Therapeutic Strategies in Dermatology

Scabies: Suggested Reading

Suggested Reading Currie BJ and McCarthy JS (2010) Permethrin and Ivermectin for scabies, NEJM, 362: 717-725….

Therapeutic Strategies in Dermatology

Balanitis: Overview

Overview Balanitis is a nonspecific term meaning inflammation of the glans penis. It is most commonly multifactorial in etiology, restricted to the uncircumcised, and presents as a mildly symptomatic scaly, red macule or patch. Acute suppurative bal…

Therapeutic Strategies in Dermatology

Papular Urticaria: Clinical Case

Clinical Case Case 1 12-year-old female No significant past medical history and she takes no medications Review of systems is notable only for pruritus and occasional lack of sleep in association with the rash Presents for management of pruritic…

Therapeutic Strategies in Dermatology

Papular Urticaria: Treatment

Treatment First-line therapy: The first-line therapy for papular urticaria is to identify and eliminate the arthropod source and to then suppress the resultant inflammatory reaction. First-line management of the inflammatory reaction involves three…

Therapeutic Strategies in Dermatology

Papular Urticaria: Initial Evaluation

Initial Evaluation Differential Diagnosis Urticaria Scabies Pediculosis (Lice) Tick Bite Bullous Arthropod…

Dermatology Practical & Conceptual

Pre-emptive diagnosis of a case of scabies by dermatopathology

…on.” He made the additional comment: “Two apparent scabies mites are present” (Figure 3). Figure 3. Dermatopathology image of the pigmented skin lesion shown in the previous images showing two apparent scabies mites at the level…

Differential Diagnosis in Dermatopathology

Nodular scabies vs. Lymphomatoid papulosis

An inflammatory process caused by the acarus Sarcoptes scabiei and consisting of papules, papulovesicles, papulopustules, and vesicles, some arranged in linear or curvilinear tracks (burrows). Sometimes nodules are present, especially in the interdi…

Therapeutic Strategies in Dermatology

Scabies: Clinical Cases

Clinical Cases Case 1 6-year-old male Attends elementary school; develops intensely pruritic rash on wrists, umbilicus, hands and feet No sick contacts Excoriated scaly papules clustered on the wrists/hands, umbilicus, and scattered acr…

A Clinical Atlas of 101 Common Skin Diseases

Arthropod Assaults

Papules, nodules, vesicles, and sometimes bullae that develop in response to “bites” of arthropods, among the most common offenders being mosquitoes, bedbugs, and mites of scabies….

Histologic Diagnosis of Inflammatory Skin Diseases

Arthropod assaults

…tire length of the intraepidermal burrow is vesicular. Nodular scabies refers to longstanding papules in which no mite or progeny of her is detectable by microscopy conventional. Keratotic-crusted (Norwegian) scabies describes a highly contagious exp…