Dermatology Feature Archives

Stat consult: Minor burns

Stat consult: Minor burns

The most common causes of minor superficial burns are sunburns and minor thermal injuries.

Photosensitivity diseases: a review of sun-exposed skin rashes

Photosensitivity diseases: a review of sun-exposed skin rashes

An overview of porphyrias, lupus erythematosus, rosacea, drug-induced photosensitivity, polymorphous light eruption, and solar urticaria.

Skin cancer detection: every clinician's responsibility

Skin cancer detection: every clinician's responsibility

More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.

Gorlin basal cell nevus syndrome: diagnosis and management

Gorlin basal cell nevus syndrome: diagnosis and management

Learn about nevoid basal cell carcinoma syndrome, including how to diagnose and manage this genetic condition.

Current and emerging medications for psoriasis

Current and emerging medications for psoriasis

A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.

Infantile hemangiomas: benign lesions with potential complications

Infantile hemangiomas: benign lesions with potential complications

Although usually benign, some infantile hemangiomas have complications that are potentially fatal or physically debilitating if untreated.

Laser therapy for onychomycosis of the toenails

Laser therapy for onychomycosis of the toenails


What is the mechanism of action for laser treatment for onychomycosis of the toenails?

Enlarging brown spots:
 a misdiagnosed solar lentigo?

Enlarging brown spots:
 a misdiagnosed solar lentigo?

This patient presented for the evaluation of enlarging brown spots.

More tips for poison ivy, oak, and sumac

More tips for poison ivy, oak, and sumac

Providers from across the country share clinical wisdom for the treatment of poison ivy, oak, or sumac rashes and abrasions.

Itchy red rash and 
periorbital swelling

Itchy red rash and 
periorbital swelling

A 38-year-old man presents to an
otolaryngology clinic with itchy eyes,
periorbital swelling, and an itchy red rash on his face and arms.

More treatment recommendations for poison ivy

More treatment recommendations for poison ivy


Tegaderm, Zanfel, and diluted bleach can all be used to treat poison ivy rashes.

A treatment approach 
for poison ivy

A treatment approach 
for poison ivy


For patients with poison ivy, decontamination should precede steroid treatment.

Multiple dermatologic rashes complicate psoriasis diagnosis

Multiple dermatologic rashes complicate psoriasis diagnosis

The dermatitis patient can be extremely complex in their presentation, as well as have multiple dermatoses complicating the diagnosis.

Managing anal fissures

Managing anal fissures

Anal fissures can be confused with hemorrhoids in everyday primary practice but require their own treatment protocol.

Psoriasis: When the 'usual suspect' therapy works

Psoriasis: When the 'usual suspect' therapy works

Topical corticosteroids and ultraviolet therapies are still proving to be strong competitors in psoriasis treatment.

Chronic vulvar itching and lichen sclerosus et atrophicus

Chronic vulvar itching and lichen sclerosus et atrophicus


A 51-year-old woman with chronic vulvar itching was diagnosed with lichen sclerosus et atrophicus.

A recurring, itchy, burning rash in a patient taking beta-blockers

A recurring, itchy, burning rash in a patient taking beta-blockers

Beta-blockers are known to induce or aggravate psoriasis and should be avoided in these patients whenever possible.

Abdominal rash spreads to entire trunk: making the diagnosis

Abdominal rash spreads to entire trunk: making the diagnosis


A 23-year-old white female had one lesion on her lower abdomen that spread to a rash over her entire trunk.

Cardiovascular risk factors may dictate psoriatic arthritis severity

Cardiovascular risk factors may dictate psoriatic arthritis severity

Half of the patients in the study were newly diagnosed with four or more symptoms of metabolic syndrome.

Could exposure to herpes zoster actually help clinicians?

Could exposure to herpes zoster actually help clinicians? 


Herpes zoster represents the emergence of latent virus, specifically the varicella virus.

Tretinoin or adapalene?

Tretinoin or adapalene?


The main difference between adapalene and tretinoin is tolerability.

What is it about dialysis that improves psoriasis?

What is it about dialysis that improves psoriasis?

Lymph node clues to conjunctivitis

Lymph node clues to conjunctivitis


The two most common forms of skin cancer

The two most common forms of skin cancer

The start of the "sun-worshipping season" is a good time to review the primary-care basics of basal cell and squamous cell carcinomas.

Does itching indicate healing?

Does itching indicate healing?

Is there science behind the saying that itching is a sign of healing in burn patients?

Is petroleum jelly toxic?

Is petroleum jelly toxic?

Petroleum jelly goes through vigorous purification processes to be considered noncarcinogenic.

The handyman's wart treatment

The handyman's wart treatment

Duct tape can be used to remove warts.

Save a life with early detection of melanoma

Save a life with early detection of melanoma

Brush up on the basics of preventing, recognizing and addressing melanoma among your patient ranks.

A spreading shin rash signifies systemic disease

A spreading shin rash signifies systemic disease

A "bruise" from a minor injury continues to linger for weeks.

April 2014 Dermatology CME/CE

April 2014 Dermatology CME/CE

Read the Dermatology Look Alike and two Dermatology Clinics and complete the post test to earn 0.50 CE credits for Nurse Practitioners or 0.5 AMA PRA Category 1 Credit for Physician Assistants.

Topical immunotherapy for alopecia areata

Topical immunotherapy for alopecia areata

Has squaric acid dibutylester (SADBE) been shown to be successful in managing alopecia areata?

Olive oil for a flaky scalp

Olive oil for a flaky scalp

Recommend this simple home treatment for kids with a dry, flaky scalp.

Tick-removal advice

Tick-removal advice


A simple trick to get ticks to let go.

Cold comfort for recurrent nosebleeds

Cold comfort for recurrent nosebleeds

Use a cold saline mist daily and during any acute episode of bleeding.

With multiple dermatofibromas, think lupus

With multiple dermatofibromas, think lupus

Multiple dermatofibromas hold clues for differential diagnoses.

Treatment options for women with facial hair

Treatment options for women with facial hair

What is the best, safest and most cost-effective treatment for women with excess body hair?

Hepatitis C and eczema

Hepatitis C and eczema


Several dermatologic manifestations of hepatitis C infection have been described.

Is it a wart or a callus?

Is it a wart or a callus?

The way pressure is applied to a lesion can help distinguish between these two common dermatologic complaints.

Standard classification of dysplastic nevi

Standard classification of dysplastic nevi

What are the standard follow-up recommendations for different levels of dysplasias?

Diagnosing mysterious recurring painful blisters

Diagnosing mysterious recurring painful blisters

A patient's deep appreciation for a quick diagnosis reminds me why I chose my profession.

October 2013 Dermatology CME

October 2013 Dermatology CME

Read the Dermatology Look Alike and two Dermatology Clinics and complete the post test to earn 0.50 CE credits for Nurse Practitioners or 0.50 CME credits for Physician Assistants.

Determining when to lance a skin abscess

Determining when to lance a skin abscess

How do you know when to lance and pack an abscess?

Punch out a pilar cyst

Punch out a pilar cyst

A tip for minimizing scarring after cyst removal.

The most common causes of hair loss among women

The most common causes of hair loss among women

When treating an adult female patient with the chief complaint of alopecia, 
the clinician should pay particular attention to the pattern of hair loss.

August 2013 Dermatology CME/CE

August 2013 Dermatology CME/CE

Urticating papules; A painless bleeding nodule on the shoulder; White dome-shaped facial papules.

Lab evaluation for pruritus

Lab evaluation for pruritus

How useful is blood work in finding the cause of unresponsive pruritus?

Early diagnosis of malignant melanoma

Early diagnosis of malignant melanoma

Surveillance on the part of primary-care clinicians is critical to the 
timely identification of cancerous lesions in at-risk individuals.

Look for the 'ugly' skin lesion

Look for the 'ugly' skin lesion

A tip for identifying problem lesions in patients with an abundance of moles and freckles.

Antifungal therapy in the elderly

Antifungal therapy in the elderly

What is the best treatment option for an elderly man with a two-year history of onychomycosis?

Salt therapy beneficial for respiratory conditions, psoriasis

Salt therapy beneficial for respiratory conditions, psoriasis

Warm saltwater gargles for sore throats and salt poultices for soft-tissue infections are two of many commonly used salt therapies.

Minimize reactions to transdermal patches

Minimize reactions to transdermal patches

Applying triamcinolone prior to a transdermal patch helps prevent contact dermatitis.

Determining the cause of a refractory lip blister

Determining the cause of a refractory lip blister

A patient returns after acyclovir fails to resolve a fever blister on the lip. What's the next step?

Gluten-free diet or vitamin D supplementation for psoriasis?

Gluten-free diet or vitamin D supplementation for psoriasis?

Would it be beneficial to give suprapharmacologic doses of vitamin D3 in cases of severe psoriasis?

Onychomycosis diagnosis

Onychomycosis diagnosis

What is the most sensitive test to use when trying to diagnose toenail fungus?

Chronic use of OTC topical corticosteroids

Chronic use of OTC topical corticosteroids

Is there any danger of systemic effects from chronic use of OTC steroid creams and/or ointments?

A handy guide to measurements

A handy guide to measurements

Approximate proportions of skin rashes and lesions using your hand.

The ABCs of shaving

The ABCs of shaving

Advice for preventing shaving-related chafing, itching, bumps and lesions.

Try GERD medication for pediatric molluscum

Try GERD medication for pediatric molluscum

A medication for gastrointestinal disorders can help resolve pediatric skin lesions caused by a benign viral infection.

Treating scrotal dermatitis

Treating scrotal dermatitis

What treatment do you recommend for scrotal dermatitis?

Acute renal failure related to topical acyclovir

Acute renal failure related to topical acyclovir

Is it common to see renal failure triggered by high doses of topical acyclovir?

Painful skin ulcer ­develops in older woman on dialysis

Painful skin ulcer ­develops in older woman on dialysis

Metastatic calcification of the left 
breast in a patient with renal failure 
raises suspicion.

Improving melanoma awareness in men

Improving melanoma awareness in men

Men typically seek treatment after melanoma has already progressed to later stages, accounting for higher mortally rates compared with women.

Asymptomatic red lesions

Asymptomatic red lesions

Two patients present with asymptomatic red lesions -- a 60-year-old man, whose lesion was present for five years before beginning to bleed, and a 27-year-old man whose lesion doubled in size during a two year period. Can you differentiate between the two?

Briakinumab bests methotrexate for psoriasis

Briakinumab appears to reduce the severity of psoriasis better than methotrexate in patients with moderate or severe disease.

Bimalar facial rashes

Bimalar facial rashes

A 54-year-old nurse and a 26-year old woman both present with bimalar facial rashes caused by two different things. Can you tell the difference?

Smartphone apps screen for melanoma

Smartphone apps screen for melanoma

Smart phones or tablets are being used to revolutionize clinical diagnosis and patient care, but they pose a number of risks and benefits.

Trunk rashes with central clearing

Trunk rashes with central clearing

Two patients present with oval-shaped plaques with central clearing on the trunk. Can you tell the difference?

Growing skin plaques with scale

Growing skin plaques with scale

Two patients present to the dermatology clinic with scaly pruritic lesions on the forearm. Can you differentiate between the two?

Diffuse erythematous papules

Diffuse erythematous papules

A 3-year-old boy and 45-year-old man present separately to the dermatology clinic with similar looking erythematous rashes. Can you differentiate between the two?

How prevalent is vitamin D deficiency among Hispanics?

Should clinicians routinely check vitamin D levels in Hispanic patients as they do in others?

Linear pink plaques

Linear pink plaques

Two patients present to the dermatology clinic with pink rashes — one with a hyperpigmented rough patch on the nose, the other with pink papules in a linear pattern on the lateral thigh.

Yellow processes on the face

Yellow processes on the face

A patient presents with a yellow plaque on her left eyelid and a yellow papule on her left cheek. Are the two related?

Updated information 
on MRSA infections

Updated information 
on MRSA infections

The number of hospital-acquired MRSA infections is down; however, 
community-acquired MRSA infections continue to rise.

Safe periocular steroid use for eyelid dermatitis

Safe periocular steroid use for eyelid dermatitis

What kind of steroid cream is safe for dermatitis of the eyelid and periorbital area, and how long can it be used?

Maintain precision when apply medications to the scalp

A simple tip to help you keep scalp medications where they belong, instead of saturating the hair.

Is this rash related to terbinafine?

A patient taking terbinafine for onychogryphosis developed a fine pruritic rash over sun exposed body areas while on vacation. Could the drug be to blame?

Newly developed brown papules

Newly developed brown papules

Two patients present with newly developed brown papules. The first patient, a 45-year-old man, presented with a new mole that continues to grow and is associated with occasional pruritus and bleeding. The second patient, a 47-year-old man, presented with a 6-month history of a brown, growing "mole." Can you differentiate between the two?

Discoid lupus erythematosus laboratory follow-up

How often should blood tests be repeated to rule out systemic lupus erythematosus (SLE) in a patient positive for discoid lupus erythematosus (DLE)?

Can a gluten-free diet tame inflammation?

Is there a connection between celiac disease (CD) and inflammation?

Diagnosing scalp conditions

How can clinicians tell the difference between seborrheic dermatitis and scalp psoriasis?

Differentiating between types of intertriginious warts

Which type of human papillomavirus (HPV) is associated with nonmucosal, condyloma acuminatum-appearing warts found under the pannus in intertriginous areas?

New-onset alopecia in women

What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?

Burning rash spreads from the trunk to the rest of the body

Burning rash spreads from the trunk to the rest of the body

A Fite stain leads to the correct diagnosis of these lesions in a man originally from Micronesia.

When to treat or refer a burn-injured patient

When to treat or refer a burn-injured patient

Guidelines from the American Burn Association provide a reliable road map for the assessment and treatment of these challenging injuries

Etiology of bilateral lower-extremity edema

Did a drug reaction cause bilateral lower-extermity edema in a patient with pityriasis rubra pilaris?

Pustular facial eruptions

Pustular facial eruptions

Two patients present with facial pustules, a 35-year-old man and an 18-year old woman. Can you differentiate between these two different dermatologic conditions?

Nasal spray to reduce skin irritation

Clinician shares an unexpected dermatologic use for fluticasone.

Clinical certification programs: Which are right for you?

With ongoing changes in the healthcare field, certification demonstrates an advanced level of knowledge and skills in a specialty practice area.

Infant hand and foot blisters

Infant hand and foot blisters

Two patients present with blisters. One has bilateral blister formation on the dorsum of the hands, the other has blisters on the foot, face and diaper regions. Can you differentiate between the two?

Easing painful cryotherapy

Reducing pain among patients undergoing cyrotherapy for warts on sensitive areas.

Hair loss in an adult and a child

Hair loss in an adult and a child

Two patients present with hair loss. The first, a 55-year-old gay man presented with patchy-scalp hair loss. The scalp did not itch, burn or hurt, and was not scaly. The other patient, an 8-year-old boy with a several month history of hair loss and palpable lymph nodes. Can you differentiate between the two?

Blisters on the hands and fingers of a woman with discolored urine

Blisters on the hands and fingers of a woman with discolored urine

Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.

Treatments for granuloma annulare

A clinician contemplates dapsone for granuloma annulare. Should other treatments be considered?

MRSA infections not limited to hospitals

MRSA infections not limited to hospitals

The Infectious Diseases Society of America's first treatment guidelines on this topic focus on the management of community-acquired infections.

Infectious vs. noninfectious perioral dermatitis

How does one differentiate between infectious and noninfectious perioral dermatitis in the absence of systemic symptoms?

When is it OK for a clinician to return to work after MRSA?

What treatment and/or confirmatory testing are required before a health-care professional who has been diagnosed with MRSA infection can resume working with patients?

Managing dermatitis

Are topical steroids appropriate for chronic psoriasiform dermatitis?

Keratotic palms paired with brittle nails

Keratotic palms paired with brittle nails

A 42-year-old man presented with abnormally thick skin of the palms.

Nonhealing hand ulcer turns erythematous

Nonhealing hand ulcer turns erythematous

A woman aged 34 years was referred for treatment of a recurrent, painful, nonhealing ulcer of six months' duration on her left hand.

A young girl's painful rash

A six-year-old girl has been suffering from rashes on the face, chest, and trunk that occur for a week or two, then clear only to recur the next month.

Sign Up for Free e-newsletters