derm treatments Flashcards
1
Q
eczema
A
- emollients
- topical corticosteroids
- methotrexate
- ciclosporin
- UV therapy
2
Q
psoriasis
A
- emollients
- topical corticosteroids
- methotrexate
- ciclosporin
- infliximab
- UV therapy
3
Q
acne vulgaris
A
- benzyl peroxide
- topical abx
- topical retinol
- oral abx - lymecycline
- oral retinol - isotretinoin
4
Q
rosacea
A
- oral abx - metronidazole
- emollients
- suncream
- azelzic acid
- laser therapy
5
Q
impetigo
A
- fusidic acid
- topical abx (fluclox)
- good skin hygeine
if severe…
- oral / intranasal abx
6
Q
cellulitis
A
- abx (check guidelines)
7
Q
erysipelas
A
- abx (check guidelines)
8
Q
HSV
A
- oral aciclovir and symptomatic treatment
- IV if disseminated visceral involvement (pneumonitis, hepatitis)
9
Q
VZV
A
- emollients
- anti-histamines
- hydration
if high risk or severe…
- anti-viral therapy
- supportive care
10
Q
viral warts
A
- cryotherapy
- curettage and cautery
- salicylic acid
11
Q
molluscum
A
- watch and wait
of severe…
- cryotherapy
- curettage
- immunomodulators
12
Q
tinea pedis
A
- dry feet
- avoid occlusive footwear
- topical antifunal therapy
13
Q
tinea corporis
A
- topical anti fungal agent: terbinafine
14
Q
candida
A
- wash mouth after inhaler
- topical anti fungal agents
15
Q
pityriasis versicolour
A
- pyrithione zinc topical therapy
- UV light
- systemic anti-fingal: fluconazole
16
Q
scabies
A
- permethrin or ivermectin 1st line
- malathion or benzyl benzoate 2nd line
- treat household members
17
Q
erythroderma
A
- stop all necessary medications
- monitor fluid balance and body temp
- maintain skin moisture (wraps, emollients, topical steroids
- abx if bacterial infection present
- antihistamines
- treat specific cause
18
Q
SJS and TEN
A
- urgent withdrawal or caustic agents
- topical antibacterial agents and emollients
- IV fluids +/- nutritional siupport
- oral hygiene
- analgesia
- physio and OT
- urgent ophthalmologist review
19
Q
melanoma
A
- 2 week wait
- surgical removal
- sentinel lymph node biopsy
- further treatment if mets
20
Q
BCC
A
- surgical WLE
- Moh’s surgery
- radiotherapy if need be
21
Q
SCC
A
- surgical SLE
- Moh’s surgery
- radiotherapy if need be
22
Q
seborrheic keratosis
A
- corticosteroids if itching or irritated
- curettage or cautery if raised
- cryotherapy or laser if flat
23
Q
lipoma
A
- observation
- surgical excision
- liposuction / lipolysis
24
Q
dermatofibroma
A
- no treatment
- if nuisance, excision
25
hemangioma / cherry angioma
- no treatment
- goes away
- can be removed for cosmetic appearances
26
epidermoid cysts
- usually none
- abx, incision and drainage if infection
- removal - remove whole sac
27
fibroepithelial polyps - skin tags
- no treatment
| - can be removed if causing probkems
28
acanthosis nigricans
- treat underlying condition (gastric malignancy / diabetes)
- 1st line - topical agents: ammonium hydrate, vitamin D analoges
- 2nd line - isotretinoin
29
necrobiosis lipodica
- doesn't always require treatment
- topical steroids
- ciclosporin
- phototherapy
- aspirin
30
granuloma annulare
- 50-75% go away without treatment within 2 years
- cryotherapy
- NSAIDs
- phototherapy
- isotretinoin
- topical corticosteroids
- methotrexate
31
erythema nodosum
- bedrest
- leg elevation
- normally subside within 3-6 weeks
- analgesia
- control IBD
- systemic corticosteroids
- NSAIDs
32
pyoderma gangrenosum
- usually not surgically: topical steroids if spread (pred), tacrolimus, abx (if secondary infection)
- surgical (remove necrotic tissue)
33
vitiligo
- advice strong suncream
- phototherapy (if dark skinned)
- topical / oral steroids
- methotrexate
- ciclosporin
34
alopecia
- no therapy
| - if >20%, could try systemic therapy such as topical steroids
35
SLE
- hydroxychloroquine
- NSAIDs
- corticosteroids
- methotrexate + folic acid
36
discoid lupus erythematous
- topical corticosteroid
- methotrexate
- tacrolimus
37
dermatomyositis
- sun avoidance
- bedres
- physio
- hydroxychloroquine
- methorexate / tacrolimus
- topical steroids
38
Cutaneous vasculitis
- systemic corticosteroids
| - methotrexate
