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
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
