Therapeutic Strategies in Dermatology

Urticaria: Initial Evaluation

Initial Evaluation Acute urticaria Migrating pruritic edematous papules and plaques of variable size, surrounded by erythema or an area of vasoconstriction (i.e., wheal). Can be intermittent, with the skin returning to normal appearance in less tha…

Therapeutic Strategies in Dermatology

Pruritic Urticarial Papules and Plaques of Pregnancy: Overview

Overview This common and very pruritic disorder of pregnancy of unknown cause usually begins in the third trimester and resolves with delivery. Unlike herpes gestationis, postpartum onset or exacerbation is rare. Therapy is empiric and aims to contr…

Therapeutic Strategies in Dermatology

Pemphigus Vulgaris: Overview

Overview Because overwhelming evidence suggests a cause-and-effect relationship between pemphigus autoantibody and the disease activity, therapy is aimed at both resolution of cutaneous lesions and elimination of circulating antibody. The titer of t…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

Photosensitive drug eruptions, polymorphous light eruption, chronic actinic dermatitis (CAD -includes the conditions previously called photosensitive eczema, actinic reticuloid and persistent light reaction). Photosensitivity dermatoses are caused e…

Therapeutic Strategies in Dermatology

Lichen Planus: Clinical Cases

…cation Switched to dexamethasone swish/spit: 5 cc t.i.d. (when disease is active) Nystatin troches (used daily to b.i.d.) are also given, to be used with dexamethasone use Disease resolved: minimal flares 1-2 times a year, responsive to dexamethasone…

Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Key Points

Key Points Contact dermatitis can have either an irritant or an allergic origin. Distinguishing between these entities can be informed by a careful history, including timing of onset of symptoms. Allergic contact dermatitis is caused by a delayed-t…

Therapeutic Strategies in Dermatology

Alopecia: Clinical Cases

…is encouraged Case 2 16-year-old healthy boy with sudden onset of asymptomatic hair loss in patchy areas on the scalp vertex No family history of autoimmune disease, including vitiligo or autoimmune thyroiditis Review of systems does not reveal…