Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Initial Evaluation

…are characterized by ill-defined hyperkeratotic erythematous papules or plaques. Actinic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by palpation rather than visual inspection. Actinic kerato…

A Clinical Atlas of 101 Common Skin Diseases

Squamous Cell Carcinoma

…m of keratinocytes that when present as a keratotic macule or papule on skin damaged badly by sunlight is referred to as solar keratosis. When present as a plaque it is termed Bowen’s disease, and when present as many papules in the anogenital…

A Clinical Atlas of 101 Common Skin Diseases

Dermatofibrosarcoma Protuberans

…etimes elsewhere, such as the extremities, face, and scalp. A papule of it tends to become a plaque, a nodule, a tumor, or all of them concurrently. Sometimes a plaque is interspersed with many nodules and tumors in a cluster. The sarcoma is “lo…

A Clinical Atlas of 101 Common Skin Diseases

Melanocytic Nevi and Melanotic Macules

…melanocytic nevi) of various specific types, all of which are composed of abnormal melanocytes and manifested clinically as lesions of different colors, shapes, and sizes, among them, macules and patches, papules and plaques, and nodules and tumors….

Therapeutic Strategies in Dermatology

Darier’s Disease: Key Points

…e classic skin manifestation is an eruption of hyperkeratotic papules, typically in a seborrheic distribution. Characteristic nail and mucous membrane involvement is common. Superinfection of the skin lesions of Darier’s may result in clinical flares…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Clinical Case

…Healthy appearing male Tender mildly erythematous dome-shaped papule with central ulceration and crusting Diagnosis: chondrodermatitis nodularis helicis Recommend pressure-offloading “doughnut” ear prosthesis, softer pillow, sleeping on the opposite…

Therapeutic Strategies in Dermatology

Papular Urticaria: Treatment

…ide 0.05% or clobetasol 0.05%) 2 to 3 times daily to each new papule until it resolves. Secondary infection is common; treat it with appropriate antibiotics (e.g., oral dicloxacillin or cephalexin 250 mg 4 times daily for 7 days). First-line managem…

Dermatology Practical & Conceptual

Melanoma and satellite blue papule

…ignant melanoma was made. Simultaneously, a well-defined blue papule was seen on the proximal third of the same arm. Dermoscopy disclosed a homogeneous blue pattern. After clinical and dermoscopic correlation our differential diagnosis for this blue…

Dermatology Practical & Conceptual

What is your diagnosis? A solitary purple papule on the arm

…ological examination revealed a 12.5 x 7.5 mm solitary purple papule located on the right upper extremity (Figure 1). Dermatoscopic examination disclosed bluish-red coloration (Figure 2). Surgical excision of the lesion was performed. Histopathologic…

A Clinical Atlas of 101 Common Skin Diseases

Chondrodermatitis Nodularis Helicis

A papule, sometimes eroded, ulcerated, crusted, or keratotic, on a helix or antehelix consequent to the effects of persistent trauma. Because a lesion of chondrodermatitis nodularis helicis results from the effects of external trauma, analogous to p…