Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…nd urine porphyrins. Chronic actinic dermatitis may mimic the Sézary syndrome variant of cutaneous T-cell lymphoma. A skin biopsy and examination of the blood for T cell gene rearrangements should be performed when appropriate….

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Clinical Cases

…s 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

…o touch Initial evaluation Healthy, obese female Within the skin folds of the groin and infra-abdominal pannus, there are brightly erythematous macerated patches with minimal scale and satellite pustules KOH prep of fluid taken from unroofed pustul…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…ally affects mucosal sites and moist and/or occluded areas of skin: groin, axilla, inframammary, infra-abdominal pannus, glans penis (in uncircumcised males), and orogenital mucosal sites. Predisposing factors include obesity, diabetes, antibiotic or…

Therapeutic Strategies in Dermatology

Candidiasis: Treatment

…e 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 mi…

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

…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

Rosacea: Clinical Cases

…(Mirvaso) Photoprotection, sunscreen use advised, appropriate skin care (gentle facial cleanser and moisturizer) Identify and avoid triggers of flushing Consider referral to laser treatment for vascular features Case 2 Papulo-pustular rosacea 40…

Therapeutic Strategies in Dermatology

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

…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

…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 dic…