Search Results for: scale

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…casts (circumferential keratinous bands that easily slide up and down the hair shaft), seborrheic dermatitis (loose, greasy scale that is very loosely adherent to hair, if at all), and a superficial fungal infection of the hair shaft. It is…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…ies and antifungal susceptibilities Follow-up at 6 weeks Follow-up evaluation Evaluation reveals persistent erythema, subtle scale, and alopecia KOH examination reveals persistent branching hyphae The fungal culture data is reviewed. The infection…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…e of emollients to soften and hydrate the epidermis is a cornerstone of psoriasis therapy. Keratolytics. These agents remove scale, soften plaques, and enhance penetration of other therapies. They are most effective when used after adequate…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

…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 (development of lesions at…

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…of lichen planus is violaceous-to-purple, flat-topped polygonal papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). They may occur in areas of prior trauma or injury (koebnerization). The prevalence of…

Therapeutic Strategies in Dermatology

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

…ic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by palpation rather than visual inspection. Actinic keratoses can present with a cutaneous horn, a column of hyperkeratotic scale lying over an ill-defined…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…rkeratosis, topical lactic acid 5-12% or urea 10-40% preparations may be added to the above treatment. These will reduce the scale and enhance the penetration of the active agents. Subsequent steps Patients with severe recalcitrant hand dermatitis…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

…thick crust on the scalp are typical affected areas. Seborrheic dermatitis can also present as erythematous papules without scale. The distribution of affected areas on the face (nasolabial folds, medial cheeks, chin, and glabella and forehead) and…

A Clinical Atlas of 101 Common Skin Diseases

Erythema Annulare Centrifugum

An inflammatory disease characterized by lesions with arcuate, annular, and serpiginous outlines and by collarettes of scale on the inner margin of lesions that extend outward in centrifugal fashion, disappearing in months as a rule in the absence…

Therapeutic Strategies in Dermatology

Sarcoidosis: Key Points

…gans will often improve the skin disease as well. In general, there is limited evidence and a paucity of high quality, large scale, randomized, prospective trials in the treatment of sarcoidosis. Much of the data is based on case series,…