Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…itfalls A non-healing ulcer may be cutaneous carcinoma (basal cell, squamous cell, etc.) or an inflammatory ulcer (such as pyoderma gangrenosum). Biopsy non-healing ulcerations after three months of treatment or if there is concern for an alternativ…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

Overview Kaposi’s sarcoma (KS) results from endothelial cell proliferation caused by infection with human herpesvirus 8 and occurs in four settings: classic KS, African (endemic) KS, immunosuppressive-associated KS, and AIDS-associated KS. The…

Therapeutic Strategies in Dermatology

Warts: Initial Evaluation

Initial Evaluation Common warts (verruca vulgaris) Plantar wart (verruca plantaris) Flat warts (verruca plana) Genital warts (condyloma acuminata) Bowenoid papulosis Differential diagnosis Actinic keratoses…

Therapeutic Strategies in Dermatology

Warts: Treatment

…ted with HPV 16 or 18, and histologically may show features of squamous cell carcinoma in situ. Total eradication of these lesions should be attempted. They are treated in the same manner as genital warts. 5-Fluorouracil (5-FU) topically can be effec…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Key Points

Key Points Actinic keratoses (AKs) are the most common epithelial precancerous skin lesions. They present as scaly, erythematous, ill-defined papules on sun-exposed areas. A small percentage of AKs may progress to non-melanoma skin cancer (NMSC) ov…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Initial Evaluation

Initial Evaluation Numerous actinic keratoses on sun-damaged skin are characterized by ill-defined hyperkeratotic erythematous papules or plaques. Actinic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by p…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Clinical Cases

…ounseling Follow-up for skin exam in 6 months Case 2 Multiple actinic keratoses 83-year-old woman presents for follow-up of actinic keratoses; her lesions have been previously treated with liquid nitrogen therapy No prior history of skin cancer…

Therapeutic Strategies in Dermatology

Hidradenitis Suppurativa: Key Points

…include acne, pilonidal cyst, acne conglobata, and dissecting cellulitis of the scalp (also known as the follicular occlusion tetrad). Lesions of HS must be monitored for development of squamous cell carcinoma. Progression is often relentless and de…