Therapeutic Strategies in Dermatology

Viral Exanthems: Treatment

Treatment First-line therapy: Therapy is usually not required; any treatment is directed towards symptoms only. Skin-directed therapy for patients with vesicobullous lesions and/or pruritus: Antihistamines (e.g., hydroxyzine 10-25 mg t.i.d. [such a…

Therapeutic Strategies in Dermatology

Rosacea: Key Points

Key Points Rosacea has 4 different clinical presentations: erythemato-telangiectatic, papulo-pustular, phymatous, and ocular. It is essential to correctly identify the subtype of rosacea in order to select the appropriate medical or surgical therap…

Therapeutic Strategies in Dermatology

Flushing: Treatment

…ED: Advanced Dermatologic Therapy, WB Saunders, Philadelphia, 1987, p. 196-201, for a list of various drug interactions and therapies). Highly localized, unilateral, or dermatomal flushing may be indicative of autonomic dysfunction, warranting neuro…

Therapeutic Strategies in Dermatology

Spider Bites: Key Points

…nflammation and necrosis of skin. They are summarized in Table 1. Table 1: Spiders and their toxins Common name Characteristic physical features of the spider Toxins contained in the spider bite Notes Black widow spider (Lacrodectus mactans) Red…

Therapeutic Strategies in Dermatology

Sweet’s Syndrome (Acute Febrile Neutrophil Dermatosis): Treatment

Treatment First-line therapy: The first-line therapy for Sweet’s syndrome is systemic corticosteroids, because it is almost universally effective for treatment of this condition and is rapid in onset. Because a chronic, relapsing/remitting course of…

A Clinical Atlas of 101 Common Skin Diseases

Porphyria Cutanea Tarda

A disease manifested chiefly in the skin by vesicles and bullae that appear on sites of trauma, especially the face and dorsa of the hands, often in conjunction with macular hyperpigmentation and hypertrichosis of a face and sclerodermoid changes on…

A Clinical Atlas of 101 Common Skin Diseases

Ichthyoses

Noninflammatory scaly disorders in which polygonal gray or brown scales tend to be elevated at their periphery, causing them to appear to be separated from contiguous scales, findings that are seen in three conditions, namely, ichthyosis vulgaris (a…

Therapeutic Strategies in Dermatology

Lichen Planus: Treatment

Treatment Localized lichen planus Initial therapy First-line treatment: Superpotent topical steroid ointment or cream. Apply superpotent fluorinated topical steroid ointment or cream such as fluocinonide (such as Lidex), betamethasone (such as Dipro…