Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…acrolimus ointment 0.1% applied twice daily to affected facial skin, and a high- or super-potent topical steroid to affected skin elsewhere. Antihistamines, such as hydroxyzine 10–50 mg nightly and doses during the day as required for pruritus. Alte…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Clinical Cases

…es Case 1 Mild disease 9-year-old girl with chronic dry skin, who developed hypopigmented, fine scaling patches on the face and trunk She reports new pruritus of the skin No prior treatment Treatment Counseling on daily skin care (cleansing:…

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

…Recommendation: clotrimazole 1% cream b.i.d. to affected areas Skin care reviewed: recommended to keep skin dry by toweling completely after bathing and drying skin fully with hairdryer set on cool air Encourage weight reduction regimens Follow-up as…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…hould raise suspicion for an underlying or coexisting disease. Skin or mucosal maceration, erosions, or fissuring with bright erythema and satellite pustulosis are characteristic features of candidal skin and mucosal infections. These typically occur…

Therapeutic Strategies in Dermatology

Rosacea: Clinical Cases

…cular rosacea) Metronidazole 1% cream or gel applied b.i.d. to skin lesions Photoprotection, sunscreens advised; appropriate skin care with gentle facial cleanser and moisturizer Refer to an opthalmologist if needed Follow-up visit at 6 weeks Lesio…

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

…h nodes in the absence of pathologic involvement Stage IVA-any skin lesions with histologic lymph node involvement Stage IVB-any skin lesions with histologic lymph node involvement and visceral disease Treatment Early stage cutaneous T-cell lymphoma…

Therapeutic Strategies in Dermatology

Candidiasis: Treatment

…ne therapy should be specified for the affected anatomic site. Skin Initial therapy If the skin is macerated (e.g., moist, weeping), instruct the patient to soak in (or make an applied compress of) dilute Burow’s solution 1: 40 b.i.d. for 15 m…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Clinical Cases

…g sloughs intermittently (but then recurs) No prior history of skin cancer History of extensive sun exposure during her youth and early adult life A complete skin exam reveals no additional suspicious lesions Initial treatment Liquid nitrogen spray…

Therapeutic Strategies in Dermatology

Impetigo: Treatment

…d or older. Systemic therapy is indicated for more generalized skin involvement, or when skin infection is associated with systemic symptoms such as fever. First-line therapies supported by evidence are: An anti-staphylococcal penicillin, such as di…