Neutrophilic Eccrine Hidradenitis

Aug 11, 2016 by in Dermatology Comments Off on Neutrophilic Eccrine Hidradenitis

Treatment: Treatment is supportive. Underlying infections need to be treated adequately. The main goals are pain control and prevention of secondary infection. If the patient’s neutrophilic eccrine hidradenitis is caused…

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Necrobiotic Xanthogranuloma

Aug 11, 2016 by in Dermatology Comments Off on Necrobiotic Xanthogranuloma

Treatment: Therapy is difficult. No randomized prospective studies have been performed on this rare condition, so only anecdotal therapies have been reported. Topical and oral steroids have been somewhat successful….

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Necrobiosis Lipoidica

Aug 11, 2016 by in Dermatology Comments Off on Necrobiosis Lipoidica

Treatment: Treatment is typically initiated with the use of high-potency topical steroids. It may seem counterintuitive to treat an atrophic condition with topical corticosteroid creams, which can cause atrophy. In…

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Myxedema

Aug 11, 2016 by in Dermatology Comments Off on Myxedema

Treatment: Prompt recognition and diagnosis of myxedema is required. It is a fatal condition if left untreated, and myxedema coma is precipitated by a total lack of thyroid hormone. Thyroid…

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Morphea

Aug 11, 2016 by in Dermatology Comments Off on Morphea

Treatment: Therapy for localized morphea is not needed but can be attempted with topical corticosteroids, calcipotriene, and phototherapy. Linear morphea should be treated, because it has significant functional and cosmetic…

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Mast Cell Disease: Degranulation Blockers

Aug 11, 2016 by in Dermatology Comments Off on Mast Cell Disease: Degranulation Blockers

Antihistamines are the mainstay of therapy. The leukotriene inhibitors are also used as adjunctive therapy to the antihistamines. Cromolyn is a mast cell stabilizer that is not absorbed through the…

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Mast Cell Diesase

Aug 11, 2016 by in Dermatology Comments Off on Mast Cell Diesase

Measurement of the serum tryptase level is the most accurate means of screening for systemic involvement with mastocytosis. Levels in the normal range indicate cutaneous disease only; levels greater than…

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Lower Extremity Vascular Insu?ciency

Aug 11, 2016 by in Dermatology Comments Off on Lower Extremity Vascular Insu?ciency

Treatment: Venous insufficiency is treated with a combination of compression and leg elevation. Losing weight and increasing the activity level may also help. Arterial insufficiency is best treated surgically with…

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Lichen Planus

Aug 11, 2016 by in Dermatology Comments Off on Lichen Planus

Treatment: Isolated lesions can be treated with topical corticosteroids. Up to two thirds of skin lesions resolve spontaneously. Patients with widespread disease present a therapeutic challenge. Ultraviolet phototherapy, oral corticosteroids,…

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Lichen Simplex Chronicus

Aug 11, 2016 by in Dermatology Comments Off on Lichen Simplex Chronicus

Treatment: Therapy is often directed at breaking the itch-scratch cycle. This is attempted with a combination of topical high-potency corticosteroids and oral antihistamines or gabapentin. The sedating antihistamines work better…

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