Dermatology Flashcards
keloid treatment
intra-lesional steroids e.g. triamcinolone
Acne rosacea treatment:
Topical metronidazole
Oral tetracylcine
Acne tx
topical benzoyl peroxide/ retinoid Add topical abx Oral abx COCP Oral isotretinoin
Antibiotic for acne in pregnancy
Erythromycin
Why is minocycline no longer used in acne?
skin pigmentation
Gram negative folliculitis in acne - treatment?
High dose trimethoprim
Bullous pemphigoid
no mucosal involvement autoimmune antibodies against hemidesmosomal proteins BP180 and BP230 elderly Skin biopsy Steroids 2 years No scarring
Pemphigus vulgaris
Oral lesions
Autoimmune
Ass w myasthenia gravis
Long term
Gene mutation in eczema
Fillagrin
Mildest steroid
Hydrocortisone
Strongest steroids
Dermovate - clobetasol propionate
Finger tip units: hands
1 each
Finger tip unit: back + bum
7
Finger tip units: face and neck
2.5
Psoriases increases the risk of…
metabolic syndrome, IBD, non melanoma cancers, CVD, VTE
Management of psoriasis in GP
Potent corticosteroid + vit D analogue
Increase vit D - BD
Increase steroid alone or coal tar
Management of psoriasis: specialist
Short acting dithranol UVB PUVA Methotrexate Ciclosporin Biologics
Ciclosporin indications
following organ transplantation RA psoriasis (has a direct effect on keratinocytes as well as modulating T cell function) UC pure red cell aplasia
Ciclosporin SEs
Increases things:
fluid, BP, K+, hair, gums, glucose, lipids
Toxic to - liver, kidneys
Non myelotoxic
Psoriasis patient - when would you need same day referral?
Erythoderma or generalised pustular psoriasis
Guttate psoriasis
Triggered by strep throat infection
Scabies treatment
Permethrin 0.5%
Seborrhoeic dermatitis
Fungus Malassezia furfur otitis externa, blepharitis Ass w HIV, PD Zinc pyrithione ketoconazole
Actinic Keratosis management
fluorouracil cream, topical diclofenac, topical imiquimod
Treatment impetigo
Hydrogen peroxide 1% cream
Then fusidic acid
