Therapeutic Strategies in Dermatology

Vascular Birthmarks: Key Points

…other vascular birthmarks may represent a manifestation of a syndrome with extracutaneous involvement or may be symptomatic lesions with deep subcutaneous involvement (such as certain vascular malformations). Introduction Vascular birthmarks may be…

Therapeutic Strategies in Dermatology

Venous Stasis: Treatment

…patient with intravenous antibiotics to provide coverage for staphylococcal and streptococcal cellulitis. Subsequent steps Continue compression and elevation therapy. Xerosis or superficial desquamation frequently follows stasis dermatitis; apply…

Therapeutic Strategies in Dermatology

Darier’s Disease: Key Points

…m defects in calcium regulation in keratinocytes. The classic skin manifestation is an eruption of hyperkeratotic papules, typically in a seborrheic distribution. Characteristic nail and mucous membrane involvement is common. Superinfection of the sk…

Therapeutic Strategies in Dermatology

Erythema Multiforme: Key Points

Key Points Erythema multiforme (EM) is a clinical syndrome marked by either target lesions and/or mucosal erosions. It may be idiopathic or seen in association with infections or medications. EM has been reported in association with herpes simplex…

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Initial Evaluation

…litis Differential diagnosis Deep vein thrombosis Venous stasis dermatitis Staphylococcal scalded skin syndrome Leukocytoclastic vasculitis Panniculitis Contact dermatitis…

Therapeutic Strategies in Dermatology

Viral Exanthems: Initial Evaluation

…with a non-specific morbilliform eruption. In some cases, the skin disease as part of a constellation of other symptoms may indicate a specific viral etiology. Measles German measles Parvovirus B19, a.k.a. erythema infectiosum Ex…

Therapeutic Strategies in Dermatology

Darier’s Disease: Clinical Case

…st clinical evaluation Diagnosis: favor Darier’s disease with staphylococcal superinfection Skin cultures (bacterial, candidal, and herpes simplex viral culture) are obtained. The patient is empirically started on doxycycline 100 mg b.i.d. for 10 day…

Therapeutic Strategies in Dermatology

Herpes Zoster & Varicella: Treatment

…for treatment with intravenous acyclovir. Pitfalls Secondary staphylococcal infection of varicella is common, and may be easily overlooked. Reye’s syndrome may follow varicella, especially in children in whom aspirin is used as an antipyretic….

Therapeutic Strategies in Dermatology

Impetigo: Initial evaluation

…s may be required to determine which infection is present. Staphylococcal scaled skin syndrome: A variation of impetigo, with epidermolytic toxin-producing strains of Staphylococcus aureus, resulting in widespread erosions and flaccid blisters….