Search Results for: still disease, adult-onset

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Therapeutic Strategies in Dermatology

Pruritic Urticarial Papules and Plaques of Pregnancy: Overview

…resolves with delivery. Unlike herpes gestationis, postpartum onset or exacerbation is rare. Therapy is empiric and aims to control symptoms until the eruption abates following delivery. Treatment First steps A topical high-potency to superpotent ste…

Therapeutic Strategies in Dermatology

Lichen Planus: Clinical Cases

…planus 53-year-old man with hepatitis C viral infection Acute onset of intensely pruritic, purpuric, papular eruption No constitutional symptoms Initial evaluation Bilateral symmetric distribution of 3-5 mm violaceous, flat-topped papules on arms (ac…

Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Overview

…m (NLD) are usually, but not always, associated with juvenile-onset diabetes. Tending to occur singly or in crops on the anterior lower legs, they can appear anywhere on the body, however. Lesions on the leg exhibit more of a tendency to ulcerate tha…

Therapeutic Strategies in Dermatology

Chronic Bullous Disease of Childhood: Overview

Overview Chronic bullous disease of childhood is characterized by the presence of multiple, tense bullae and severe itching in association with linear deposition of IgA at the basement membrane zone. The clinical appearance resembles bullous pemphig…

Therapeutic Strategies in Dermatology

Cheilitis Granulomatosa: Overview

…lkersson-Rosenthal Syndrome Cheilitis granulomatosa is sudden onset of swelling of the lips which progresses to chronic enlargement. The Melkersson-Rosenthal syndrome diagnosis is made when lip enlargement is accompanied by facial paralysis or paresi…

Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Clinical Cases

…ted infection noted Case 2 18-year-old male presents with new onset unilateral facial palsy History of a tick bite that occurred while camping several months prior to presentation, with development of an annular, erythematous, urticarial plaque at th…

Therapeutic Strategies in Dermatology

Atopic Dermatitis: Clinical Cases

…immunosuppression (such as prednisone or cyclosporine) if the disease is worsening Case 3 Severe disease with superinfection 4-year-old child with long standing atopic dermatitis of the face, trunk, arms, and legs, now presenting with acute onset of…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

…nfant born at 37 weeks gestational age Presents with neonatal-onset annular violaceous scaly plaques on the face, scalp, and trunk Bilateral periocular lesions (raccoon eyes) Anti-Ro/SSA+ (mother is also anti-Ro+), Anti-La/SSB+ ANA+ (speckled pattern…

Therapeutic Strategies in Dermatology

Eosinophilic Fasciitis: Overview

…ilic fasciitis is 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 ye…

Therapeutic Strategies in Dermatology

Pemphigus Vulgaris: Overview

…nd-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 the circulating antiepithelial antibody should be determine…

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