Search Results for: scale

Therapeutic Strategies in Dermatology

Granuloma Annulare: Key Points

…ons on the dorsal hands as well, although tinea tends to have scale, whereas GA usually does not), sarcoidosis, other cutaneous granulomatous eruptions, and urticarial eruptions. A diagnosis of GA may be made clinically, but confirmation with biopsy…

A Clinical Atlas of 101 Common Skin Diseases

Seborrheic Dermatitis

…ry process that consists of tiny papules covered by prominent scales and localized typically to the “seborrheic region,” namely, scalp, forehead, eyebrows, malar eminences, paranasal and nasolabial folds, and retroauricular zone, and some…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…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 the hyphal form of C. albicans. Standard bacterial cultures (with…

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

…here 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: Candidiasis Recommendation: clotrimazole 1% cream b.i.d. to affec…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Principles of Seborrheic Dermatitis Management

…eyelashes, use baby shampoo on a cotton ball to gently remove scale. For more severe cases, add a topical steroid. Seborrheic dermatitis of non-scalp regions is extremely steroid-responsive, and therefore potent fluorinated steroids need not be used….

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…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 hepatitis C viral (HCV) infection-not hepatitis B-is higher in patient…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

…papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (development of lesions at areas of trauma/ injury). Presentation is almost always bilateral a…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…-up evaluation Evaluation reveals persistent erythema, subtle scale, and alopecia KOH examination reveals persistent branching hyphae The fungal culture data is reviewed. The infection is susceptible to griseofulvin. Griseofulvin is continued another…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…stone of psoriasis therapy. Keratolytics. These agents remove scale, soften plaques, and enhance penetration of other therapies. They are most effective when used after adequate hydration. Salicylic acid 2%-10%: Do not use on greater than 20% of the…

Therapeutic Strategies in Dermatology

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

…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 erythematous scaly papule….