Search Results for: scale-crust

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 Ketoconazole…

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

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

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

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

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

Nummular Dermatitis: Overview

…tics (e.g., dicloxacillin or cephalexin 250-500 mg 4 times daily) 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.,…

Therapeutic Strategies in Dermatology

Warts: Clinical Cases

…ight (at home) Follow-up in 3 weeks 3-week follow-up evaluation 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…

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: Principles of Seborrheic Dermatitis Management

…e. For ears, consider a low-potency corticosteroid lotion. For 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…