Psoriasis: Oval, plaque-like lesions, involves extensor surfaces. Treat with calcipotriene, tazarotene, topical corticosteroids, Anthralin, Tacrolimus, Pimecrolimus, Localized UVB phototherapy, Phototherapy.
Shingles: Bullous lesions. Varicella-zoster virus; causes vesicles; crusts lasts 2-3 weeks; Post-herpetic neuralgia; Treat with analgesics, wet compresses, Acyclovir. Can use Steroids to decrease pain.
Post Herpetic Neuralgia: use narcotics, and other analgesics.
Bullous Pemphigoid: Bullae expands lateralally.
Scabies: caused by Sarcoptes scabiei, causes burrows, might affect finger webs and other places, can cause crusted lesions in HIV, treat with launder all bedding and clothes, use 5% permethrin cream,
Poison Ivy Dermatitis: Causes linear lesions, vesicles, itches, treat with wet compresses, topical corticosteroids and systemic corticosteroids.
Folliculitis: can be due to hot tub baths, caused by Staph. In most cases, treatment is not necessary. in severe cases, treat with ciprofloxacin.
Impetigo: usually due to Staph bacteria; treat with Mupirocin, Retapamulin, Dicloxacillin, Cephalexin, Clindamycin, TMP-SMX.
Acne: face, upper back, chest; treat with benzoyl peroxide, doxycycline, erythromycin, clindamycin. oral contraceptives, spiranolactone, Isotretinoin, Icision and Drainage, Topical Tea Tree oil.
Rosacea: more common in women, papules and pustules, telangiectasia, Rhinophyma. Triggered by sunlight, spicy foods, alcohol, exercise, medications. Treat with metronidazole, benzoyl peroxide, brimonidine, carvedilol.
Seborrheic Dermatitis: treat with corticosteroids, ketoconazole shampoo.
SLE: Butterfly rash.
Tinea Versicolor: caused by Pityrosporum species; lesions begin as circular macules that enlarge, treat with ketoconazole, selenium.
Erythrasma: Under the breasts, coral pink orange red fluorescence, use antibacterials.
Tinea Capitis: treat with Griseofluvin, Terbinafine, Itraconazole, Fluconazole.
Molluscum Contagiosum: Umbelicated lesions; may spontaneously resolve, Cryosurgery, Curettage, Cantharidin, Imiquimod, Podofilox, KOH 5 percent, topical retinoids, salicylic acid, laser
Warts: Due to HPV virus; treat with Podofilox, Imiquimod
Basal cell Carcinoma: Mohs Surgery
Malignant Melanoma: mostly in Caucasians, metastasize quickly.
If you have a skin lesion that needs to be taken care of, please talk to Dr.Paul Kattupalli