Common Skin Problems

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


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