Search Results for: ulcer

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

…lix or antihelix of the ear, which often appears as a crusted ulceration mimicking a cutaneous malignancy. Diagnosis may be made by clinical exam and the symptom of pain, but biopsy of commonly performed to exclude cutaneous malignancies Treatment is…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Treatment

…hypertension, osteoporosis, psychiatric disorders, and peptic ulcer disease). First steps (general measures for all patients) For blistering lesions, compresses of 5% aluminum acetate (i.e., Domeboro’s solution) up to four times daily will spee…

Therapeutic Strategies in Dermatology

Tuberculosis, Cutaneous: Overview

…skin-those in which organisms can be identified (tuberculous ulcer, scrofuloderma, orificial tuberculosis, tuberculosis verrucosa cutis, and lupus vulgaris) as well as those conditions formerly called “tuberculids” (erythema induratum, p…

Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Overview

…dy, however. Lesions on the leg exhibit more of a tendency to ulcerate than lesions elsewhere. Treatment First Steps For nonulcerated, symptomatic lesions (asymptomatic lesions need not be treated), intralesional triamcinolone acetonide 3-5 mg/ml. Sm…

Therapeutic Strategies in Dermatology

Balanitis: Overview

…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 balanitis, the use of topical mupirocin is not recommended….

Therapeutic Strategies in Dermatology

Pyoderma Gangrenosum: Key Points

Key Points 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 trigger…

Therapeutic Strategies in Dermatology

Granuloma Inguinale: Overview

…thromycin 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 patients intolerant of or in whom the above therapies fail, try th…

Therapeutic Strategies in Dermatology

Spider Bites: Clinical Case

…emic symptoms A bacterial culture is swabbed from the central ulcer to exclude the diagnosis of bacterial infection and/or super-infection Possible interventions, including dapsone and systemic corticosteroids, are discussed but the teen and his pare…

Therapeutic Strategies in Dermatology

Spider Bites: Treatment

…te, 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 diagnosis is much more likely than spider bite in nonendemic ar…

Therapeutic Strategies in Dermatology

Porokeratosis: Overview

…py. 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 inherited genetic trait. Genetic counseling is appropriate in fa…