Search Results for: scale-crust

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…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 hepatitis C viral (HCV) infection-not hepatitis B-is higher in patient…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

…papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). Patients report intense pruritus and sometimes koebnerization (development of lesions at areas of trauma/ injury). Presentation is almost always bilateral a…

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

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

…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 erythematous scaly papule….

Therapeutic Strategies in Dermatology

Candidiasis: Clinical Cases

…here are brightly erythematous macerated patches with minimal scale and satellite pustules KOH prep of fluid taken from unroofed pustule reveals pseudohyphae and yeast forms Diagnosis: Candidiasis Recommendation: clotrimazole 1% cream b.i.d. to affec…

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 mi…

Therapeutic Strategies in Dermatology

Nummular Dermatitis: Overview

…y) may be of benefit for some recalcitrant cases. Cultures of crusted lesions may grow S. aureus, and sensitivity patterns can be used to guide antibiotic choice. Antihistamines (e.g., hydroxyzine 25-50 mg or doxepin 25 mg), especially at bedtime, ma…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…nd 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 important to note that the primary mode of transmission of hair lice is…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Principles of Seborrheic Dermatitis Management

…eyelashes, use baby shampoo on a cotton ball to gently remove scale. For more severe cases, add a topical steroid. Seborrheic dermatitis of non-scalp regions is extremely steroid-responsive, and therefore potent fluorinated steroids need not be used….

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 phototherapy…