Dermatology

Question 1

What is this rash?
- causes
- management

Answer 1

This is eczema hepeticum - severe primary infection of HSV1 or 2

Mx: admit for IV aciclovir treatment

Question 2

1. What is this lesion?
2. How do you manage it?

Answer 2

1. Basal cell carcinoma
2. Surgical removal, curettage, cryotherapy, topical creams (iquimod, fluoracil), radiotherapy

Question 3

1. What is this?
2. How do you manage it?

Answer 3

1. Plaque psoriasis
2. First line: potent corticosteroid + vitamin D analogue

Wait for 4 weeks

2nd line: vitamin D analogue twice daily

3rd line: potent corticosteorid or coal tar prep

Systemic:
- phototherapy
- methotrexate
- ciclosporin