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Dermatology Lesions

Macule

Nodule
Vesicle
Pustule

Common Dermatological disorders



Tinea
Vetiligo
Warts
Chicken pox
Psoriasis
Urticaria
Acne valgaris

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Tinea

1- Tinea Captits



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Treatment

Hair should be cut frequently till cure


Whitefield ointment as fungicidal

antifungal
griseofulvin


Tinea circinata

Itchy
In face .. Neck . Limbs
Circinate border edematous

Treatment

Local fungicidal
Iodine sulicylate paint 2%
White field ointment
Salicylic acid 3%
Benzoic acid 6%
Tolnaftate cream

Imedazol group ( econazole .triconazole .)


Terbinafinnaftifine cream
Systemic >>>> greseofulvin for 3-4weeks
Ketoconazole for 10 days

Tinea Pedis (athelets foot)


Hyperhydrosis
Nylon sockets

Excessive sweating
Itching at night
Bad odour of feet

Teatment

Avoid pedisposing factor


Geintain violet >>>acute
Acute subsides
Paint in the morining then tolefnate at night
Systemic (only with nail affection)
Imedazole
griseofulvin

Vetiligo

Unknown cause but may be (autoimmune-


genetic-neurogenic)
Age at any age but (50%before 20years)
Sun exposed areas(face ..dorsum of the
hands)
Areas liable to trauma (foot
,elbow,knees,ankles)
Arround body orifice

Treatment
Give patient idea about the disease
Long term therapy at least 6 months
Topical cortico steroid
Topical ppsoralen diluted with75% alchol
Topical 20%monobenzyle ethere of hydroqinion
Systemic psoralen followed by exposure to
sunlight
(meladinin or trisoralen)

Warts (verucae)


Verruca vulgaris
Any where but more common in back of the
hands and fingers
Papule
May be painful on the palmar aspect of
fingers

Verruca plantaris (plantar wart)



Sole of the foot
painful

Treatment
Cautry (chemical electric)
Cryotherapy by (liquid nitrogen-nitrous
oxide )

LASER
U/S vibrations

Chicken pox


Varicella zoster virus
droplet

Fever Anroxia Headache Malaise (FAHM)
Ithching
Polymorphic eruptions

Psoriasis


In all ages but common at young adults
Appears in extensors
Papules

Treatment
Tar therapy
Topical cortico steriod
Ditheranol
Methotrexate <<< not to pt yonger than 16
Tigason
cyclosporine

urticaria
Recurrent itchy wheals due to allergy

treatment
Calamine lotion (soothing agent)
Anti histaminic
If patient pschogenic >>> tranqlizer
Adrenaline lotion in acute urticaria

Acne valgaris

In pilopsebaceous unit
%




Comedoone ( white head and black head)

Treatment
Proper hygine
Treatment takes months
Benoyl peroxide cream ,lotion or gel but irritant
Erythromycine cream or ointment
Clinmdamycine
Tetracycline
Trentoin (vit A.acid)
Resorcine (keratolytic)
Sulpher kalamine lotion
In female with sever acne >>> anti androge(cypotyrone
acetate)

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