Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Clinical Cases

…65-year-old man long-standing erythema with overlying greasy scale on the nasolabial folds, melolabial folds, glabella, and chin Improves with sun exposure Initial treatment Ketoconazole 2% cream b.i.d. Ketoconazole 2% shampoo every other day (10…

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

…s in any recalcitrant case. A KOH preparation is indicated if scale or an active border is present. Relapse is common if initial treatment is too brief or insufficient. Despite the bland appearance of the lesions, nummular dermatitis is relatively re…

Therapeutic Strategies in Dermatology

Warts: Clinical Cases

…Improved (lesion much smaller in size) Excess hyperkeratotic scale and dead skin debrided by scalpel Repeat cryosurgery and ongoing application of salicylic acid under occlusion Follow-up in 3 week intervals (requires 3 additional visits to eradicat…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…ns 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 may be treated with soak or oral PUVA, UVB, or UVA-1 photothera…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

…c 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 chest are suggestive of the diagnosis. Seborrheic dermati…

Therapeutic Strategies in Dermatology

Candidiasis: Key Points

…several tests may confirm the diagnosis. A KOH preparation of scale or pustule fluid contents will reveal pseudohyphae and possibly also yeast forms; oral candidiasis is caused only by the hyphal form of C. albicans. Standard bacterial cultures (with…

A Clinical Atlas of 101 Common Skin Diseases

Erythema Annulare Centrifugum

…ory 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 of treatment….

Therapeutic Strategies in Dermatology

Sarcoidosis: Key Points

…here 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, retrospective studies, and expert opinion. There exist proposed treatment a…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Initial Evaluation

…nown as Hertoghe¬ís sign. Hypopigmented patches with subtle scale in atopic dermatitis, also known as pityriasis alba. Fissuring is common in the retroauricular fold. Bacterial superinfection (seen as crusting) within fissures is a common…