Dermatology Feature Archives
In Case 1, 55-year-old man presents to the clinic with multiple tense bullae diffusely involving his trunk and extremities that overlie urticarial plaques. In Case 2, 40-year-old African American man presented to the clinic with a few small flaccid blisters as well as multiple crusted erosions and some areas of post-inflammatory hyperpigmentation on his back and in the creases of his elbows.
A patient presents with asymptomatic hyperpigmented plaques on the neck and upper trunk that have persisted for several weeks despite rigorous scrubbing with soap and water.
Although the American Academy of Dermatology recommends the direct application of emollients to the skin in patients with atopic dermatitis, the addition of oils, emollients, or other additives to bath water is not recommended due to insufficient evidence regarding their efficacy.
A 44-year-old woman presents to her local emergency department after 5 days of persistent fever, productive cough, and worsening dyspnea on exertion.
A 33-year-old man presents to the emergency department for 6 small spots on his chest, arms, and legs that gradually grew in diameter after using a topical cream and cephalexin.
The most common causes of minor superficial burns are sunburns and minor thermal injuries.
An overview of porphyrias, lupus erythematosus, rosacea, drug-induced photosensitivity, polymorphous light eruption, and solar urticaria.
More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.
Learn about nevoid basal cell carcinoma syndrome, including how to diagnose and manage this genetic condition.
A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.
Although usually benign, some infantile hemangiomas have complications that are potentially fatal or physically debilitating if untreated.
What is the mechanism of action for laser treatment for onychomycosis of the toenails?
This patient presented for the evaluation of enlarging brown spots.
Providers from across the country share clinical wisdom for the treatment of poison ivy, oak, or sumac rashes and abrasions.
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.
Tegaderm, Zanfel, and diluted bleach can all be used to treat poison ivy rashes.
For patients with poison ivy, decontamination should precede steroid treatment.
The dermatitis patient can be extremely complex in their presentation, as well as have multiple dermatoses complicating the diagnosis.
Anal fissures can be confused with hemorrhoids in everyday primary practice but require their own treatment protocol.
Topical corticosteroids and ultraviolet therapies are still proving to be strong competitors in psoriasis treatment.
A 51-year-old woman with chronic vulvar itching was diagnosed with lichen sclerosus et atrophicus.
Beta-blockers are known to induce or aggravate psoriasis and should be avoided in these patients whenever possible.
A 23-year-old white female had one lesion on her lower abdomen that spread to a rash over her entire trunk.
Half of the patients in the study were newly diagnosed with four or more symptoms of metabolic syndrome.
Herpes zoster represents the emergence of latent virus, specifically the varicella virus.
The main difference between adapalene and tretinoin is tolerability.
The start of the "sun-worshipping season" is a good time to review the primary-care basics of basal cell and squamous cell carcinomas.
Is there science behind the saying that itching is a sign of healing in burn patients?
Petroleum jelly goes through vigorous purification processes to be considered noncarcinogenic.
Duct tape can be used to remove warts.
Brush up on the basics of preventing, recognizing and addressing melanoma among your patient ranks.
A "bruise" from a minor injury continues to linger for weeks.
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.
Has squaric acid dibutylester (SADBE) been shown to be successful in managing alopecia areata?
Recommend this simple home treatment for kids with a dry, flaky scalp.
A simple trick to get ticks to let go.
Use a cold saline mist daily and during any acute episode of bleeding.
Multiple dermatofibromas hold clues for differential diagnoses.
What is the best, safest and most cost-effective treatment for women with excess body hair?
Several dermatologic manifestations of hepatitis C infection have been described.
The way pressure is applied to a lesion can help distinguish between these two common dermatologic complaints.
What are the standard follow-up recommendations for different levels of dysplasias?
A patient's deep appreciation for a quick diagnosis reminds me why I chose my profession.
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.
How do you know when to lance and pack an abscess?
A tip for minimizing scarring after cyst removal.
When treating an adult female patient with the chief complaint of alopecia, the clinician should pay particular attention to the pattern of hair loss.
Urticating papules; A painless bleeding nodule on the shoulder; White dome-shaped facial papules.
How useful is blood work in finding the cause of unresponsive pruritus?
Surveillance on the part of primary-care clinicians is critical to the timely identification of cancerous lesions in at-risk individuals.
A tip for identifying problem lesions in patients with an abundance of moles and freckles.
What is the best treatment option for an elderly man with a two-year history of onychomycosis?
Warm saltwater gargles for sore throats and salt poultices for soft-tissue infections are two of many commonly used salt therapies.
Applying triamcinolone prior to a transdermal patch helps prevent contact dermatitis.
A patient returns after acyclovir fails to resolve a fever blister on the lip. What's the next step?
Would it be beneficial to give suprapharmacologic doses of vitamin D3 in cases of severe psoriasis?
What is the most sensitive test to use when trying to diagnose toenail fungus?
Is there any danger of systemic effects from chronic use of OTC steroid creams and/or ointments?
Approximate proportions of skin rashes and lesions using your hand.
Advice for preventing shaving-related chafing, itching, bumps and lesions.
A medication for gastrointestinal disorders can help resolve pediatric skin lesions caused by a benign viral infection.
What treatment do you recommend for scrotal dermatitis?
Is it common to see renal failure triggered by high doses of topical acyclovir?
Metastatic calcification of the left breast in a patient with renal failure raises suspicion.
Men typically seek treatment after melanoma has already progressed to later stages, accounting for higher mortally rates compared with women.
Briakinumab appears to reduce the severity of psoriasis better than methotrexate in patients with moderate or severe disease.
Smart phones or tablets are being used to revolutionize clinical diagnosis and patient care, but they pose a number of risks and benefits.
Two patients present with oval-shaped plaques with central clearing on the trunk. Can you tell the difference?
Two patients present to the dermatology clinic with scaly pruritic lesions on the forearm. Can you differentiate between the two?
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?
Should clinicians routinely check vitamin D levels in Hispanic patients as they do in others?
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.
A patient presents with a yellow plaque on her left eyelid and a yellow papule on her left cheek. Are the two related?
The number of hospital-acquired MRSA infections is down; however, community-acquired MRSA infections continue to rise.
What kind of steroid cream is safe for dermatitis of the eyelid and periorbital area, and how long can it be used?
A simple tip to help you keep scalp medications where they belong, instead of saturating the hair.
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?
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?
How often should blood tests be repeated to rule out systemic lupus erythematosus (SLE) in a patient positive for discoid lupus erythematosus (DLE)?
Is there a connection between celiac disease (CD) and inflammation?
How can clinicians tell the difference between seborrheic dermatitis and scalp psoriasis?
Which type of human papillomavirus (HPV) is associated with nonmucosal, condyloma acuminatum-appearing warts found under the pannus in intertriginous areas?
What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?
A Fite stain leads to the correct diagnosis of these lesions in a man originally from Micronesia.
Guidelines from the American Burn Association provide a reliable road map for the assessment and treatment of these challenging injuries
Did a drug reaction cause bilateral lower-extermity edema in a patient with pityriasis rubra pilaris?
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?
Clinician shares an unexpected dermatologic use for fluticasone.
With ongoing changes in the healthcare field, certification demonstrates an advanced level of knowledge and skills in a specialty practice area.
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?
Reducing pain among patients undergoing cyrotherapy for warts on sensitive areas.
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?
Mild hypertrichosis and hyperpigmentation of the face were also noted, and plasma porphyrins were grossly elevated.
A clinician contemplates dapsone for granuloma annulare. Should other treatments be considered?
The Infectious Diseases Society of America's first treatment guidelines on this topic focus on the management of community-acquired infections.
How does one differentiate between infectious and noninfectious perioral dermatitis in the absence of systemic symptoms?
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?
Are topical steroids appropriate for chronic psoriasiform dermatitis?