Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Key Points

…atitis is a chronic intermittent rash affecting areas rich in sebaceous glands, and is marked by an erythematous papular or macular eruption often with greasy yellow scale, sometimes accompanied by pruritus. It can be limited to the scalp (a.k.a. dan…

Therapeutic Strategies in Dermatology

Livedo Vasculitis/Livedo Reticularis/Atrophie Blanche: Overview

…mes a day. Anticoagulants: subcutaneous minidose heparin 5000 unit subcutaneously twice daily or low molecular weight heparin may be added to the above therapies. Subsequent Steps If the patient responds to any of the above therapies, treat until t…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…py (PUVA), oral or by soak, administered with a hand and foot unit, can be very effective. This modality takes several weeks to produce improvement and is available only in selected dermatologists’ offices. In limited studies, PUVA was superior…

Therapeutic Strategies in Dermatology

Rosacea: Key Points

…h, have facial erythema, telangectasia, papules and pustules, sebaceous hyperplasia of the nose (rhinophyma), and/or ocular symptoms. Triggers for flushing include alcohol, sun exposure, hot weather, exercise, ingestion of hot or spicy foods/ drink o…

Therapeutic Strategies in Dermatology

Xerosis: Overview

…onsequence of asteatosis which may result from suppression of sebaceous gland function during isotretinoin therapy of acne. Whether xerosis occurs solely as a natural consequence of aging is not known, but it seems clear that normal aging is at least…

Therapeutic Strategies in Dermatology

Appendigeal Tumors: Overview

…from the cutaneous adnexa (hair follicles, sweat glands, and sebaceous glands). Treatment First Steps A biopsy is usually necessary to establish the diagnosis, except for syringomas. Surgical or laser therapy is the only available alternative in mo…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Treatment

…scrub pad or washcloth. This treatment will gradually remove follicular plugs (over several weeks) and prevent new ones from emerging. Salicylic acid 6% lotion (e.g., Keralyt gel) should be applied q.h.s. or after bathing. This therapy is particular…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

…shaving Initial evaluation Healthy appearing male Extensive follicular-based papules and pustules in a beard distribution, numerous ingrown hairs and macules of postinflammatory hyperpigmentation noted Diagnosis: pseudofolliculitis barbae Extensive…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Key Points

…, and scarring are seen in more severe disease. Factors involved in the pathogenesis of acne include: alteration of follicular keratinization, presence of bacteria (Propionibacterium acnes), sex hormone production (androgens) and sebum production….

Therapeutic Strategies in Dermatology

Scabies: Clinical Cases

…ption has resolved, but pruritus persists Patient has several follicular-based pustules with surrounding erythema on the legs; a bacterial culture is taken, oral cephalexin is empirically started for presumed staphylococcal pyoderma, the culture reve…