Therapeutic Strategies in Dermatology

Flushing: Treatment

First-line therapy: The first-line therapy is to diagnose and treat the underlying cause, if present, and then attempt to control the flushing. If an underlying cause cannot be determined, or if flushing persists after treatment of the primary probl…

Histologic Diagnosis of Inflammatory Skin Diseases

Infundibulitis secondary to medications systemic

Infundibulitis secondary to medications systemic Comment Findings histopathologic in infundibulitis secondary to medications administered systemically are no different from those in suppurative infundibulitis of any noninfectious cause, with the exc…

Histologic Diagnosis of Inflammatory Skin Diseases

Infundibulitis secondary to agents topical

Infundibulitis secondary to agents topical Comment Noninfectious infundibulitides can be divided roughly into those of cause internal and those of cause external. Examples of internal causes of suppurative infundibulitis are drugs of different kinds…

Histologic Diagnosis of Inflammatory Skin Diseases

"Folliculitis" (Infundibulitis)

An inflammatory process, caused by the spirochete Treponema pallidum, that tends to evolve through three stages, namely, primary (typified usually by a solitary chancre), secondary (characterized by widespread macules and papules on skin and mucous…

A Clinical Atlas of 101 Common Skin Diseases

Dermatophytosis

An inflammatory process caused by superficial fungi, i.e., fungi situated superficially in the cornified layer and in other cornified structures, and expressed clinically as smooth-surfaced papules, scaly papules, scaly plaques, nodules, pustules, v…

A Clinical Atlas of 101 Common Skin Diseases

Pyoderma Gangrenosum

An inflammatory process that often begins as a suppurative folliculitis manifested clinically as pustules. It rapidly extends to become ulcers marked at their periphery by boggy tissue. The skin disease is associated commonly with inflammatory bowel…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Treatment

Mild to moderate acne First-line therapy (comedonal acne only): topical retinoid First-line therapy (mild inflammatory acne): topical retinoid alone, topical retinoid + topical antimicrobial Topical retinoids are considered first line treat…

Therapeutic Strategies in Dermatology

Impetigo: Treatment

Treatment First-line treatment: For limited skin involvement, topical antibiotic treatment is first-line and there is evidence that it may be superior to systemic therapy. In limited cases topical antibiotic ointment applied t.i.d. to infected lesio…

Therapeutic Strategies in Dermatology

Pernio/Chilblains: Key Points

Key Points Chilblains (pernio) is a benign condition that occurs in cold, damp environments and presents with symmetric, distal, transient red-to-purple lesions on the extremities. Treatment is centered on keeping the patient warm and avoiding expo…

Histologic Diagnosis of Inflammatory Skin Diseases

Images

…, and cornified cells, as well as neutrophils of a suppurative infundibulitis are sent flying into the dermis on rupture of the infundibulum, the result being suppurative peri-infundibulitis in addition to infundibulitis. Microorganisms found outside…