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Dermatología > Tx P1 > Flashcards

Tx P1 Flashcards

1
Q

Dermatitis seborreica grave o resistente al tratamiento

A

Itraconazol 200 mg/día x 7 días

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2
Q

Dermatitis seborreica de tronco y áreas intertriginosas

A

Corticosteroides y antimicóticos tópicos

Áreas inter -> baja pot
Tronco -> media port

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3
Q

Dermatitis seborreica de la cara

A

1a línea
- Ketoconazol al 2%, ciclopirox al 1% + corticosteroide de baja potencia
2 /día x 2-4 sem

2a línea
- Inh de calcineurina tópico: tacrolimus 0.1% o pimecrolimus al 1%

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4
Q

Dermatitis seborreica del cuero cabelludo

A

Leve:
- Ketoconazol al 2%
- Ciclopirox al 1 % 2/sem x 2-4 sem

Moderada a severa
Ketoconazol, ciclopirox + corticosteroide tópico de alta potencia 2/día x 2-4 sem

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5
Q

Liquen plano hipertrófico

A

Intralesional
Acetona de triamcinolona 2.4 - 10 mg/ml
no más de 40 mg x sesión

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6
Q

Liquen plano cutáneo de tronco y extremidades

A

Corticosteroide tópico de alta a muy alta potencia
- Dipropionato de betametasona
- Diacetato de diflorasona
al .05% 2/día x 2-3 sem

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7
Q

Tx de segunda línea de liquen plano

A

Prednisona 30-60 mg/día x 4-6 sem
UVB
PUVA

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8
Q

Rosácea

A

Oral
- Atb: tetraciclinas
- Cloroquinas x 6 sem
- Isotretinoína

Lesiones oculares
- aseo local, antisépticos, lágrimas de azitromicina o disulfuro de selenio en blefaritis

Tópico
- Atb: eritromicina, clindamicina y metronidazol
- Retinoides tópicos
- Ivermectina 1 ciclo

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9
Q

Acné pápulo-pustuloso

A
  • Leve: atb oral si no responde a tx tópico
    Retinoide + antimicrobiano
  • Moderado: Tx tópico, atb oral,
    extracciones
  • Severo: buscar causa hormonal + tx
    moderado
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10
Q

Telangiectasisa

A

electrocoagulación o láser vascular

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11
Q

Rinofima

A

decorticación qx

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12
Q

Acné comedónico

A

Tópico
- Retinoide: tretinoína
- Antimicrobiano: peróxido de benzoilo
- Limpieza + protector solar

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13
Q

Psoriasis

A
  • Corticosteroide: hidrocortisona 1% c/12 hrs, propionato de clobetasol al .05% (champú)
  • Análogo de vitamina D: calcipotriol o calcitriol 2/día
  • Retinoides: tazaroteno .05% 1/día x 1-2 sem
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14
Q

Psoriasis

A
  • Corticosteroide: hidrocortisona 1% c/12 hrs, propionato de clobetasol al .05% (champú)
  • Análogo de vitamina D: calcipotriol o calcitriol 2/día
  • Retinoides: tazaroteno .05% 1/día x 1-2 sem
  • Queratolíticos: ác. salicílico 5-10% 2/día o urea 10-40% en fase de mantenimiento
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15
Q

Parapsoriasis de grandes placas

A

Corticoides tópicos de alta/super alta potencia 2/día x 12 sem

Sin respuesta: fototerapia UVB

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16
Q

Parapsoriasis de pequeñas placas

A

Leve: sin tx, solo emolientes
Prurito intenso: corticoides de mod-alta potencia 2/día x 8-12 sem
Mala respuesta: UVB, PUVA

17
Q

Acné nódulo-quístico

A

Leve: atb + cuidados dermatológicos
Moderado: Isotretinoina oral + corticoides
Severo: atb oral, corticoides orales

Dermatología (12 decks)

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