- crust removing > topical fusidic acid - oral flucloxacillin (cephalexin cefadroxil) for 5-10 Days. (treatment for ecthyma also)

Dermatology Flashcards by Murtaza Mohammed

2Topical Rx for psoriasis (1st line)

Corticosteroids
Calcipotriol

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Topical Rx for psoriasis (2nd line)

Dithranol
Salicylic acid 3%
Coal tar 2%
Tazarotene

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Systemic Rx for psoriasis

1- MTX 7.5-30 mg weekly as 3 doses 12hr interval . (hepatotoxic)
2- cyclosporin (nephrotoxic)
3- acitretin -in pustular & erythrodermic PS (teratogenic)

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Biologic drugs for psoriasis

1- alefacept (pathogenic T-cell)
2- Efalizumab (T-cell activation)
3- Etanercept & infliximab (anti TNF)

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warts treatment

1- cautary
2- liquid nitrogen
3- Blunt dissection (for large)
4- aspirin (topical)
5- Imiquimod creeeeeeeeaaaaaam

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topical Rx for pruritus

soothing lotion i.e calamine
steroid cream
coconut
1% menthol in 90% ethanol
topical antipruritic drugs i.e doxepin

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eczema Rx

1- education
2- topical : CS & calcinuriens inhibitor (tacrolimus &pimecrolimus
3- anti-inflamm. (steroid) || immunosuppressives

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Urticaria Rx

Soothing lotion (calamine)
Anti histamine H1 and h2
Corticosteroid.
In chronic
anti H (Doxepin 25-50 mg OD )
Corticosteroid
Cyclosporine (2.5 _ 5 mg)/kg/d
Immunoglobulin (I.V)

• Other drug treatments are ketotifen (1-2 mg daily at night), disodium cromoglycate, beta agonist (terbutaline 2.5 mg three times daily), calcium channel blockers (nifedipine), leukotriene antagonists (montelukast

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Leishmania Rx

stiboglu

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Impetigo contagiosa

crust removing > topical fusidic acid
oral flucloxacillin || (cephalexin || cefadroxil) for 5-10 Days. (treatment for ecthyma also)

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cellulitis & erysipelas

flucloxacillin (500mg) every 6 Hr or cephlosporin

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Furuncles and carbuncles

Treatment: Many furuncles are self-limited and respond well to frequent applications of a moist warm compress. The primary management of cutaneous abscesses should be incision and drainage. The abscess is not ready for drainage until the skin has thinned and the underlying mass becomes soft and fluctuant. Anti-staphylococcal antibiotics for 5-10 days

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sycosis barbae Rx

fusidic acid
cephalexin for 2 Wks in extensive cases

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vitiligo Rx

1- potent topical cortecosteroid
2- calcinurin inhibitors i.e tacrolimus ointment
3- psoralin (trimethylpsoralen || methoxypsoralen) taken before 2 hrs of uva exposure
4- UVB 2-3 weekly for 6 mo.
5- skin graft
6- excimer laser
7- minigraft
8- melanocyte || stem cell transplant

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chloasma Rx

-sunscreen
-bleaching agents contain hydroquinone for 6-10 Wks
in stubborn > add steroid and retinoid
-chemical peels such as glycolic acid

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Impetigo contagiosa

Fucidic acid & oral cephalexin

Ecthyma

Cephalexin

Sycosis barbae

Stop shaving
Cephalexin
Oral corticosteroid

Erysipelas / cellulitis
Erysipeloid

Oral cephalexin

Erythrasma

Oral or topical erythromycin

Verruca plana ,
Filiform wart

Tretinoin
Curettage respectively

Varicella

Antipyretic
Antipruritic (Hydroxyzine)
Cephalexin
Acyclovir

Molluscum contagiosum

Curettage

Tinea pedis

Terbinafine cream 1% ( 2 D for 1 W)
{Fluconazole 50mg 1 W for 4 W || Itraconazole 200mg 2 D for 1 W || Terbinafine 250mg 1 D for 2 W} for moccasin and vesicular tinea
Topical steroid can be used if there is reaction

Tinea cruris

Terbinafine 1% (twice daily for one week) Fluconazole 150mg once weekly for 2-4 Itraconazole 100mg twice daily for 1 week Terbinafine 250mg once daily for 1-2 week

Pityriasis versicolor

Treatment options:  Ketoconazole shampoo 2% (Nizoral) daily application for 3 days.  Selenium sulfide suspension 2.5% (Selsun) applied for 10 minutes every day for 7 consecutive days. Itraconazole 200mg once daily for 1 week. Prophylaxis: 200 mg twice 1 day per month for 6 months for recurrent disease. Fluconazole 300mg single oral dose. Repeated in 2 weeks if needed.  Ketoconazole 400mg single oral dose. Prophylaxis: 400mg once monthly for recurrent disease.

Tinea capitis

Griseofulvin 20 mg/kg/day || Fluconazole (Diflucan) 8 mg/kg once weekly for 4-16 weeks.  Terbinafine (Lamisil) 20-40 kg body weight: 125 mg daily 2-4 weeks, >40 kg body weight: 250 mg daily 2-4 weeks

Herpes zoster

Acyclovir 800mg 5 times a day for 5 days

Lichen planus

Topical and systemic steroid Phototherapy Antihistamine Cyclosporin

Scabies Rx

Education Topical sulphur for 3 days and then topical permethrin at night , another permethrin after 5 days

Local vitiligo

1-Sun Screen. 2- Local Steroid. 3- Tacrolimus. 4- Cosmetic Comuflag Cream.

Diffuse vitiligo

1- PUVA. 2- Systemic Steroid. 3- U.V.B Rays. 4- If More than 90% of Skin Affected; DoÆ De-Pigmentation by; Ethyl Ether Hydroquinone

Acne

(According to the Grade) -Local Treatment: Local Retinoid, Benzyl Peroxide, Local AB. -Systemic Treatment: Systemic Retinoid, Systemic AB.

Rosacea

1- Avoid Sun Light. 2- Systemic Retinoids. 3- Systemic AB. 4- Mitronidazole Cream.

Acute paronychia

Incision >>> cephalexin

Chronic paronychia

Dry Topical clotrimazole Mixture of anticandida , antibiotics, steroid (nystatin , neomycin , gramicidin , triamcinolone) Fluconazole 150 for 4 W

Onychomycosis

1- Terbinafine 250mg daily for 6 W in finger nail while 12 W for toenail Itraconazole (Sporanox 100mg capsule) is a fungistatic agent. Pulse dosing: A pulse treatment consists of two capsules (200 mg) twice daily for one week, followed by a 3-week drug free interval. Two to 3 pulse treatments are recommended for fingernail infections and