Papulosquamous Eruptions

1
(No Transcript)
2
Tinea Versicolor
3
Tinea VersicolorTreatment

• Relief is temporary and recurrences are common
• Hypopigmented areas will take seveal months to
  repigment

4
Medications

• Selenium sulfide shampoos
• Wash, leave on for 10 minutes.
• Topical miconazole, clotrimazole, econazole,
  ciclopirox BID for 14 days.
• Topical ketoconazole qD for 14 days.
• Oral ketoconazole, 400mg. Take med, sweat hard,
  dont wash x 24 hours. May repeat every month
  PRN.

5
Doc, I got this thick silvery shtuff on my skin...
6
(No Transcript)
7
(No Transcript)
8
Psoriasis
9
Inverse psoriasis
10
(No Transcript)
11
Guttate Psoriasis
12
(No Transcript)
13
(No Transcript)
14
(No Transcript)
15
Psoriasis treatment

• Strongly consider derm consult
• High potency topical steroids
• PUVA, UVB and tar
• Immunomodulators
• (e.g., methotrexate, cyclosporine)
• Whole talk in itself

16
Another rash, this time on the wrists (Ah ha)
17
(No Transcript)
18
(No Transcript)
19
Lichen Planus
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
(No Transcript)
25
(No Transcript)
26
Lichen PlanusTreatment

• Topical steroids, high potency initially.
• Intralesional steroids
• Antihistamines
• PUVA for generalized LP
• Kenalog in orabase for oral lesions on buccal
  mucosa (Wickhams striae)

27
Overweight patient with bumps on the back of the
arms over triceps muscle
28
(No Transcript)
29
Keratosis pilaris
30
(No Transcript)
31
(No Transcript)
32
(No Transcript)
33
Quiz time
34
What is this? Go through the Differential Dx
before answering.
35
And this? Location volar surface of wrist.
Differential Diagnosis?
36
How about this one?
37
(No Transcript)
38
(No Transcript)
39
Write down for me the differential diagnosis of a
2 cm scaly plaque. No further info.
40
The end