It is caused by the parapox virus.later may increase in size to 2-3 cm and become flat-topped and haemorrhagicmay less commonly be seen in familial hypercholesterolaemiaEruptive xanthoma are due to high triglyceride levels and present as multiple red/yellow vesicles on the extensor surfaces (e.g. Limited number of papules and pustules, no plaques)recommend daily application of a high-factor sunscreenlaser therapy may be appropriate for patients with prominent telangiectasiaSeborrhoeic dermatitis in adults is a chronic dermatitis thought to be caused by an inflammatory reaction related to a proliferation of a normal skin inhabitant, a fungus called Malassezia furfur (formerly known as Pityrosporum ovale). Discoid lupus erythematous is characterised by follicular keratin plugs and is thought to be autoimmune in aetiologylesions heal with atrophy, scarring (may cause scarring alopecia), and pigmentationoral antimalarials may be used second-line e.g. betnovate: Term. Six weeks - 3 months therapy is needed for fingernail infections whilst toenails should be treated for 3 - 6 monthsAthlete's foot is also known as tinea pedis. Some patients with frequent exacerbations may benefit from longer term aciclovirShingles is an acute, unilateral, painful blistering rash caused by reactivation of the Varicella Zoster Virus (VZV).In 2013 the NHS introduced a vaccine to boost the immunity of elderly people against herpes zoster. Both hyperinsulinaemia and high levels of luteinizing hormone are seen in PCOS and there appears to be some overlap with the metabolic syndrome.if a women requires contraception then a combined oral contraceptive (COC) pill may help regulate her cycle and induce a monthly bleed (see below)a COC pill may be used help manage hirsutism. There is around a 3% chance of developing invasive skin cancerLeukoplakia is a premalignant condition which presents as white, hard spots on the mucous membranes of the mouth. What dose of oral morphine solution should he be p...Despite the availability of effective drugs against TB, many patients still suffer the consequences of the host?s immune response to mycobac...1. Topical calcipotriol is usually irritant in flexures. Griseofulvin Antifungal Agents. Blepharitis is also more common in patients with rosaceaThe meibomian glands secrete oil on to the eye surface to prevent rapid evaporation of the tear film. It typically affects the face, neck and upper trunk and is characterised by the obstruction of the pilosebaceous follicles with keratin plugs which results in comedones, inflammation and pustules.Acne may be classified into mild, moderate or severe:mild: open and closed comedones with or without sparse inflammatory lesionsmoderate acne: widespread non-inflammatory lesions and numerous papules and pustulessevere acne: extensive inflammatory lesions, which may include nodules, pitting, and scarringA simple step-up management scheme often used in the treatment of acne is as follows:single topical therapy (topical retinoids, benzyl peroxide)topical combination therapy (topical antibiotic, benzoyl peroxide, topical retinoid)oral antibiotics: e.g. The infant clinically responded to treatment with topical terbinafine and … 10 questions each scored out of 3. causes include Trichophyton rubrum and Trichophyton verrucosum (e.g. This may be caused bydermatophytes - mainly Trichophyton rubrum, accounts for 90% of cases'unsightly' nails are a common reason for presentationthickened, rough, opaque nails are the most common findingdiagnosis should be confirmed by microbiology before starting treatmentdermatophyte infection: oral terbinafine is currently recommended first-line with oral itraconazole as an alternative.
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