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

Allergic Contact Dermatitis: References

References Davis M (2009) Unusual patterns of contact dermatitis: medicaments, Dermatol Clinics 27:289-297. Lee P, Elsaie M, Jacobs S (2009) Allergic contact dermatitis in children: common allergens and treatment: A review. Curr Opin Peds 21:491-49…

Therapeutic Strategies in Dermatology

Stings: Key Points

Key Points The order hymenoptera includes bees, wasps, hornets, and ants. Hymenoptera stings cause toxic and allergic reactions that present across a broad clinical spectrum: from mild, localized reactions to severe, systemic, and potentially fatal…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

Initial Evaluation The lice, eggs, or nits (empty egg casings) are not always obviously visualized. Important clues include excoriated erythematous papules (shown in this image) or maculae ceruleans (slate-blue macules) on areas of skin that come in…

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

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

Flushing: Initial Evaluation

Initial Evaluation Differential Diagnosis Images Erythromelalgia Rosacea Urticaria Pigmentosa / Mastocytosis Photosensitivity / Photoallergic Dermatitis Systemic Lupus Erythematosus…

Therapeutic Strategies in Dermatology

Spider Bites: Key Points

Key Points Spiders are 8-legged (arthropod) members of the order Araneae. Spider bites result from a self-defense reaction when a spider feels threatened and typically arise due to inadvertent meeting with a spider (i.e., accidental). There are sev…