Therapeutic Strategies in Dermatology

Psoriasis: Clinical Overview

Clinical Overview Psoriasis is a chronic, intermittent skin disease classically marked by sharply-demarcated erythematous papules and plaques with silvery hyperkeratotic scale that affects the scalp, ears, palms, soles, elbows, knees, and interglut…

A Clinical Atlas of 101 Common Skin Diseases

Seborrheic Dermatitis

An inflammatory 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…

Therapeutic Strategies in Dermatology

Porokeratosis: Overview

Overview The etiology of this disorder is unknown and therapy is empiric. Treatment First steps Topical 5-fluorouracil (5-FU) 5% cream applied once or twice daily to lesions, until the epidermis desquamates and a crust forms, will often resolve sup…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Key Points

Key Points Primary varicella infection (chickenpox) and herpes zoster are both caused by varicella zoster virus (VZV). Herpes zoster (shingles) represents activation of varicella zoster virus from cranial or dorsal root ganglion, thus affecting th…

Therapeutic Strategies in Dermatology

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

Initial Evaluation Numerous actinic keratoses on sun-damaged skin are characterized by ill-defined hyperkeratotic erythematous papules or plaques. Actinic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by p…

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

Clinical Cases Case 1 18-year-old healthy female Obese body habitus Presents for evaluation and management of long-standing “rash” underneath bilateral groin folds and infra-abdominal pannus Rash slightly tender to touch Initial…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

Initial Evaluation The lice, eggs, or nits (empty egg casings) are not always obviously visualized. Important clues include excoriated erythematous papules (shown in this image) or maculae ceruleans (slate-blue macules) on areas of skin that come in…