Superficial Dermatology for the internist. ACNE VULGARIS.

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Presentation transcript:

Superficial Dermatology for the internist

ACNE VULGARIS

Acne Vulgaris

ACNE VULGARIS

Acne Vulgaris Pathophysiology

Acne Vulgaris

ACNE VULGARIS

Actinic Keratoses

Alopecia Androgenetica

Alopecia areata

Tinea capitis

Treatment of Alopecia Androgenetica Minoxidil – topical 5% for men, 2% for women Finasteride

Atopic dermatitis

topical steroids Weak Hydrocortisone 1% Slightly stronger Hydrocortisone 2.5% Medium Potency Triamcinolone Kenalog Medium Strong Fluocinide Lidex Super Potent Clobetasol Betamethasone

Contact dermatitis

Hand dermatitis

Hand Dermatitis

Pompholyx

Contact hand dermatitis

Psoriasis

Tinea Manum

Tinea Manuum

Hand dermatitis Pompholyx, Contact, Psoriasis, v. Tinea Steroids v. antifungal v. both Check the rest of the body, exposure hx, KOH

Folliculitis

Herpes Simplex

Herpes Simplex Treatment Accelerate regression, reduce pain Oral superior to topical Acyclovir 200 5X/day x 7d Valacyclovir 500 tid x 7d Prophylaxis? Transmission issues

Herpes Zoster

Herpes Zoster - Treatment Prevent bacterial superinfection Antivirals Acyclovir 800mg 5x/day x 7-10 days Valacyclovir 1gm tid Famcyclovir 500mg tid Prednisone 60 mg/day x 7d followed by slow taper

Onychomycosis

Terbinafine 250 mg qd Itraconazole 300 mg qd Fluconazole mg/weekly

Psoriasis

Seborrheic Dermatitis

Seborrheic Keratosis

Skin tag

tinea corporis

Tinea cruris

Tinea pedis

Tinea Versicolor