Search Results for: scale-crust

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

…casts (circumferential keratinous bands that easily slide up and down the hair shaft), seborrheic dermatitis (loose, greasy scale that is very loosely adherent to hair, if at all), and a superficial fungal infection of the hair shaft. It is…

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…

Therapeutic Strategies in Dermatology

Psoriasis: Principles of Psoriasis Management

…e of emollients to soften and hydrate the epidermis is a cornerstone of psoriasis therapy. Keratolytics. These agents remove scale, soften plaques, and enhance penetration of other therapies. They are most effective when used after adequate…

Therapeutic Strategies in Dermatology

Chondrodermatitis Nodularis Helicis: Key Points

…more common than recognized in the literature, due to underreporting. CNH occurs as a very painful ulceration, which may be crusted, arising almost invariably on the helix or antihelix of the ear. Some CNH lesions may appear dome shaped or have a…

Therapeutic Strategies in Dermatology

Bullous Pemphigoid: Clinical Case

…trunk, abdomen, and proximal extremities Numerous tense intact bullae and scattered erosions with some dried adherent serous crust Diagnosis: Bullous pemphigoid If dermatology consultation is available, given presence of bulla and the widespread…