Search Results for: scale

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…of lichen planus is violaceous-to-purple, flat-topped polygonal papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). They may occur in areas of prior trauma or injury (koebnerization). The prevalence of…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…ies and antifungal susceptibilities Follow-up at 6 weeks Follow-up evaluation Evaluation reveals persistent erythema, subtle scale, and alopecia KOH examination reveals persistent branching hyphae The fungal culture data is reviewed. The infection…

Therapeutic Strategies in Dermatology

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

…ic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by palpation rather than visual inspection. Actinic keratoses can present with a cutaneous horn, a column of hyperkeratotic scale lying over an ill-defined…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…casts (circumferential keratinous bands that easily slide up and down the hair shaft), seborrheic dermatitis (loose, greasy scale that is very loosely adherent to hair, if at all), and a superficial fungal infection of the hair shaft. It is…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…rkeratosis, topical lactic acid 5-12% or urea 10-40% preparations may be added to the above treatment. These will reduce the scale and enhance the penetration of the active agents. Subsequent steps Patients with severe recalcitrant hand dermatitis…

Therapeutic Strategies in Dermatology

Warts: Clinical Cases

…ight (at home) Follow-up in 3 weeks 3-week follow-up evaluation Improved (lesion much smaller in size) Excess hyperkeratotic scale and dead skin debrided by scalpel Repeat cryosurgery and ongoing application of salicylic acid under occlusion…

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

…rporis, contact dermatitis, parapsoriasis, and mycosis fungoides in any recalcitrant case. A KOH preparation is indicated if scale or an active border is present. Relapse is common if initial treatment is too brief or insufficient. Despite the bland…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…tact or occlusion. Although the diagnosis is largely clinical, several tests may confirm the diagnosis. A KOH preparation of scale or pustule fluid contents will reveal pseudohyphae and possibly also yeast forms; oral candidiasis is caused only by…

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

…ithin the skin folds of the groin and infra-abdominal pannus, there are brightly erythematous macerated patches with minimal scale and satellite pustules KOH prep of fluid taken from unroofed pustule reveals pseudohyphae and yeast forms Diagnosis:…