Therapeutic Strategies in Dermatology

Cicatricial Pemphigoid: Overview

…ss may not always be avoided. Treatment First Steps For oral disease apply superpotent topical steroids in ointment base or Orobase to affected areas. For gingival disease, dental trays filled with corticosteroid ointment worn for 6-8 hours daily ma…

Therapeutic Strategies in Dermatology

Dermatomyositis: Overview

…strongly encouraged. A subset of patients will have only skin disease (amyopathic DM), which may persist for decades without evidence of muscle involvement. The severity and pattern of skin involvement do not predict or correlate with the presence of…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…pigmentosa, or a rare form of mast cells in the skin seen in adults characterized by telangiectasias and faint lesions, called telangiectasia macularis eruptiva perstans. Introduction Mastocytosis includes a wide variety of cutaneous diseases with…

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Clinical Cases

…History of extensive sun exposure during her youth and early adult life A complete skin exam reveals no additional suspicious lesions Initial treatment Liquid nitrogen spray (thaw time 8 seconds) Liquid nitrogen can be applied by: Application by c…

Therapeutic Strategies in Dermatology

Drug Eruptions: Key Points

…al. Simple drug eruptions typically occur within 4-14 days of onset of the agent. The timing of presentation often reflects whether there has been prior exposure to the drug or drug class; in cases of prior exposure, the exanthem may develop within a…

Therapeutic Strategies in Dermatology

Alopecia: Key Points

…hair follicle, and may be secondary to an underlying medical disease, skin inflammation, or an infection. The management of patients with alopecia is challenging for providers and patients alike, as alopecia commonly has a significant impact on a pa…

Therapeutic Strategies in Dermatology

Papular Urticaria: Treatment

…reas. Most effective are those containing an agent that kills adult fleas (e.g., pyrethrin) plus an insect growth regulator to stop development of immature forms (e.g., fenoxycarb ormethoprene). Additional spraying may be required under furniture and…

Therapeutic Strategies in Dermatology

Grover’s Disease / Transient Acantholytic Dermatosis: Key Points

Key Points Grover’s disease is a pruritic condition that typically affects adult individuals and classically presents on the trunk and proximal extremities. The characteristic lesion is a crusted erythematous papule, pustule, or papulovesicle. Grov…

Differential Diagnosis in Dermatopathology

Pagetoid Bowen’s disease vs. Extramammary Paget’s disease

An inflammatory disease caused by the spirochete Borrelia burgdorferi that manifests itself in the skin as erythematous lesions with figurate shapes, e.g., (round, ellipsoid, and arcuate) (erythema chronicum migrans), pseudolymphomatous nodules (lym…