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Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Initial Evaluation

…thick crust on the scalp are typical affected areas. Seborrheic dermatitis can also present as erythematous papules without scale. The distribution of affected areas on the face (nasolabial folds, medial cheeks, chin, and glabella and forehead) and…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Principles of Seborrheic Dermatitis Management

…e. For ears, consider a low-potency corticosteroid lotion. For eyelashes, use baby shampoo on a cotton ball to gently remove scale. For more severe cases, add a topical steroid. Seborrheic dermatitis of non-scalp regions is extremely…

Therapeutic Strategies in Dermatology

Seborrheic Dermatitis: Clinical Cases

Clinical Cases Case 1 Mild seborrheic dermatitis (face only) 65-year-old man long-standing erythema with overlying greasy scale on the nasolabial folds, melolabial folds, glabella, and chin Improves with sun exposure Initial treatment Ketoconazole…

Therapeutic Strategies in Dermatology

Warts: Clinical Cases

…ight (at home) Follow-up in 3 weeks 3-week follow-up evaluation Improved (lesion much smaller in size) Excess hyperkeratotic scale and dead skin debrided by scalpel Repeat cryosurgery and ongoing application of salicylic acid under occlusion…

Therapeutic Strategies in Dermatology

Hand Dermatitis: Treatment

…rkeratosis, topical lactic acid 5-12% or urea 10-40% preparations may be added to the above treatment. These will reduce the scale and enhance the penetration of the active agents. Subsequent steps Patients with severe recalcitrant hand dermatitis…

Therapeutic Strategies in Dermatology

Pediculosis (Lice): Initial Evaluation

…use of a dermatoscope. Lice can typically be found attached to the hair shaft and may sometimes mimic hemorrhagic crusts or scales. Pubic lice may also affect the eyelashes. [Pubic lice on eyelashes. Wikipedia.org….

Therapeutic Strategies in Dermatology

Actinic Keratosis (a.k.a. Solar Keratosis): Initial Evaluation

…ic keratoses are commonly very thin and may lack erythema, and are best discerned clinically by palpation rather than visual inspection. Actinic keratoses can present with a cutaneous horn, a column of hyperkeratotic scale lying over an ill-defined…

Therapeutic Strategies in Dermatology

Lichen Planus: Key Points

…of lichen planus is violaceous-to-purple, flat-topped polygonal papules, often with a white-to-lavender reticulate overlying scale (Wickham’s striae). They may occur in areas of prior trauma or injury (koebnerization). The prevalence of…

Therapeutic Strategies in Dermatology

Lichen Planus: Initial Evaluation

…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 (development of lesions at…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…ies and antifungal susceptibilities Follow-up at 6 weeks Follow-up evaluation Evaluation reveals persistent erythema, subtle scale, and alopecia KOH examination reveals persistent branching hyphae The fungal culture data is reviewed. The infection…

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