Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Key Points

Key Points Facial melanosis (also known as melasma) is a very common condition. In the USA, 5 to 6 million individuals are affected. Melasma usually appears in association with oral contraceptive (OCP) use or pregnancy (“chloasma,” or t…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Key Points

Key Points Actinic keratoses (AKs) are the most common epithelial precancerous skin lesions. They present as scaly, erythematous, ill-defined papules on sun-exposed areas. A small percentage of AKs may progress to non-melanoma skin cancer (NMSC) ov…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

Clinical Cases Case 1 18-year-old healthy male college student No significant past medical history Review of systems is noncontributory Presents for management of 7 days’ history of a pustular eruption on the face Initial evaluation Heal…

Therapeutic Strategies in Dermatology

Urticaria: Initial Evaluation

Initial Evaluation Acute urticaria Migrating pruritic edematous papules and plaques of variable size, surrounded by erythema or an area of vasoconstriction (i.e., wheal). Can be intermittent, with the skin returning to normal appearance in less tha…

Therapeutic Strategies in Dermatology

Erythema Multiforme: Clinical Cases

Clinical Cases Case 1 24-year-old woman with history of recurrent orolabial herpes infection Presents with asymptomatic lesions on the palms (approximately 8 on each hand) and soles (approximately 4-5 on each foot) that developed one day after n…

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…

Therapeutic Strategies in Dermatology

Flushing: Clinical Case

Clinical Case Case 1 32-year-old female presents with a history of intermittent flushing (face, neck, and upper chest), lasting 1 hour per episode, associated with abdominal pain and watery diarrhea. No associated triggers such as foods or other in…

A Clinical Atlas of 101 Common Skin Diseases

Syringoma

A benign neoplasm of apocrine ductal nature within the upper half of the dermis that manifests itself clinically as tiny, smooth, skin-colored, round or oblong papules that usually are situated in periorbital skin, but may be seen on other sites, su…

Therapeutic Strategies in Dermatology

Herpes Simplex: Treatment

Treatment Table 1. Herpes Simplex Therapy for Adults N.B. Always consider renal dosing in patients with renal impairment Pattern Orofacial Genital Primary infection in immunocompetent patient ACV 400 mg 5x per day x 7-10 days or 200 mg 5x p…