Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

…l diagnosis is primarily non-melanoma skin cancers (basal and squamous cell carcinoma). Other entities to consider include solar (actinic) keratoses, cutaneous horns, verruca vulgaris (warts), gouty tophi, or other cutaneous malignancies. A small ski…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): References

…Miller DD, et al (2010) Chronic phototoxicity and aggressive squamous cell carcinoma of the skin in children and adults during treatment with voriconazole, JAAD, 62(1):31-37. Criscione VD, Weinstock MA, Naylor MF, et al (2009) Natural history and ri…

Therapeutic Strategies in Dermatology

Warts: Treatment

…ed 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 effect…

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): Clinical Cases

Clinical Cases Case 1 Few lesions of actinic keratosis 72-year-old woman presents with a 3-month history of several new lesions on the dorsal hands She reports increasing scale and crusting of the lesions, noting that the crusting sloughs interm…

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

Warts: Initial Evaluation

…taris) Flat warts (verruca plana) Genital warts (condyloma acuminata) Bowenoid papulosis Differential diagnosis Actinic keratoses Squamous cell carcinoma Seborrheic keratoses…

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 def…