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Therapeutic Strategies in Dermatology

Herpes Simplex: Initial Evaluation

…Aphthous ulcers are typically recurrent ulcers that affect the mouth or genitalia, and may occur sporadically or in the context of a systemic disease (such as inflammatory bowel disease). They are marked by a small, often painful pustule with a brigh…

Therapeutic Strategies in Dermatology

Granuloma Annulare: Overview

…use spontaneous resolution of individual lesions or the entire disease process is common. Treatment Initial Steps Prescribe a superpotent topical steroid to be applied to lesions in a thin film twice daily. Although GA is a dermal inflammatory disea…

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Key Points

Key Points Erysipelas and cellulitis are infections of the dermis and subcutaneous layers of the skin that are rapidly progressive and are often accompanied by systemic signs, such as fever, leukocytosis, and elevated markers of systemic inflammat…

Therapeutic Strategies in Dermatology

Eosinophilic Fasciitis: Overview

…distinguished from scleroderma by its acute onset; its lack of hand and foot or visceral involvement; the characteristic involvement of the extremities (usually distal legs and arms); its tendency to spontaneously remit after 2-5 years, and its exqui…

Therapeutic Strategies in Dermatology

Aphthous Ulcers (Recurrent Aphthous Stomatitis, Canker Sore): Treatment

…limit outbreaks in some patients. 0.2% chlorhexidine gluconate mouthwash three times daily or 0.15% triclosan mouthwash twice daily for six weeks can reduce duration of lesions and pain, and lead to fewer outbreaks and fewer total ulcerations. Lister…

Therapeutic Strategies in Dermatology

Drug Eruptions: Initial Evaluation

…Specific clues, such as erythema of the cheeks (Fifth’s disease), or conjunctivitis (measles) may help to differentiate these entities. Fifth’s disease Measles Stevens-Johnson syndrome: Typically marked by target lesions a…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

Initial Evaluation Lesions 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 (de…

Therapeutic Strategies in Dermatology

Warts: Clinical Cases

…ast 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 endophytic verrucous plaque Diagnosis: verruca plantaris (plantar wart) Re…

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