Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Therapy: Pityrosporum folliculitis

Therapy: Pityrosporum folliculitis Occasionally the organism causing TV, or its relative pityrosporum orbiculare, will cause a folliculitis without the typical dermatitis of TV. In most individuals, who are typically young adults, this infection is…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions of lichen planus are marked by violaceous-to-purple flat-topped papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (de…

Therapeutic Strategies in Dermatology

Keratosis Pilaris: Treatment

Treatment First-line therapy: Educate patients so that they understand that KP is not curable and that any therapeutic option only minimizes but does not eradicate the clinical lesions. Long-term management improves and maintains the cosmetic appe…

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

Key Points Lichen planus (LP) is a pruritic eruption that may be self-limited or chronic, and may affect skin, mucosa (including the esophagus), and hair. The classic morphology of lichen planus is violaceous-to-purple, flat-topped polygonal papule…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Initial Evaluation

Initial Evaluation Determine the type, severity, and location of acne, and presence of scarring. Acne lesions Non-inflammatory (comedones) Inflammatory (papules-pustules-nodules) Scars (Keloidal scarring is present on the central ch…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Key Points

Key Points Folliculitis is a term that encompasses follicular-based inflamed papules or pustules that may stem from a wide variety of causes. Important causes of folliculitis include infection (bacterial, yeast, and viral), friction, medication-in…

Therapeutic Strategies in Dermatology

Acne Vulgaris: Key Points

Key Points Acne is a common condition affecting persons of almost all ages; it may begin as early as the neonatal period, and peaks between ages of 13-17. For some patients, acne will persist into the fourth or fifth decade of life. Acne is a chron…

Therapeutic Strategies in Dermatology

Acne Keloidalis Nuchae: Overview

Dermatitis Papillaris Capillitii This disease primarily affects the nape of the neck of black men and is a form of follicular inflammation with excessive scarring which represents a keloidal reaction to prior or ongoing folliculitis. The strategy of…

Therapeutic Strategies in Dermatology

Folliculitis (including pseudofolliculitis barbae): Clinical Cases

Clinical Cases Case 1 18-year-old healthy male college student No significant past medical history Review of systems is noncontributory Presents for management of 7 days’ history of a pustular eruption on the face Initial evaluation Heal…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Initial Evaluation

Initial Evaluation Erythematous, scaly, excoriated symmetric plaques on the face, with sparing of the nasal tip. Face and neck involvement is common. Other body areas can be affected with more erythema or more…