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Tinea Versicolor

Tinea Versicolor. Tinea Versicolor Treatment. Relief is temporary and recurrences are common Hypopigmented areas will take seveal months to repigment. Medications. Selenium sulfide shampoos Wash, leave on for 10 minutes.

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Tinea Versicolor

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  1. Tinea Versicolor

  2. Tinea VersicolorTreatment • Relief is temporary and recurrences are common • Hypopigmented areas will take seveal months to repigment

  3. Medications • Selenium sulfide shampoos • Wash, leave on for 10 minutes. • Topical miconazole, clotrimazole, econazole, ciclopirox BID for 14 days. • Topical ketoconazole qD for 14 days. • Oral ketoconazole, 400mg. Take med, sweat hard, don’t wash x 24 hours. May repeat every month PRN.

  4. Doc, I got this thick silvery shtuff on my skin...

  5. Psoriasis

  6. Inverse psoriasis

  7. Guttate Psoriasis

  8. Psoriasis treatment • Strongly consider derm consult • High potency topical steroids • PUVA, UVB and tar • Immunomodulators • (e.g., methotrexate, cyclosporine) • Whole talk in itself

  9. Another rash, this time on the wrists … (Ah ha)

  10. Lichen Planus

  11. Lichen PlanusTreatment • Topical steroids, high potency initially. • Intralesional steroids • Antihistamines • PUVA for generalized LP • Kenalog in orabase for oral lesions on buccal mucosa (Wickham’s striae)

  12. Overweight patient with bumps on the back of the arms over triceps muscle…

  13. Keratosis pilaris

  14. Quiz time

  15. What is this? Go through the Differential Dx before answering.

  16. And this? Location = volar surface of wrist. Differential Diagnosis?

  17. How about this one?

  18. Write down for me the differential diagnosis of a 2 cm scaly plaque. No further info.

  19. The end

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