Category: Dermatology
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42 year old woman presents with rash on her neck
42 year old woman presents with this rash on her neck. She complained of intense itching, pain and even stinging. You referred her to the local dermatologist who identified the cause of the rash using epicutaneous patch testing. Having identified the cause of the rash with, she was advised her about avoiding irritants, and prescribed mild-moderate potency…
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Use of oral steroids for severe contact dermatitis
Oral steroids are prescribed when there is extensive rash with facial swelling and severe itching making it hard to sleep. The steroids need to be prescribed for at least two to three weeks. Shorter duration will result in rebound effect and side-effects can occur with use more than 4 weeks. The correct answer here is 2-3 weeks. Click…
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SSA or Anti-Ro
When ANA is positive, SSA along with other antibodies are ordered to determine the underlying disease. SSA or Anti-Ro are antinuclear antibodies that are seen in the following conditions: Sjogren’s Syndrome Systemic Lupus Subacute Cutaneous Lupus Photosensitive Dermatitis SSA Antibodies are rare in other connective tissue diseases and rheumatoid arthritis. SSA presence is associated with:…
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Potency of Topical Steroid Creams or Ointments
Topical Steroids are categorized into seven groups with last group being least potent. Points to remember about topical steroids are: 1. Always start with the least potent product that can do the job as skin penetration varies in different ares of the body. 2. Ointments are more potent than creams except for the super potency…
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Who should get frequent skin examination?
1. Having family history of melanoma or skin cancer 2. Having Melanoma before 3. Previous skin cancer history 4. History of frequent sunburns 5. Tanning history or UV light exposure 6. Red hair 7. light hair 8. Fair skin 9. light colored eyes 10. History of atypical moles or nevi 11. Immunosuppressed or transplant patients
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Squamous Cell Carcinoma
Squamous Cell Carcinoma – Occurs in fair skin individuals – Usually in sun exposed areas – Second Most common skin cancer – Higher risk of spread to other areas – Increased risk of squamous cell carcinoma skin occurs with smoking, exposure to arsenic, ionizing radiation, ultraviolet light, and infection with human papillomavirus. Treatment: 1. Dermatology…
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Actinic Keratoses
Actinic Keratoses 1. Precancerous 2. Scaly appearance 3. Sun-exposed area 4. Can turn into squamous cell cancer 5. May resemble a benign condition called Squamous cell carcinoma in situ (Bowen disease) Treatment: 1. Dermatology consult 2. Biopsy 3. Local treatment mostly
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Basal Cell Cancer
Basal cell cancer: – Occurs in fair skin individuals – Usually in sun exposed areas – Most common skin cancer Types of basal cell cancers; 1. Noduar type and this is most common and not aggressive. 2. Superficial type is not aggressive but hard to see 3. Morpheaform type is aggressive 4. Infiltrative type is…