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Therapeutic Strategies in Dermatology

Necrobiosis Lipoidica Diabeticorum: Overview

Overview Lesions of necrobiosis lipoidica diabeticorum (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…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Key Points

Key Points Pediculosis, or louse infestation, is a common clinical issue that is of limited morbidity but significant public health concern, especially in school-age children. Humans may be parasitized by three louse types: body lice, head lice, an…

Therapeutic Strategies in Dermatology

Xerosis: Overview

…ed pruritus, and occasionally, nummular dermatitis. The recent onset of generalized xerosis, with or without pruritus, can reflect underlying metabolic or neoplastic disease. Recalcitrant xerosis with secondary pruritus can be the harbinger of system…

Therapeutic Strategies in Dermatology

Erysipelas/Cellulitis: Clinical Cases

Clinical Cases Case 1 21-year-old male History of trauma to the leg while playing sports Three days later developed progressively worsening redness and warmth around the site of trauma Febrile, feels unwell No prior medical history Initial eval…

Therapeutic Strategies in Dermatology

Chronic Bullous Disease of Childhood: Overview

…ted disorder, patient comfort rather than total suppression of disease activity is the therapeutic goal. Accept limited disease activity, and do not overtreat with steroids or sulfones in relatively recalcitrant cases. Screen all patients for G6PD ac…

Therapeutic Strategies in Dermatology

Lupus: Clinical Cases

Clinical Cases Case 1 31-year-old woman with recurrent lesions on cheeks and scalp Negative workup for systemic lupus erythematosus (recent) Lesions are itchy, exacerbated by sun exposure No current treatment Initial evaluation Diagnosis: Disc…

Therapeutic Strategies in Dermatology

Eosinophilic Fasciitis: Overview

Overview Eosinophilic 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…

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 ons…

Therapeutic Strategies in Dermatology

Rosacea: Management of the Patient with Rosacea

…ise systemic isotretinoin treatment. Rosacea fulminans (sudden onset of coalescent papules, pustules, nodules) may occur during pregnancy, thyroid diseases, depression, emotional stress, induced by medications. This exacerbation may require use of sy…

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