Therapeutic Strategies in Dermatology

Ichthyoses/Disorders of Cornification: Overview

…are higher than those employed for other applications (e.g., acne, cancer chemoprevention, or psoriasis), acute side effects can be more severe. Moreover, the benefits of improvement of the skin must be weighed against long-term risks of systemic re…

Therapeutic Strategies in Dermatology

Prurigo Nodularis: Overview

…risk of side effects. Isotretinoin and acitretin in standard acne or psoriasis doses, respectively, may be used as adjunctive treatment in patients with prurigo nodularis. Pitfalls Polymorphous light eruption, especially in Native Americans, may a…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Treatment

…pers or rotary shavers. Pitfalls PFB may be misdiagnosed as acne vulgaris, pyoderma, or razor “allergy.” If there is any doubt refer the patient for evaluation. Do not be disappointed by therapeutic failure. Work with the patient (and e…

Therapeutic Strategies in Dermatology

Periorificial Dermatitis: Key Points

Key Points Periorificial dermatitis is a common acneiform eruption of the face that is marked by erythematous papules, sometimes with scale. Comedones are typically not present and enable its distinction from classic acne. It typically affects the…

Therapeutic Strategies in Dermatology

Xerosis: Overview

…on of sebaceous gland function during isotretinoin therapy of acne. Whether xerosis occurs solely as a natural consequence of aging is not known, but it seems clear that normal aging is at least a predisposing factor. Treatment First Steps A daily b…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Key Points

…the setting of chronic, broad-spectrum antibiotic therapy of acne vulgaris. Since inflammation is limited to the hair follicle, classic signs of infection (dolor, calor, rubor, and tumor) may be absent, making differentiation from milaria, papuloves…

Therapeutic Strategies in Dermatology

Acne Keloidalis Nuchae: Clinical Case

…ustules, notable hair loss and dolls’ hair tufting Diagnosis: acne keloidalis nuchae A bacterial culture of a pustule is performed Doxycycline 100 mg b.i.d. and benzoyl peroxide wash 5% is prescribed Follow-up in 3 weeks Three-week follow-up evaluat…

Therapeutic Strategies in Dermatology

Lichen Nitidus: Overview

…y be considered. Isotretinoin and acitretin in doses used for acne and psoriasis, respectively, may be effective in refractory symptomatic cases. Pitfalls The pitfalls are those encountered with topical steroid, PUVA, or retinoid therapy. Treatment…