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

Superficial Fungal Infections: Clinical Cases

Clinical Cases 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¬ís foot, which partially clears t…

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

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

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

Candidiasis: Clinical Cases

Clinical Cases Case 1 18-year-old healthy female Obese body habitus Presents for evaluation and management of long-standing “rash” underneath bilateral groin folds and infra-abdominal pannus Rash slightly tender to touch Initial…

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

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

Candidiasis: Key Points

Key Points Candidiasis typically affects mucosal sites and moist and/or occluded areas of skin: groin, axilla, inframmary, infra-abdominal pannus, glans penis (in uncircumcised males), and orogenital mucosal sites. Predisposing factors include obe…