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

Pediculosis (Lice): Initial Evaluation

…nd 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 important to note that the primary mode of transmission of hair lice is…

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

Seborrheic Dermatitis: Clinical Cases

…65-year-old man long-standing erythema with overlying greasy scale on the nasolabial folds, melolabial folds, glabella, and chin Improves with sun exposure Initial treatment Ketoconazole 2% cream b.i.d. Ketoconazole 2% shampoo every other day (10…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

…c dermatitis can also present as erythematous papules without scale. The distribution of affected areas on the face (nasolabial folds, medial cheeks, chin, and glabella and forehead) and chest are suggestive of the diagnosis. Seborrheic dermati…

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

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

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

…ay 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….