Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…collagen (xenograft) if needed to accelerate wound healing (in slowly responding ulcers). Semipermeable dressing over the whole ulceration, sealed at the periphery. For exudative wounds, fenestrated dressings, or superabsorptive ones, may be used. U…

Therapeutic Strategies in Dermatology

Prurigo Nodularis: Overview

…area, lidocaine impregnated patches 5% may be very effective. Subsequent Steps If occlusion with superpotent steroids and/or intralesional therapy fails, consider covering the affected extremities with an occlusive dressing (e.g., an Unna boot), ch…

Therapeutic Strategies in Dermatology

Venous Stasis: Clinical Cases

…ale Past medical history is notable for hypertension Review of systems is noncontributory Presents for management of 3-year history of varicose veins, bilateral lower extremity swelling, and recurrent rashes on the ankles Does not wear compression st…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Blue Nevus?

…n: Textbook of Dermatology. 5th ed. Oxford, England: Blackwell Scientific Publications, 1992:1538. “On the skin, three types of benign blue nevi are recognized: the common blue nevus, the cellular blue nevus, and the combined nevus. In additio…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Nevus?

Strictly speaking, the term nevus denotes any congenital lesion of skin. Nevocellular nevus, however, refers to any congenital or acquired neoplasm of melanocytes.” Murphy GF, Mihm MC. The skin. In: Pathologic Basis of Disease. 6th ed…

Dermatology Practical & Conceptual

Melanoma arising in a giant nevus spilus maculosus

Abstract Melanoma arising in a nevus spilus is rare. There are two distinct types of nevus spilus characterized by macular or papular speckles, respectively. We report the case of a melanoma that arose in association with a giant nevus spilus maculo…

Dermatology Practical & Conceptual

Blue nevus with a starburst pattern on dermoscopy

…ent with a blue-gray papule approximately 4 mm in diameter. We suspected that it was a blue nevus or a pigmented Reed/Spitz nevus. On dermoscopic observation, the lesion showed homogeneous black-bluish pigmentation. This dermoscopic feature was sugge…

Resolving Quandaries in Dermatology, Pathology & Dermatopathology

Malignant Spitz Nevus?

…turation in depth and less cohesion of cells than in the usual Spitz nevus.” Weedon D, Strutton G. Skin Pathology. 2nd ed. New York: Churchill-Livingstone, 2002. By definition, benign neoplasms are incapable of metastasis; only malignant neop…