Therapeutic Strategies in Dermatology

Xerosis: Overview

…10% to 20% or lactic acid up to 12% are very effective for the scale accompanying xerosis. The can be added to the hydrating approaches above, if visible xerotic scale is still present. Subsequent Therapy Severe xerosis responds dramatically to occl…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Key Points

Key Points Periorificial dermatitis is a common acneiform eruption of the face that is marked by erythematous papules, sometimes with scale. Comedones are typically not present and enable its distinction from classic acne. It typically affects the…

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. 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 superficial l…

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

Nummular Dermatitis: Overview

Overview Eczema is an all-inclusive term for dermatitis of diverse origin, including atopic dermatitis, dyshidrotic eczema, hand eczema, seborrheic dermatitis, and stasis dermatitis (see appropriate chapters for descriptions of therapy for these dis…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions of lichen planus are marked by violaceous-to-purple flat-topped papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (de…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Clinical Cases

Clinical Cases Mild seborrheic dermatitis (face only) 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%…