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

Warts: Clinical Cases

Clinical Cases Case 1 18-year-old healthy male No significant past medical history Presents for management of painful wart on foot Initial evaluation Healthy appearing male Left foot: on the plantar aspect of the hallux, there is a 2 cm endoph…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

Principles of Psoriasis Management Topical therapy is usually appropriate for treatment of patients with less than 10% body surface area (see table below). Systemic therapies (see table below) are indicated when one or more of the following are pre…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

Treatment First-line therapy: The first-line therapy for hand dermatitis is to stop any offending agents. The mainstay of treatment is the use of topical medications in conjunction with frequent use of moisturizers. The approach to the management…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

Clinical Cases Case 1 Onychomycosis and tinea pedis 47-year-old healthy male with long-standing itching and rash on the soles of bilateral feet, with dystrophic toenails He has used over-the-counter cream for athlete¬í’s foot, which part…

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

Overview Eczema is an all-inclusive term for dermatitis of diverse origin, including atopic dermatitis, dyshidrotic eczema, hand eczema, seborrheic dermatitis, and stasis dermatitis (see appropriate chapters for descriptions of therapy for these dis…

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

Seborrheic Dermatitis: Principles of Seborrheic Dermatitis Management

Principles of Seborrheic Dermatitis Management Seborrheic dermatitis is a chronic intermittent condition. There is an initial treatment period followed by maintenance therapy. Many patients will relapse if maintenance therapy is not adequate. Topi…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

Initial Evaluation The lice, eggs, or nits (empty egg casings) are not always obviously visualized. Important clues include excoriated erythematous papules (shown in this image) or maculae ceruleans (slate-blue macules) on areas of skin that come in…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Clinical Cases

Clinical Cases Case 1 Mild seborrheic dermatitis (face only) 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 Ketocona…