Dunphy Primary Care: Skin Questions with Answers Verified by Experts

Dunphy Primary Care: Skin Questions with
Answers Verified by Experts

Rosacea: How is it diagnosed? Diagnosis is based on physical exam




Rosacea: Management Topical Therapy: Metronidazole cream


Systemic Therapy: Abx (use caution)

Other therapies: Electrocautery; IPL




Atopic Dermatitis (Eczema): Signs and Symptoms Severe pruritus


Sometimes history of asthma or allergic rhinitis

Excoriated, erythematous, maculopapular lesions

Later rash is crusty, scaly, thickened




Atopic Dermatitis (Eczema): Management Nonpharm: Use only mild emollients; Caution

against using lotions and gels; Phototherapy

Pharm: Burrow's solution; Topical steroids; Immunomodulating agents

, Psoriasis: Signs and Symptoms Itchy, red, inflamed, dry, scaly plaques


Commonly on elbows, knees, buttocks, scalp

Occasional preceding strep throat infection

Erythematous plaques surrounded by thick silvery scales—not easily removed, may bleed when

removed




Psoriasis: Management Topical therapy: Emollient creams or ointments; Keratolytic

agents; Topical corticosteroids; Topical tar, anthralin, calcipotriene, tazarotene, calcineurin

inhibitors; UVB and PUVA therapy

Systemic therapy: Methotrexate; immunosuppressants; Immunomodulatory biological agents;

retinoids




Benign and Premalignant Skin lesions (Types, description, and treatments) Seborrheic

keratosis: Benign warty-appearing growths; tx with liquid nitrogen or mechanically remove

Premalignant actinic keratosis: rough or scaly rash may progress in years to squamous cell

carcinoma; topical therapy and/or cryosurgery




Malignant Melanoma: Identification A: asymmetry


B: border irregularity