Therapeutic Strategies in Dermatology

Facial Melanosis, Melasma: Key Points

…on the forehead, zygomatic cheeks, nose, and upper cutaneous lip. It results from increased epidermal melanin pigment in the epidermis, dermis, or both; increased number of melanocytes or dermal melanophages in the dermis may also result in melasma….

Therapeutic Strategies in Dermatology

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

…perkeratotic, pigmented and lichenoid forms. AKs on the lower lip are termed actinic cheilitis. Treatment is necessary because approximately 2-15% of lesions may progress to non-melanoma cutaneous skin cancer (NMSC). Three strategies for treatment ar…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

…e Scattered papules and pustules on the chin, upper cutaneous lip, and cheeks Analysis of the pustular contents in the clinic does not reveal any organisms Bacterial and viral cultures are taken Recommend doxycycline 100 mg b.i.d. x 10 days Follow-up…

Therapeutic Strategies in Dermatology

Urticaria: Initial Evaluation

…s. Careful review of symptoms of anaphylaxis, such as tongue, lip, or facial swelling, shortness of breath or wheezing, and diarrhea is necessary. Angioedema is characterized by deep tissue swelling (i.e., dermal or subcutaneous edema), pain more tha…

Therapeutic Strategies in Dermatology

Erythema Multiforme: Clinical Cases

…t) that developed one day after new vesicles developed on her lips This is the first time she has developed skin lesions in association with her orolabial herpes She reports no fever, respiratory or gastrointestinal symptoms Initial evaluation Exam…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Treatment

…g, especially evident on the glabella, on the upper cutaneous lip, chin, and in the peri-ocular area. This is highly suggestive of impetiginized (superinfected) facial eczema. Gentle skin care is paramount (see patient handout Skin Care in Atopic De…

Therapeutic Strategies in Dermatology

Flushing: Clinical Case

…triggers such as foods or other ingestions, also no signs of lip, tongue, throat swelling nor bronchospasm. No significant past medical history or family history. She takes no medications except for multivitamins daily Review of systems is notable f…

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…