Search Results for: ulcer

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

…is unknown, CNH is likely more common than recognized in the literature, due to underreporting. CNH occurs as a very painful ulceration, which may be crusted, arising almost invariably on the helix or antihelix of the ear. Some CNH lesions may…

Therapeutic Strategies in Dermatology

Granuloma Inguinale: Overview

…against the causative microorganism. Treatment First Steps Azithromycin 1 gram orally once weekly for 6 weeks, or until the ulcer has healed (but for at least 3 weeks). Alternative Steps Azithromycin 500 mg daily for 7 days. Subsequent Steps For…

Therapeutic Strategies in Dermatology

Balanitis: Overview

…ans, T. vaginalis, and G. vaginalis. Pitfalls Failure to retract the foreskin and carefully examine the patient for a penile ulcer or urethritis will often lead to a misdiagnosis. Since staphylococcus and Group A streptococcus are rare causes of…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Treatment

…ge (e.g., active tuberculosis, diabetes mellitus, and at times hypertension, osteoporosis, psychiatric disorders, and peptic ulcer disease). First steps (general measures for all patients) For blistering lesions, compresses of 5% aluminum acetate…

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Key Points

…s Pyoderma gangrenosum is a type of ulcerating neutrophilic dermatosis. The classic morphology of pyoderma gangrenosum is an ulcer with a violaceous rim and undermined border. PG lesions may develop very rapidly (in days) and may be triggered or…

Therapeutic Strategies in Dermatology

Spider Bites: Treatment

…enosum often presents in a similar manner to a brown recluse bite, characterized by central necrosis and a rapidly expanding ulcer. Primary pyoderma, especially with methicillin-resistant S. aureus may present with pain, swelling, and necrosis. This…

Therapeutic Strategies in Dermatology

Tuberculosis, Cutaneous: Overview

…s tuberculosis includes all forms of tuberculosis affecting the skin-those in which organisms can be identified (tuberculous ulcer, scrofuloderma, orificial tuberculosis, tuberculosis verrucosa cutis, and lupus vulgaris) as well as those conditions…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Initial Evaluation

…as where the patient brushed up against leaves of the plant. Allergic contact dermatitis to topical antibiotic applied to an ulcer. Allergic contact dermatitis to an herbal medication applied with an adhesive patch (either the herbal medication or…

Therapeutic Strategies in Dermatology

Porokeratosis: Overview

…ratosis should be confirmed by biopsy prior to initiating therapy. Porokeratosis may be premalignant. Any papule, nodule, or ulcer developing in association with a lesion of porokeratosis must be biopsied. Porokeratosis is an autosomally dominantly…

Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Overview

…ofetil 2-3 g/day c. Infliximab 5 mg/kg per treatment for a total of 3 treatments at 0, 2, and 6 weeks. NLD has a tendency to ulcerate. These ulcerations may be infected by bacteria, so nonhealing lesions should be cultured, and appropriate topical…