Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Key Points

Key Points Seborrheic dermatitis is a chronic intermittent rash typically affecting the face, ears, scalp, and trunk. It is marked by an erythematous papular or macular eruption often with greasy yellow scale, sometimes accompanied by pruritus. Thi…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Treatment

Treatment First-line therapy: The first-line therapy for periorificial dermatitis is to stop any offending agents. Several therapeutic strategies, including oral antibiotics, topical medications, or both are used to reduce inflammation. Use of gentl…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Initial Evaluation

Initial Evaluation Determine the type, severity, and location of acne, and presence of scarring. Acne lesions Non-inflammatory (comedones) Inflammatory (papules-pustules-nodules) Scars (Keloidal scarring is present on the central ch…

Therapeutic Strategies in Dermatology

Flushing: Key Points

Key Points Flushing may be associated with a broad spectrum of underlying causes: medications, endocrine disease, neuroendocrine tumors, and neurologic diseases.  It is typically mediated by adrenergic hyperactivity, and only in rare cases is media…

Histologic Diagnosis of Inflammatory Skin Diseases

Rosacea

Rosacea Synonyms Gutta rosea Presentation stereotypical Age and sex Young and middle-aged adults, usually Caucasian women Distribution of lesions Center of the face in vertical and horizontal directions, i.e., nose, forehead, cheeks, and chin Indivi…

What is Rosacea?

What is Rosacea?

Rosacea is a common inflammatory facial skin disorder classically marked by flushing, facial erythema, inflammatory papules and pustules, and telangiectasias. It typically presents in adults, with prevalence reported as 1 to greater than 20%, with a…

Differential Diagnosis in Dermatopathology

Acne vulgaris, erythematous papule vs. Rosacea, erythematous papule

A papular and pustular inflammatory process that is centered in follicles and is distributed mostly in the middle third of the face in both vertical and horizontal directions. Among the varied manifestations of rosacea are innumerable telangiectases…

Living with Rosacea

Living with Rosacea

…and Willingness-to-pay model (Patients, especially women, with rosacea indicate a strong desire or willingness to pay for treatments to cure their disease.).  Rosacea has been associated with decreased self-esteem and avoidance of social situations i…

Erythema in Rosacea

Erythema in Rosacea

Current treatment of erythema in rosacea This type has traditionally been treated with avoidance of flushing, photoprotection, and surgical strategies including electrosurgery or laser therapies to treat the erythema and telangiectasias.  Laser the…