Itchy Mystery Rashes
|
|
|
- Nathaniel Fleming
- 5 years ago
- Views:
Transcription
1 Itchy Mystery Rashes Jenny Murase, MD Palo Alto Foundation Medical Group Director of Patch Testing University of California, San Francisco Associate Clinical Professor
2 Disclosures Consultant Grand Rounds ToxServices UpToDate Advisory Board Dermira UCB Ferndale
3 Objectives 1. Outline visual content clues or patient history elements to distinguish between forms of dermatitis in order to identify patients would benefit from patch testing 2. Provide diagnostic strategies to aid in distinguishing various forms of eczematous dermatitis
4 Two forms of Dermatitis Papulosquamous Skin barrier not broken Psoriasiform dermatitis (elongated rete ridges)
5 Two forms of Dermatitis Eczematous Skin barrier is compromised Spongiotic dermatitis (with eosinophils)
6 Papulosquamous Dermatitis Psoriasis Connective tissue disease
7 Papulosquamous Dermatitis Lichen planus Pityriasis rosea
8 Eczematous Dermatitis Atopic dermatitis Seborrheic dermatitis
9 Eczematous Dermatitis Scabies Tinea
10 Eczematous Dermatitis Allergic contact dermatitis Irritant contact dermatitis
11 Atopic Dermatitis patients are also susceptible to ICD and ACD. IRRITANT CONTACT Strips stratum corneum (protective layer of skin) Ex: Overwashing hands, soaps, alcohol sanitizer ALLERGIC CONTACT Allergic reaction (memory T cells) Fragrances, emulsifiers, surfactants, preservatives
12 Eczematous Dermatitis is often multifactorial in etiology.
13 Eczematous Dermatitis Nummular dermatitis Subacute prurigo
14 Eczematous Dermatitis Mycosis fungoides Bullous pemphigoid
15 Eczematous Dermatitis Drug Eruption Dermatitis Herpetiformis
16 Sometimes this can be difficult to distinguish on clinical exam. Papulosquamous (psoriasis) Eczematous (atopic dermatitis)
17 How do we tell eczema from psoriasis? Location, location, location (and biopsy)
18 Our atopic patient I feel like I am allergic to my own sweat.
19 Atopic Dermatitis Personal or family history of: -Asthma -Allergic rhinitis -Atopic dermatitis as a child -Food allergies
20 American Academy of Dermatology Atopic Dermatitis Video 1) Inflammation 2)Disruption of Skin Barrier Aggravating Factors: -Allergens -Bacteria -Heat/Dry Environments -Emotional Stress
21 We can use barrier repair to tell psoriasis and eczema apart! Eczematous dermatitis responds extremely well to barrier repair; papulosquamous dermatitis not so much (topical steroids only go so far in psoriasis patients) Barrier repair = EMOLLIATION (and topical steroids) NOT PREDNISONE
22 A word on PREDNISONE and ECZEMA Without emolliation (repair of the skin barrier), it is like using Heroin for depression Prednisone for pneumonia Vodka for delirium tremens It will suppress the condition, but it may come back with a vengeance!
23 SOAK AND SMEAR REGIMEN 1) Mix: Vanicream (7.5 oz) and clobetasol ointment (2 oz) in a bowl 2) Soak in WARM (not hot!) water bathtub for 15 minutes [1 cup vinegar or 1/4 cup bleach q3d] 3) Pat dry 4) Smear above mix from neck down 5) Do 2x/day for 1 week 6) After 1 week, decrease to 1x/day 7) After 2 weeks, decrease to 1x every other day
24 Common mystery referrals 1) Eczematous psoriasis overlap 2) Perioral dermatitis, rosacea, seborrheic dermatitis??? 3) Recalcitrant hand dermatitis 4) Erythroderma
25 History 34 yo male presented with rash on bilateral arms, responded to prednisone taper or IM kenalog and clobetasol -Started after azithromycin antibiotic -Biopsy: Impetiginized LSC (Lichen Simplex Chronicus) in background of nummular dermatitis vs. atopic dermatitis -Two months later: photodistributed and around umbilicus -Biopsy: Pustular dermatitis c/w pustular drug (eosinophils and lichenoid infiltrate)
26 History Annular plaque on arm was KOH positive (frequent use of topicals predisposes patients to tinea!) Nickel sensitive can contribute (especially if having foods high in nickel); history of rash when plating copper and nickel Sun protection important since pt has Peruvian blood (increased risk of PMLE = Polymorphous Light Eruption)
27 Aren t we so glad we finally know what is going on! Treated UV protection (UV beads), terbinafine 250 qd x 4 weeks, doxycycline for staph But... Within a few weeks he developed full body eruption... and it keeps coming back (requiring multiple IM kenalog)
28 Interim history Biopsy: Psoriasiform dermatitis with dense lichenoid infiltrate & superimposed LSC DIF: Focal intercellular staining w/ IgG; IIF neg Patch test results: Nickel, cobalt, and Fragrance Methyldibromo glutaronitrile phenoxyethanol Iodopropynl butyl carbamate Black rubber mix!! (airborne? when he works in commercial refrigeration and air conditioning) Aren t we so glad we finally know what is going on!
29 But... Despite protection of arms it keeps coming back; no longer working in commercial industry Pt convinced it is related to beer Low nickel diet Controlled with mycophenolate and IM kenalog Using hypoallergenic products (only from CAMP) But it keeps returning and then really starts to flare; topical cortisones appear to no longer be working...
30 Textile series: Positive to melamine formaldehyde in two locations!
31 Aren t we so glad we finally know He changes his uniform and gets IM kenalog For immunosuppression, given his positive quantiferon, took 9 months of isoniazid. But... what is going on! Within a few weeks it returns despite mycophenolate mofetil. He thinks that it might be celiac since beer has barley.
32 Interim history GI workup: Moderately elevated antigliaden IgA (14 = equivocal); IgG was normal; TTG was negative. Antiendometrial antibody negative; Biopsy of upper GI tract showed duodenal mucosa with regenerative/reactive changes Biopsy for DIF negative Allergy workup: For foods positive for beef, string bean, lettuce (borderline to corn)
33 Interim history We decide since primary morphology is papulosquamous we will start methotrexate. He likes this medication and feels it works. Gets MSSA abscess on face and starts doxycycline daily Periodic IM kenalog
34 So, what exactly is going on? Psoriasis with multiple contact allergies and PMLE predisposition Patients can have mixed morphologies: Eczematous dermatitis and urticaria Papulosquamous and eczematous dermatitis Select therapies based on the primary morphology. Explain to patients by distinguishing Diagnostic and Therapeutic options Exogenous and Endogenous sources
35 Perioral dermatitis Acneiform (rosacea) Topical ivermectin Oral antibiotics Topical sulfur Dermatitic (seborrheic dermatitis) Topical pimecrolimus Patch testing
36 Rosacea variant #1 22 yo female who periodically breaks out with pustules covering her face. Cultures are always negative.
37 Demodex folliculitis History of lupus; on prednisone 5 mg daily and mycophenolate mofetil Previous bacterial and viral cultures negative Recurred every few months; responded to hibiclens, desoximetasone, doxycycline or keflex, Burow s, mupirocin Best course of action: ivermectin and/or topical sulfur and wet prep
38 Acneiform Eruptions on Face vs. Scalp Face think demodex (mite) Scalp think pityrosporum (yeast)
39 Neurogenic Rosacea Propranolol XL mg Nicotinamide 500 mg bid Hydroxychloroquine 400 mg qd 2700 mg neurontin Nortriptyline mg Duloxetine 30 mg bid Marinol 2.5 mg bid
40 Vesiculobullous hand dermatitis Hyperkeratotic hand dermatitis VB -atopic -vesicles -men -steroids -patch testing HK -psoriasis -fissures -women -tar -light
41 PROTECTION AND MOISTURIZATION Irritant contact - water, soap Allergic contact Moisturize: small amount throughout the day! Luke-warm water Mild soap Cotton, vinyl gloves when cooking, handling corrosive substances Leather gloves in cold Use medications sparingly
42 Common mystery referrals Palms Dorsal hands
43 Dorsal hands: think psoriasis, lupus, dermatomyositis, photo, AND allergic contact (biopsy?) Allergic contact dermatitis to textile allergens! (It is easier to work backwards)
44 Conclusion 1. Use clinical clues or biopsy to distinguish between eczematous and papulosquamous disease 2. Clarify terminology with the patient do that they can understand how to distinguish between diagnoses (seb derm, rosacea, perioral dermatitis) 3. Appropriately patch test patients with dermatitic perioral dermatitis and vesiculobullous hand dermatitis
Contact Dermatitis In Atopic Patients
Contact Dermatitis In Atopic Patients Jenny Murase, MD Palo Alto Foundation Medical Group Director of Patch Testing University of California, San Francisco Associate Clinical Professor Disclosures Consultant
Allergic versus Contact
Allergic versus Contact Dermatitis Julie Sterbank, DO Assistant Clinical Professor Allergy/Immunology MetroHealth Medical Center/Case Western Reserve University Disclosure I have no financial disclosures
An Approach to Common and not so Common Rashes in the Office FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc
An Approach to Common and not so Common Rashes in the Office FMF 2014 Christie Freeman MD, CCFP, DipPDerm, MSc 1 Common Rashes Tinea Corporis: Annular- this is not the only criteria Advancing erythematous
My Algorithm. Questions to ask. Do you or your family have a history of?... Allergic rhinitis, Sensitive skin, Asthma Skin Cancer
Tracey C. Vlahovic, DPM Associate Professor, Temple University School of Podiatric Medicine My Algorithm Inflammatory Skin Disorder on Feet Family hx, clinical exam, look at hands! Defined plaques: Psoriasis
What to do when patch testing is negative?
What to do when patch testing is negative? Christen M. Mowad MD Clinical Professor of Dermatology Geisinger Medical Center Danville, PA 17821 cmowad@geisinger.edu I have no disclosures. What to do when
Patching the Gaps in Our Diagnostic Knowledge. By Tyler Hooton MS3 UWSOM
Patching the Gaps in Our Diagnostic Knowledge By Tyler Hooton MS3 UWSOM Disclosures The author has no financial disclosures or conflicts of interest The following patient has given permission for this
Conflicts of interest
Vulvar Cases 2 nd PANHELLANIC CONGRESS on Lower Genital Tract Disorders December 14-16 Grand Hyatt Athens Lynette J. Margesson MD FRCPC Assistant Professor of Obstetrics & Gynecology and Surgery(Dermatology)
Rash Decisions Approach to the patient with a skin condition
National Conference for Nurse Practitioners April 25, 2014 Rash Decisions Approach to the patient with a skin condition Margaret A. Bobonich, DNP, FNP C, DCNP, FAANP Assistant Professor, Case Western Reserve
Facial Rash. Facial Rash 10/14/2013. Ten Look Alike Rashes Michelle DiBaise, MPAS, PA-C, DFAAPA Associate Clinical Professor NAU PA Program
Ten Look Alike Rashes Michelle DiBaise, MPAS, PA-C, DFAAPA Associate Clinical Professor NAU PA Program Facial Rash Facial Rash Case 1 28 year female Progressive development of erythematous facial lesions
DESCRIPTIONS FOR MED 3 ROTATIONS Dermatology A3S
Regardless of your future field of practice, you will be exposed to a considerable amount of dermatology and this rotation provides you the chance to see a range of skin diseases. You will have the opportunity
Learning Circle: Jan 26, 2011 Childhood Eczema
Learning Circle: Jan 26, 2011 Childhood Eczema Wingfield Rehmus, MD MPH BC Children s Hospital Clinical Assistant Professor, UBC Department of Paediatrics Associate Member, UBC Department of Dermatology
Eczema & Dermatitis Clinical features: Histopathological features: Classification:
Eczema & Dermatitis Eczema is an inflammatory reactive pattern of skin to many and different stimuli characterized by itching, redness, scaling and clustered papulovesicles. Eczema and dermatitis are synonymous
Table of Contents: Part 1 Medical Dermatology. Chapter 1 Acneiform Disorders. Acne. Acne Vulgaris. Pomade Acne. Steroid Acne
Table of Contents: Part 1 Medical Dermatology Chapter 1 Acneiform Disorders Acne Acne Vulgaris Pomade Acne Steroid Acne Infantile Acne Pediatric Perspectives Neonatal Acne (Acne Neonatorum) Pediatric Perspectives
The Itch That Rashes. Sarah D. Cipriano, MD, MPH, MS Resident, Dermatology University of Utah
The Itch That Rashes Sarah D. Cipriano, MD, MPH, MS Resident, Dermatology University of Utah 1 Conflict of Interest No conflict of interest Will discuss off label use of medications 2 3 Most likely diagnosis?
S003 CPC Self-Assessment
S003 CPC Self-Assessment Alina G. Bridges, D.O. Associate Professor Program Director, Dermatopathology Fellowship Department of Dermatology, Division of Dermatopathology and Cutaneous Immunopathology Mayo
Skin Deep: Or is It? Practical Pearls from a Pediatric Dermatologist
Skin Deep: Or is It? Practical Pearls from a Pediatric Dermatologist I have no conflicts of interest 6 yo boy referred for AD. On topical HC and food elimination diet s/p topical triamcinolone to body
No Disclosures. Objectives 12/13/2016. Pregnancy-Associated and Other Dermatoses of Young Women
Pregnancy-Associated and Other Dermatoses of Young Women Kelly Tyler, MD, FACOG Division of Dermatology The Ohio State University 1 No Disclosures I have no financial interest or other conflict of interest
Kelly H. Tyler, MD, FACOG, FAAD S052 Gender Dermatology: Diagnosis and Treatment of Genital Skin Disorders Vulvar Dermatitis
Vulvar Dermatitis Kelly H. Tyler, MD, FACOG, FAAD Assistant Professor The Ohio State University Department of Internal Medicine, Division of Dermatology Department of Obstetrics and Gynecology Center for
Clinico Pathological Test SCPA605-Essential Pathology
Clinico Pathological Test SCPA605-Essential Pathology Somphong Narkpinit, M.D. Department of Pathogbiology, Faculty of Science, Mahidol University e-mail : somphong.nar@mahidol.ac.th Pathogenesis of allergic
Contact Dermatitis Challenges for the General Dermatologist. Susan Nedorost, MD
Contact Dermatitis Challenges for the General Dermatologist Susan Nedorost, MD Contact Dermatitis: Challenges for the General Dermatologist Disclosure Statement I, Susan Nedorost, MD, do not have any relevant
Vulval dermatoses. Dr Fiona Lewis, Consultant Dermatologist St John s Institute of Dermatology, London & Heatherwood & Wexham Park Hospital, Slough
Vulval dermatoses Dr Fiona Lewis, Consultant Dermatologist St John s Institute of Dermatology, London & Heatherwood & Wexham Park Hospital, Slough Pigmentation Vulvodynia Ulcers Genetic Pruritus VULVAL
Dermatology elective for yr. 5. Natta Rajatanavin, MD. Div. of dermatology Dep. Of Medicine, Ramathibodi Hospital Mahidol University 23 rd Feb 2015
Dermatology elective for yr. 5 Natta Rajatanavin, MD. Div. of dermatology Dep. Of Medicine, Ramathibodi Hospital Mahidol University 23 rd Feb 2015 How to diagnosis and manage eczema and psoriasis. Objectives
The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis
Dermatology The skin is the largest organ of the human body. Functions: protection sensation maintain temperature vitamin synthesis The image to the left shows an image of skin cells and the proteins which
What is atopic dermatitis?
What is atopic dermatitis? Complex inflammatory skin disorder intense pruritus cutaneous hyperreactivity immune dysregulation Chronic with exacerbations and remissions Affects all ages, but more common
COMMON SKIN CONDITIONS IN PRIMARY CARE. Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio
COMMON SKIN CONDITIONS IN PRIMARY CARE Ibrahim M. Zayneh, MD Dermatology Private Practice, Portsmouth, Ohio DISCLOSURE The Speaker and members of the planning committee do not have a conflict of interest
Rashes Not To Be Missed In Children
May 2016 Rashes Not To Be Missed In Children Dr Chan Yuin Chew Dermatologist Dermatology Associates Gleneagles Medical Centre Scope of presentation Focus on rashes May lead to significant morbidity if
An Everyday Guide to Eczema
An Everyday Guide to Eczema By Dr. Kristel Polder, Board-Certified Dermatologist Developed in Partnership with Who is affected by eczema? 32 million people in the US 1 in 5 children 1 in 12 adults *www.eczema.org
Dermatology Pearls. Leah Layman, ARNP Jefferson Healthcare Dermatology June 21, 2018
Dermatology Pearls Leah Layman, ARNP Jefferson Healthcare Dermatology June 21, 2018 What s on the agenda? Common skin conditions and where to start with treatment Gentle skin care regimen PCP and Biologics
Paediatric Eczema. Dr Manjeet Joshi Consultant Dermatologist 16 th May 2012
Paediatric Eczema Dr Manjeet Joshi Consultant Dermatologist 16 th May 2012 Classification of the principal forms of eczema EXOGENOUS ENDOGENOUS Irritant Allergic contact Photoallergic contact Eczematous
Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV])
![Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV])](/thumbs/89/99382632.jpg "Phototherapy and Photochemotherapy Treatment (Ultraviolet A [PUVA] and B [UBV])")
Origination: 09/27/07 Revised: 08/2/17 Annual Review: 11/2/17 Purpose: To provide Phototherapy and Photochemotherapy Treatment (PUVA and UBV) guidelines for the Medical Department staff to reference when
Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level
Diagnosis and Management of Common and Infective Skin Diseases in Children at primary care level Dr Ng Su Yuen Paediatrician and Paediatric Dermatologist Hospital Pulau Pinang Outline Common inflammatory
RELEVANT DISCLOSURES ATOPIC DERMATITIS / ECZEMA MANAGING ECZEMA IN INFANTS AND CHILDREN
RELEVANT DISCLOSURES MANAGING ECZEMA IN INFANTS AND CHILDREN Advisory board member - MEDA (Elidel), Speaking honoraria Bayer (Advantan) Advisory board, consultant, speaker: Pfizer, Abbvie, Janssen, Elli
Dermatology GP Referral Guidelines
Austin Health Dermatology Department holds 5 Clinic sessions to discuss and plan the treatment of with Dermatology conditions. Department of Health clinical urgency categories for specialist clinics Urgent:
Children s Hospital Of Wisconsin
Children s Hospital Of Wisconsin Co-Management Guidelines To support collaborative care, we have developed guidelines for our community providers to utilize when referring to, and managing patients with,
My ear won t stop hurting!
This month: 1. My ear won t stop hurting! 5. Cortisone Cream Didn t Help! 2. What are these red bumps? 6. Can my girlfriend get it? 3. Why won t this rash leave? 7. My wife noticed it! 4. What s the cause
5007 Seminar Advanced Therapeutics: Managing Severe & Refractory Eczema. Part 1. Keys to Adherence: Simplify regimen & Educate
5007 Seminar Advanced Therapeutics: Managing Severe & Refractory Eczema Luz Fonacier, MD Professor of Clinical Medicine State University of New York at Stony Brook Head of Allergy & Training Program Director
RASHES- Dermatitis nonspecific term for inflammation of the skin. 1. ECZEMA Atopic Dermatitis- specific form of eczema starting in childhood
COMMON CHILDHOOD SKIN DISEASES Sharon Seguin MD Dermatology- Confluence Health Wenatchee Rashes Infections and Infestations RASHES- Dermatitis nonspecific term for inflammation of the skin 1. ECZEMA Atopic
4/3/2017 DIAGNOSIS AND THERAPY OF RECURRENT VULVOVAGINAL SYMPTOMS BACTERIAL VAGINOSIS EPIDEMIOLOGY OBJECTIVES
DIAGNOSIS AND THERAPY OF RECURRENT VULVOVAGINAL SYMPTOMS KELLY HODGES, MD (NO DISCLOSURES) OBJECTIVES REVIEW THE TWO MOST COMMON CAUSES OF RECURRENT ABNORMAL DISCHARGE (CANDIDA AND BV) REVIEW THE MOST
Index. derm.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A ACD. See Allergic contact dermatitis. Acute and recurrent vesicular hand dermatitis, 337 353 Airborne contact dermatitis, 303 Allergen avoidance
It s all in your hands: Preventing hand dermatitis. Introduction 3/5/2018. Hand hygiene is a cornerstone of effective infection control, but
It s all in your hands: Preventing hand dermatitis Monica Herrera MHA, CDMP Introduction Hand hygiene is a cornerstone of effective infection control, but Hand sanitization and gloving are essential if
COMMON CHILDHOOD SKIN DISEASES. Sharon Seguin MD FAAD
COMMON CHILDHOOD SKIN DISEASES Sharon Seguin MD FAAD COMMON CHILDHOOD SKIN DISEASES Rashes Infections And Infestations RASHES Dermatitis- Inflammation of the skin Eczema- Atopic Dermatitis Psoriasis Pityriasis
Atopic Eczema with detail on how to apply wet wraps
Atopic Eczema with detail on how to apply wet wraps Dr Carol Hlela Consultant Dermatologist Head of Unit, Department of Dermatology, Paediatrics Red Cross Children s Hospital, UCT Red Cross War Memorial
Disclosures Dr. Lynette Margesson
Management of Vulvar Pruritus 2 nd PANHELLANIC CONGRESS on Lower Genital Tract Disorders December 14-16 Grand Hyatt Athens Lynette J. Margesson MD FRCPC Assistant Professor of Obstetrics & Gynecology and
Bacterial Infections in Pediatric Dermatology. Patrick McMahon, MD Children s Hospital of Philadelphia
Bacterial Infections in Pediatric Dermatology Patrick McMahon, MD Children s Hospital of Philadelphia Fill In The Blank When you see on the skin, you think of a bacterial skin infection SEND SWABS VIRAL
b) SKILLS The student should be able to
1. GOAL The aim of teaching the undergraduate student in Dermatology, S.T.D. and Leprology is to impart such knowledge and skills that may enable him to diagnose and treat common ailments and to refer
UPDATES IN ATOPIC DERMATITIS
UPDATES IN ATOPIC DERMATITIS Amanda Hess, MMS, PA-C President-Elect, AAPA-AAI Arizona Asthma and Allergy Institute, Scottsdale, AZ LEARNING OBJECTIVES Discuss epidemiology, risk factors, and causes of
Constitutional eczema
Patient information Constitutional eczema What is constitutional eczema? Constitutional eczema, also called atopic eczema, is a form of eczema that mainly occurs in childhood. Eczema usually starts before
Site and distribution: symmetrical, asymmetrical. Surface characteristics: smooth, scaly, warty
B I O T E R R O R I S M PRINCIPLES AND PRACTICE OF DERMATOLOGY Dr Matthew Ng Joo Ming INTRODUCTION Medical schools and textbooks teach us dermatology by subjects such as eczema and psoriasis. This is useful
Pediatric Dermatology. Wingfield Rehmus, MD MPH BC Children s Hospital
Pediatric Dermatology Wingfield Rehmus, MD MPH BC Children s Hospital Conflict of interest! No financial conflict of interest! Individual products shown are examples only not a product endorsement Pediatric
Update on emollients
Update on emollients Amal Mhanna, MD Pediatric Dermatologist Clemenceau Medical Center Disclosure: I was a member of an advisory board y for J&J and received honoraria. Emollients and moisturizers are
Recalcitrant Warty Erythroderma With Severe Pruritus. Gil Yosipovitch Professor & Chair Department of Dermatology & Itch Center Temple University
Recalcitrant Warty Erythroderma With Severe Pruritus Gil Yosipovitch Professor & Chair Department of Dermatology & Itch Center Temple University DISCLOSURE OF RELEVANT RELATIONSHIPS WITH INDUSTRY Gil Yosipovitch,
INTERNAL MEDICINE FOR PRIMARY CARE PHYSICIANS. San Diego, California Hotel Del Coronado. August 23-26, Participating Faculty
INTERNAL MEDICINE FOR PRIMARY CARE PHYSICIANS San Diego, California Hotel Del Coronado August 23-26, 2012 Participating Faculty David C. Levin, M.D. Professor of Medicine University of Oklahoma Health
Eczema. By:- Dr. Naif Al-Shahrani Salman bin Abdazziz University
Eczema By:- Dr. Naif Al-Shahrani Salman bin Abdazziz University Dermatitis= Eczema =Spongiosis Eczema Atopic Seborrheic Contact Allergic Irritant Nummular Asteatotic Stasis Neurodermatitis/Lichen Simplex
Management of eczema in infants and children Assoc Prof David Orchard Director, Department of Dermatology Royal Children s Hospital
Atopic dermatitis definition Management of eczema in infants and children Assoc Prof David Orchard Director, Department of Dermatology Royal Children s Hospital Atopic dermatitis is long lasting (chronic)
Atopic Dermatitis and Topical Antipsoriatics
Atopic Dermatitis and Topical Antipsoriatics Goal(s): Restrict dermatological drugs only for funded OHP diagnoses. Moderate/severe psoriasis and moderate/severe atopic dermatitis treatments are funded
2017 All right reserved Bellomo Consulting, Inc RECOGNIZING COMMON SKIN CONDITIONS
RECOGNIZING COMMON SKIN CONDITIONS Perioral Dermatitis Perioral Dermatitis Predominately seen in females ranging in age from 16 to 45 years old. Also seen in infants and toddlers due to excess moisture
Emergent and Urgent Dermatology, Eruptions, and Wound Care
Emergent and Urgent Dermatology, Eruptions, and Wound Care G. Scott Drew, DO, FAAD, FAOCD Smith Clinic Department of Dermatology Tucson Osteopathic Medical Foundation April 27, 2018 Acute Cutaneous Lupus
COPYRIGHTED MATERIAL. Introduction CHAPTER 1. Introduction
CHAPTER 1 Introduction OVERVIEW The clinical features of skin lesions are related to the underlying pathological processes. Broadly skin conditions fall into three clinical groups: (a) those with a well-defined
PACKAGE LEAFLET: INFORMATION FOR THE USER. Flutarzole 0,05% w/w cream, Fluticasone propionate
PACKAGE LEAFLET: INFORMATION FOR THE USER Flutarzole 0,05% w/w cream, Fluticasone propionate 1. IDENTIFICATION OF THE MEDICINAL PRODUCT 1.1. Trade name Flutarzole 1.2. Composition Active substance: Fluticasone
Office Management of Common Skin Conditions. Goals
Office Management of Common Skin Conditions Michael J. Blankinship M.D., Ph.D. Essentia Health Spring Conference May 16 th, 2014 Goals I want to discuss conditions that are common enough that you will
Tips on Evaluation and Diagnosis of Scarring Alopecias. Melissa Peck Piliang, MD Dermatology and Anatomic Pathology Cleveland Clinic
Tips on Evaluation and Diagnosis of Scarring Alopecias Melissa Peck Piliang, MD Dermatology and Anatomic Pathology Cleveland Clinic Disclosures I do not have any relevant relationships with industry Investigator:
Papular dermatitis: response to cyclosporin
Journal of Dermatological Treatment (2000) 11, 253 257 2000 Journal of Dermatological Treatment. All rights reserved. ISSN 0954 6634 253 Papular dermatitis: response to cyclosporin E Alvarez, A Hendi,
Cutaneous reactions to targeted therapies. Stavonnie Patterson, MD, FAAD Northwestern University Feinberg School of Medicine March 6, 2017
Cutaneous reactions to targeted therapies Stavonnie Patterson, MD, FAAD Northwestern University Feinberg School of Medicine March 6, 2017 Disclosures I have no relevant disclosures Papulopustular Eruption
Index. derm.theclinics.com. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abatacept for DLE, 493 for SLE, 497 Ablative therapies, localized, for cutaneous T-cell lymphoma, 502 506. See also Cutaneous T-cell lymphoma,
Prescribing Information
Prescribing Information Pr DERMOVATE Cream (clobetasol propionate cream, USP) Pr DERMOVATE Ointment (clobetasol propionate ointment, USP) Topical corticosteroid TaroPharma Preparation Date: A Division
Pathology of the skin. Dr Fónyad László, 1sz. Patológiai és Kísérleti Rákkutató Intézet, SE
Pathology of the skin Dr Fónyad László, 1sz. Patológiai és Kísérleti Rákkutató Intézet, SE The skin Biggest organ Kb. 1.8 nm Kb. 10 kg Most frequent site for tumor development (BCC) Pathology of the skin
OCCUPATIONAL CONTACT DERMATITIS IN A TERTIARY CARE CENTRE EPIDEMIOLOGY, CLINICAL PROFILE AND PATCH TEST EVALUATION
OCCUPATIONAL CONTACT DERMATITIS IN A TERTIARY CARE CENTRE EPIDEMIOLOGY, CLINICAL PROFILE AND PATCH TEST EVALUATION DONE BY : Dr.Ragini Rajan Final year Post Graduate MD(DVL) Govt.Stanley Medical College,
Understanding. Atopic Dermatitis. National Jewish Health. An educational health series from
Understanding Atopic Dermatitis An educational health series from National Jewish Health If you would like further information about National Jewish Health, please write to: National Jewish Health 1400
Hand eczema. Nottingham 17 May Pieter-Jan Coenraads University Medical Center Groningen, NL
Nottingham 17 May 2017 Hand eczema Pieter-Jan Coenraads University Medical Center Groningen, NL especially on behalf of ms dr Wianda Christoffers PhD Disclosure P.J. Coenraads More than 10 years ago our
Psoriasis is a chronic, inflammatory, Prescribing in children
Psoriasis in children: current approaches to management Laura Proudfoot BSc, MRCP, Elisabeth Higgins MA, FRCP and Judy Davids RGN Our series Prescribing in children gives practical advice for successful
Eczema. Most kids get itchy rashes at one time or another. But eczema can be a nuisance that may prompt scratching that makes the problem worse.
KidsHealth.org The most-visited site devoted to children's health and development Eczema Most kids get itchy rashes at one time or another. But eczema can be a nuisance that may prompt scratching that
Inflammatory skin disease I Jade Wititsuwannakul, MD Chulalongkorn University, Thailand
Inflammatory skin disease I Jade Wititsuwannakul, MD Chulalongkorn University, Thailand Superficial Perivascular Dermatitis Interface Dermatitis Vacuolar Dermatitis Lichenoid Dermatitis Barnhill Textbook
ATOPIC DERMATITIS: A BLUEPRINT FOR SUCCESS. Sierra Wolter MD, FAAD Pediatric Dermatology University of Arizona, College of Medicine
ATOPIC DERMATITIS: A BLUEPRINT FOR SUCCESS Sierra Wolter MD, FAAD Pediatric Dermatology University of Arizona, College of Medicine THE PLAN Is it atopic dermatitis? What is atopic dermatitis? Guidelines
Questions. Answers. Share your photos and diagnoses with us!
Illustrated quizzes on problems seen in everyday practice CASE 1 A 65-year-old man is noted to have a lazy, grey ring separated from the limbus with a clear interval in both eyes. 2. What is the significance?
Overcoming Persistent Barriers to Effective Management of Atopic Dermatitis
Overcoming Persistent Barriers to Effective Management of Atopic Dermatitis Jack B. Cohen, DO Clinical Professor Department of Dermatology UT Southwestern Medical Center Dallas, TX Atopic Dermatitis I
Contact dermatitis in healthcare workers
Contact dermatitis in healthcare workers Rosemary Nixon AM BSc(Hons) MBBS MPH FACD FAFOEM Dermatologist and occupational physician Clinical Associate Professor Monash University and The University of Melbourne
Rashes in the elderly
Clinical practice 29 Rashes in the elderly In this article we aim to highlight some of the commoner skin conditions one might expect to see in an elderly population, their typical features and treatments.
Subspecialty Rotation: Dermatology
Subspecialty Rotation: Dermatology Faculty: Wesley Galen, M.D. GOAL: Prevention, Counseling and Screening (Dermatology). Understand the pediatrician's role in preventing illness and dysfunction related
Updates in Contact Dermatitis
Updates in Contact Dermatitis Brian P. Peppers, DO, PhD 1/22/16 Osteopathic Adult & Pediatric Allergy and Immunology Fellowship University Hospitals Regional Hospitals/LECOMT Allergy and Immunology Associates
Identifying the causes of contact dermatitis
Identifying the causes of contact Jones R, Horn H M. Identifying the causes of contact. Practitioner 2014;258 (1772)27-31 Dr Ruth Jones MRCP ST3 Dermatology Dr Helen M. Horn MD FRCP Associate Specialist
Assessing the Current Treatment of Atopic Dermatitis: Unmet Needs
Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including
The Vulvar Lichen Disorders: Simplex, Sclerosus, Planus
The Vulvar Lichen Disorders: Simplex, Sclerosus, Planus Paul Summers, M.D. Department of Obstetrics and Gynecology University of Utah School of Medicine Areas of Concern 1. Dermatopathology 2. Spongiotic
過敏病科中心. Allergy Centre. Eczema. Allergy Centre 過敏病科中心. Allergy Centre. For enquiries and appointments, please contact us at:
Allergy Centre 過敏病科中心 Eczema For enquiries and appointments, please contact us at: Allergy Centre 9/F, Li Shu Pui Block Hong Kong Sanatorium & Hospital 2 Village Road, Happy Valley, Hong Kong Tel: 2835
Tinea: Head to Toe A dermatophyte tour of human skin. Tour de Tinea Head to Toe. Tips for Tinea Head to Toe. Psoriasis. Non-inflammatory Tinea Capitis
Tinea: Head to Toe A dermatophyte tour of human skin Renee Howard, MD Assistant Clinical Professor of Dermatology, UCSF Tour de Tinea Head to Toe Tips for Tinea Head to Toe Capitis Faciei Corporis Pedis
Cutanous Manifestation of Lupus Erythematosus. Presented By: Dr. Naif S. Al Shahrani Salman Bin Abdaziz university
Cutanous Manifestation of Lupus Erythematosus Presented By: Dr. Naif S. Al Shahrani Salman Bin Abdaziz university A 50-year old lady, who is otherwise healthy, presented to the dermatology clinic with
What s Topical About Topicals?
What s Topical About Topicals? Megha M. Tollefson, MD Associate Professor of Dermatology and Pediatrics July 29, 2017 2015 MFMER 3513105-1 Disclosures None 2015 MFMER 3513105-2 Outline Topical steroids
CHAPTER 1. Eczema Basics
CHAPTER 1 Eczema Basics Definition Eczema is an inflammatory skin condition, characterised by ichtyosis (dry skin), erythema (redness), excoriation (interruption of the skin), scratching lesions, lichenification
Atopic dermatitis Usually starts t in early infancy Xerosis (dry skin) Pruritus Eczematous lesions
An Update on Eczema & Common Skin Infections in Children Nelly Rubeiz, MD Dept. of Dermatology American University of Beirut Atopic dermatitis Usually starts t in early infancy Xerosis (dry skin) Pruritus
Drug allergy and Skin Disorders. Timothy Craig, DO, FACOI Professor of Medicine and Pediatrics Distinguished Educator Penn State University, Hershey
Drug allergy and Skin Disorders Timothy Craig, DO, FACOI Professor of Medicine and Pediatrics Distinguished Educator Penn State University, Hershey The best screening test for anaphylaxis is? A. histamine
Diagnose dermatologic conditions based on physical examination (visual recognition). The majority of the items will come from Group 1.
This document was developed by a committee of the American Board of Dermatology (ABD) for the purpose of preparing the BASIC Examination. The BASIC Exam is assessment of fundamental knowledge and skills.
Time to Learn. 6 th March 2018 Dr. Shirin Chakera GPwSI Integrated Dermatology Service
Time to Learn 6 th March 2018 Dr. Shirin Chakera GPwSI Integrated Dermatology Service The Red Face Rosacea Acne Seborrhoeic eczema eczema Psoriasis Slapped cheek syndrome Fungal infection Erysipelas...
Case 1. Debridement Cultures Keflex Silvadene
The Red Breast Beth McLellan, M.D. Assistant Professor Division of Dermatology Albert Einstein College of Medicine Montefiore Medical Center Jacobi Medical Center Case 1 48 year old radiation oncologist
PEDIATRIC & ADOLESCENT MEDICINE FOR PRIMARY CARE: DERMATOLOGY/EMERGENCY MEDICINE/RHEUMATOLOGY
PEDIATRIC & ADOLESCENT MEDICINE FOR PRIMARY CARE: DERMATOLOGY/EMERGENCY MEDICINE/RHEUMATOLOGY Napa Valley/Sonoma, California The Fairmont Sonoma Mission Inn & Spa October 5 7, 2018 Friday, October 5th:
Dr David Orchard MBBS FACD
Eczema Dr David Orchard MBBS FACD What is eczema? Eczema is a particular type of inflammatory reaction in the skin. The features include redness, scaling and itch. When it is more severe the skin will
Suzan Schneeweiss MD, MEd, FRCPC
Suzan Schneeweiss MD, MEd, FRCPC I have nothing to disclose 1. Discuss common pitfalls in the diagnosis and management of common paediatric rashes in the ED 2. Identify dermatologic conditions requiring
2004 Health Press Ltd.
Eczema and Contact Dermatitis John Berth-Jones Consultant Dermatologist University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK Eunice Tan Specialist Registrar in Dermatology Norfolk and
Diagnosis And Treatment Of Seborrheic Dermatitis
Diagnosis And Treatment Of Seborrheic Dermatitis 1 / 5 2 / 5 3 / 5 Diagnosis And Treatment Of Seborrheic Seborrheic dermatitis Diagnosis. Your doctor will likely be able to determine whether you have seborrheic
Significance. Outline and Objectives. S007 Systemic Therapies for Medical Oncology
S007 Systemic Therapies for Medical Oncology Anisha B. Patel, M.D. Assistant Professor, Dermatology UT MD Anderson Cancer Center UT Health Science Center Houston Safety considerations Outline and Objectives
Spongiotic (Eczematous) Dermatitis. Catherine Barry, D.O. Dermatopathologist
Spongiotic (Eczematous) Dermatitis Catherine Barry, D.O. Dermatopathologist Learning Objectives Review the clinical findings in patients with eczema or hypersensitivity dermatitis Review the histological
Betnovate RD (ready diluted) 0.025% w/w Cream betamethasone (as valerate)
Package Leaflet: Information for the User Betnovate RD (ready diluted) 0.025% w/w Cream betamethasone (as valerate) Read all of this leaflet carefully before you start using this medicine because it contains