaluation for these conditions is in…

Therapeutic Strategies in Dermatology

Lupus: Key Points

…us. The diagnosis of cutaneous lupus may be confirmed by skin biopsy, which in general reveals a vacuolar interface dermatitis, often in association with a lymphocytic infiltrate with plasma cells, epidermal atrophy, and mucin. Variants exist, such a…

Therapeutic Strategies in Dermatology

Melanoma: Clinical Cases

…performed and does not identify any other suspicious lesions Biopsy: melanoma, 0.7 mm thickness, Clark’s level II. No ulceration present, and mitotic index <1 per mm2 She is diagnosed with Stage 1a melanoma Follow-up The patient goes for wide loc…

Therapeutic Strategies in Dermatology

Balanitis: Overview

…act dermatitis (e.g., from condoms or vaginal hygiene spray). Biopsy patients not responding to these measures. Circumcision will usually result in resolution in refractory cases. Pitfalls Do not make the diagnosis of a nonspecific balanitis until ot…

Therapeutic Strategies in Dermatology

Eosinophilic Fasciitis: Overview

…steroids. The initial work-up consists of an incisional skin biopsy that extends to include the fascia; total eosinophil count; and determinations of the ESR. Hypergammaglobulinemia may also be found. Alternative Steps Hydroxyzine and cimetidine in…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Treatment

…ong consideration should be given to performing an incisional biopsy for routine histology and cultures, and performing appropriate laboratory tests to exclude the above conditions. Pathergy occurs in many patients with PG, thus all but the most gent…