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Therapeutic Strategies in Dermatology

Allergic Contact Dermatitis: Key Points

…ies can be informed by a careful history, including timing of onset of symptoms. Allergic contact dermatitis is caused by a delayed-type hypersensitivity (DTH), or Type IV hypersensitivity, reaction to an allergen. Treatment necessitates avoidance of…

Therapeutic Strategies in Dermatology

Lichen Planus: Clinical Cases

…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 (…

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

Erysipelas/Cellulitis: Clinical Cases

…nic in 10 days (resolved) Case 2 40-year-old woman Rapid onset of erythema and swelling of the left ear Febrile, feels unwell No history of trauma to the ear No topical medications or cosmetics applied to the ear Initial evaluation Systemicall…

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

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…

Therapeutic Strategies in Dermatology

Photosensitivity Dermatoses: Overview

…een (see below). Encourage all patients with photosensitivity diseases to use maximal sun protection, which must include an SPF 30 or higher sunscreen with ingredients that shield against both UVB and UVA. In those patients sensitive to visible light…

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 onse…

Therapeutic Strategies in Dermatology

Drug Eruptions: Clinical Cases

Clinical Cases Case 1 16-year-old girl with history of cutaneous wound infection Presents with morbilliform eruption 6 days after starting cephalosporin antibiotic No systemic symptoms Reports pruritus Initial evaluation Patient is well-appear…

Therapeutic Strategies in Dermatology

Borreliosis (Lyme Disease): Clinical Cases

…d 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…

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