Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…in, or other sensitizers. An adequate history and appropriate patch testing are keys to confirming this diagnosis. Ulcerations due to chronic venous insufficiency First-line therapy: The first-line therapy for leg ulcers caused by chronic venous i…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Key Points

…often with an erythematous base or overlying an erythematous patch. On biopsy, these lesions are characterized by keratinous follicular plugging with orthohyperkeratosis to create a follicular spicule. Typical sites of involvement include facial che…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…iazines, NSAIDs, and sulfonylureas, must be identified. Photo patch testing may be necessary in some cases in which the photosensitizer is delivered topically, as in a sunscreen (see below). Encourage all patients with photosensitivity diseases to us…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Key Points

…rficial dermatophyte infection), allergic contact dermatitis, psoriasis, lichen planus, scabies, herpes simplex, pityriasis rubra pilaris, and cutaneous lymphoma. A skin biopsy and/or patch testing should be considered in treatment-refractory cases….

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: References

…rl: the evaluation of perioral dermatitis: use of an extended patch test series, JAAD, 56(5 Suppl): S100-102. Schwarz T et al (2008) A randomized, double-blind, vehicle-controlled study of 1% pimecrolimus cream in adult patients with perioral dermati…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: References

…A review. Curr Opin Peds 21:491-498. Milingou M, et al (2010) Patch testing in children. Ped Derm 27: 255-259. Nicholson P, et al (2010) Evidence-based guidelines for the prevention, identification, and management of occupational contact dermatitis a…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…two-year history of hair loss Irregular, jagged and scattered patches of hair loss on the scalp; no eyelashes Parents note that hair loss started when the family moved to a new state and describe a difficult, ongoing transition to their new home Ini…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Clinical Case

…pules with a central spicule overlying a faintly erythematous patch No pustules present Diagnosis: KP, non-inflammatory Recommendation: mechanical exfoliation with washcloth daily in the shower, followed by daily application of 20% urea cream Gentle…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

…t dermatitis to an herbal medication applied with an adhesive patch (either the herbal medication or adhesive are potential allergens in this case). Allergic contact dermatitis to cosmetics: Hair-dye, nail lacquer (typically presents on the eyelid…

Therapeutic Strategies in Dermatology

Vascular Birthmarks: Key Points

…st are benign lesions, such as a nevus simplex (a.k.a. salmon patch) or a port-wine stain. However, some represent a manifestation of a syndrome with extracutaneous involvement or may be symptomatic lesions with deep subcutaneous involvement (such as…