Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…systemic involvement; this chapter will focus specifically on urticaria pigmentosa (UP), with a brief review of other forms of cutaneous mastocytosis. The three most common types of cutaneous mastocytosis are urticaria pigmentosa (UP), diffuse cutan…

Therapeutic Strategies in Dermatology

Urticaria: References

References Khan DA. (2008) Chronic urticaria: diagnosis and management, Allergy Asthma Proc, 29: 439-446. Peroni A et al. (2010) Urticarial lesions: If not urticaria, what else? The differential diagnosis of urticaria. Part I, II, J Am Acad Derm, 62…

Therapeutic Strategies in Dermatology

Urticaria: Clinical Cases

Clinical Cases Case 1 12-year-old girl 3-day history of pruritic urticarial lesions on chest, back, and abdomen No associated symptoms of fever, shortness of breath 1 week ago: 2-day history of sore throat No medications Initial treatment S…

Therapeutic Strategies in Dermatology

Drug Eruptions: Key Points

…discussed here. Other specific drug-induced disorders such as urticaria, erythema multiforme, Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and phototoxicity are discussed in other chapters. (See Urticaria and Erythema Multiforme…

Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Initial Evaluation

Initial Evaluation Erythema chronicum migrans Acrodermatitis chronica atrophicans These lesions may occur at the sites of prior erythema chronicum migrans. Atrophic epidermis is the hallmark. Sclerodermatous changes, with thickening a…

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

Overview Therapy of cutaneous T-cell lymphoma often requires specialized knowledge, and for this reason it is often appropriate to refer such patients to a medical center with specialized knowledge in the management of CTCL. Since early aggressive t…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Treatment

Treatment First-line therapy: Avoiding triggers of mast cell degranulation. Patients should avoid extremes of temperature, particularly heat, and should be careful jumping into extremely hot baths or showers, cold swimming pools, or extremely cool a…

Therapeutic Strategies in Dermatology

Erythema Multiforme: References

References Shah KN, Honig PJ, Yan AC (2007) “Urticaria multiforme: a case series and review of acute annular urticarial hypersensitivity syndromes in children,” Pediatrics, 119;e1177. Hughey SL (2011) Approach to the hospitalized patient…

Therapeutic Strategies in Dermatology

Papular Urticaria: References

References Hernandez RG, Cohen BA (2006) Insect bite-induced hypersensitivity and the SCRATCH principles: a new approach to papular urticaria, Pediatrics, 18(1):e189-96. Shmidt E, Levitt J (2012) Dermatologic infestations, Int J Derm, 51(2):131-141….