DERMATOLOGY:COMMON DERMATOSES

William A. Curry, MD

Medicine Resident Block Lectures 2007 – 2008

Dyshydrotic Eczema

Atopic Dermatitis

NAMING IT IS THE GAME:Describing Skin Lesions

Type of lesion

Shape of individual lesions

Arrangement of multiple lesions (scattered, grouped, linear, etc.)

Distribution of lesions

Color

Consistency and feel

NAMING IT IS THE GAME:Types of Skin Lesions - Primary

MaculesPapulesPlaquesNodulesCystsTelangiectasiaPustulesVesicles and BullaeWheals

NAMING IT IS THE GAME:Types of Skin Lesions - Secondary

ExcoriationLichenificationEdemaScaleCrustFissureErosionAtrophyScarHypopigmentation

Dyshydrotic Eczema

Atopic Dermatitis

Acute Atopic Dermatitis

Poison Ivy (Toxicodendron, formerly Rhus spp.)

Atopic Dermatitis

TOPICAL CORTICOSTEROIDSExamples

Group Generic Brand Pct. Size,gm

I Betamethasone

(augmented) oint., gel

Diprolene 0.05 15,50

II Betamethasone oint.

Fluocinonide cream, gel, ointment, soln.

Diprosone

Lidex

0.05

0.05

15,45

15,30,60,

20/60ml

III Betamethasone cream, lotion

Mometasone oint.

Diprosone

Elocon

0.05

0.10

15,45

15,45

IV Triamcinolone oint.

Mometasone cr.,lot.

Aristocort, Kenalog

Elocon

0.10

0.10

15,80

15,45

30/60 ml

TOPICAL CORTICOSTEROIDSExamples, cont’d.

Group Generic Brand Pct. Size,gm V Triamcinolone cream,

lotion

Betamethasone cream

Aristocort, Kenalog

Betatrex

0.10

0.10

15

60 ml

45

VI Triamcinolone cream, lotion

Artistocort 0.025 15,60

60 ml

VII Hydrocortisone cream, ointment, lotion

Hydrocortisone cream

Hytone

Many, OTC

2.5

1.0

30,60 60 ml

Intertrigo, Candida

NAMING IT IS THE GAME:Types of Skin Lesions - Primary

MaculesPapulesPlaquesNodulesCystsTelangiectasiaPustulesVesicles and BullaeWheals

NAMING IT IS THE GAME:Types of Skin Lesions - Secondary

ExcoriationLichenificationEdemaScaleCrustFissureErosionAtrophyScarHypopigmentation

Inframammary Candida

Tinea corporis

Tinea capitis

Tinea cruris

Acute tinea pedis

Chronic tinea pedis

Urticaria

Morbilliform eruption

Erythema multiforme

Desquamation

Toxic Epidermal Necrolysis

Erythema nodosum

Necrobiosis lipoidica diabeticorum

Venous stasis

Lipodermosclerosis

Venous stasis and cellulitis

Venous stasis ulcer

Seborrheic dermatitis

PSORIASIS: plaque-like

Erythrodermic psoriasis

Guttate psoriasis

NAMING IT IS THE GAME:Types of Skin Lesions - Primary

MaculesPapulesPlaquesNodulesCystsTelangiectasiaPustulesVesicles and BullaeWheals

NAMING IT IS THE GAME:Types of Skin Lesions - Secondary

ExcoriationLichenificationEdemaScaleCrustFissureErosionAtrophyScarHypopigmentation

Thanks!