Patient Dermatology Essay

Topical-This would be a type of medication applied to the surface/skin on the body i.e. creams, foams gels,

Similarly anti-fungal or anti-bacterial topical applications may be prescribed for treatment of fungal or bacterial infections respectively.

While washing up in the shower or tub, don’t use strong soaps. “Use a mild soap or a nonsoap cleanser, or less soap than usual.” (Ehrlich 2). In an interview, the person stated “Medicated oatmeal baths helped relieve her itching.” (M.). After you bathe, you want lock the moistness into your skin. “Moisturizer should be free of alcohol, scents, dyes, fragrances, or other chemicals.” (Vorvick 2). “After bathing, it is important to apply lubricating creams, lotions, or ointment on the skin while it is damp. This will help trap moisture in the skin.” (Vorvick 2). A humidifier can assist your home to stay moist.

Use skin products to help reduce irritation: These products can help protect your skin and keep it dry.

• Take medicines only as told by your doctor. Apply skin creams or ointments exactly as told.

As part of the acute flare management, it is important to use topical therapy as adjunctive strategy to 208 decrease pruritus and sooth the skin. Topical glucocorticoids can also be used to provide fast relief, 209 particularly in patients with localized disease. If infections are present, they need to be addressed to 210 decrease pruritus and allow maximum benefit of

If general moisturizers or emollients don’t work, dermatologists usually prescribe medicated creams. Skin creams that contain alpha hydroxy acid, salicylic acid, lactic acid, or urea help in exfoliating or removing dead cells from the skin. These creams are called topical exfoliants and they also soften and moisturize dry skin. They are available as over the counter as well as prescription medicines. Follow your doctor’s advice on how often to apply these creams. Topical exfoliants are usually not prescribed for children as the acids present in these creams can cause skin irritation or

In case your skin in sensitive then you can no longer want to use this treatment. Ask your medical doctor approximately alternative treatments.

Fixed drug eruption (FDE) is a unique type of cutaneous adverse drug reaction. They were first described by Bourns1 in 1889 and later by Brocq2 as “eruption erythemato-pigmentee fixe”. It is characterised by the appearance of a single or multiple sharply demarcated violaceous erythematous plaques that may blister and is often associated with pruritus. The lesions generally leave behind some amount of residual hyperpigmentation. These lesions typically appear within 30 minutes to 24 hours of administration of the incriminated drug.1 The usual sites of involvement are hands, feet, genitalia and perianal region whereas it is seen less commonly around the mouth and trunk. There is a characteristic recurrence at the same sites on repeat administration

Early treatment can include antibiotics, topical steroid creams, and antibiotic creams. Incision and drainage of stage 1 abscesses is often done. Steroid medication injected directly into an abscess can reduce inflammation as well as oral steroids. Women are often prescribed birth control pills as a form of hormonal therapy to suppress flare ups. TNF inhibitors such as infliximab and adalimumab have positive results in some patients. Pain medication is often prescribed if over the counter medications are not effective. Surgery may be considered depending on the stage of disease. Surgical removal of lesions and skin grafting of affected areas may be necessary in cases of extensive, persistent scarred lesions. This surgery is extensive because not only must the skin containing the lesions be removed, but wide margins around the affected area must be removed as well (Robert Lee, National Organization of Rare Diseases, 2012). One common misconception is that surgery will eliminate the disease. Even removal of the entire effected area and skin grafting may not be 100% effective. Some patients prefer natural medicines which can include supplements such as zinc and vitamin A, vitamin D, and turmeric. Cannabis oil has also shown promise, however due to legal issues is often

In addition to the ointment, or after several days of using just the ointment, begin moisturizing

Reitamo S, Remitz A, Kyllönen H, & Saarikko J. (2002). Topical noncorticosteroid immunomodulation in the treatment of atopic dermatitis. American Journal Of Clinical Dermatology, 3(6), 381-8.

Immediately after using a washcloth, generously apply a thick moisturizer to soothe, replenish and hydrate your skin.

An 18-year-old male presents to the clinic complaining of skin changes over his arms and legs that have been persistently reappearing for the past few months. He says they are “unbearably itchy” and usually appear when he is outdoors, sweating a lot, or after he bathes. He claims that he wants some definitive treatment for them as they interfere with his academic activities. He uses generic lotion frequently because he tends to have dry skin, but the lotions have been ineffective with these itchy rashes. In review of activities, the patient explains that he has just returned from a biking and hiking trip in the mountains with friends, and recalls only one event where he fell in some bushes. Otherwise he admits to “staying clean” throughout his trip and bathing twice a day. The review of systems, in addition to his skin complaints, is otherwise negative. His past medical history includes mild persistent asthma and allergic rhinitis. His medications include an albuterol inhaler as needed,

Make it a habit to apply lotion in your hands after washing to minimize skin dryness.