• DERMATOLOGY

    Acne vulgaris

    Prevalence Definition Common Demographics Pathogenesis Causes Aggravating Factors Differential Diagnoses Severity Classification Mild Acne Moderate Acne Moderate to Severe Acne Severe Acne Treatment Identification of Acne Severity Considerations Before Treatment Psychosocial Assessment General Measures Mild Acne Moderate Acne Severe Acne Specific Treatments Over-the-Counter Products: Benzoyl Peroxide Clindamycin Role of Antibiotics…

  • DERMATOLOGY

    Actinic Keratosis (Solar Keratosis)

    Definition: Actinic keratosis is a precancerous scaly spot found on sun-damaged skin, also known as solar keratosis. Significance: Considered an early form of cutaneous squamous cell carcinoma (keratinocyte cancer). Clinical Presentation Complications Diagnosis Treatment Prevention Outlook Feature Actinic Keratosis Seborrheic Keratosis Nature Precancerous Benign Risk Can progress to SCC Non-cancerous…

  • DERMATOLOGY

    Acute Febrile Neutrophilic Dermatosis (Sweet Syndrome)

    Introduction: Demographics: Etiology of Sweet Syndrome Malignancy-Associated Sweet Syndrome: Inflammatory and Autoimmune Disease Associations: Post-Infectious Sweet Syndrome: Drug-Induced Sweet Syndrome: Pregnancy-Related Sweet Syndrome: Triggers: Symptoms: Appearance of Skin Lesions: Constitutional Symptoms: Extracutaneous Manifestations: Diagnosis: Blood Tests: Treatment: Outcome:

  • DERMATOLOGY

    Alopecia

    Types of Hair Loss/Alopecia Types of Alopecia Type of Alopecia Pathology Age of Onset Symptoms Risk Factors Differentials Diagnosis Treatment Androgenetic Alopecia Miniaturization of hair follicles influenced by androgens Varies; men in their 20s-30s, women usually post-menopausal Thinning in the crown area in men, diffuse thinning in women Genetics, androgens…

  • DERMATOLOGY,  PAEDIATRICS

    Alopecia (kids)

      Tinea capitis presenting with a solitary circular area of hair loss. Note there is a short stubble of broken hairs and the skin is inflamed. Tinea capitis presenting with a solitary circular area of hair loss. Note there is a short stubble of broken hairs and the skin is…

  • DERMATOLOGY,  HAIR

    Alopecia areata

    Alopecia areata is an autoimmune condition causing hair loss, typically presenting as discrete bald patches on the scalp and potentially affecting all hair-bearing areas. Variants of Alopecia Areata Prevalence and Demographics Risk Factors Pathogenesis Clinical Presentation Diagnosis Differential Diagnosis Treatment Prevention Prognosis 4o

  • DERMATOLOGY

    Annular Lesions

    Comparison of Annular Lesions Diagnosis Clinical presentation Treatment options Tinea corporis Scaly, annular, erythematous plaques or papules on glabrous skin Topical and systemic antifungals Discoid Eczema Less likely to have central clearing (but can occur)More confluent scales Annular psoriasis Silvery scaleNail pittingFamily history of psoriasis Pityriasis rosea Small, fawn-colored, oval…

  • DERMATOLOGY,  ECZEMA

    Atopic dermatitis (Eczema)

    Introduction: Demographics: Causes: Immune System Theory What is Atopy? Disease Manifestation and Triggers Inherited Barrier Defect Consequences of Filaggrin Loss Immune System Imbalance Th2 Cytokines Effects Microbiome Role Factors Contributing to Dry Skin Irritants Infection Role Allergens and Eczema Stress Impact Climate Influence Investigations for Atopic Dermatitis Diagnostic Criteria for…

  • DERMATOLOGY

    Basal Cell Carcinoma (BCC)

    Prevalence: Risk Factors Skin Type: Sun Exposure: Personal History: Clinical Presentation Nodular BCC: Differential Diagnoses for Nodular BCC: Superficial BCC: Differential Diagnoses for Superficial BCC: Additional Characteristics Treatment Options

  • DERMATOLOGY,  PRURITIS

    Bullous pemphigoid

    most common form of autoimmune subepidermal blistering disease. occurs in 0.3% of cancer patients treated with checkpoint inhibitors, antibiotics, penicillamine, potassium iodide,  frusemide, captopril, gold, penicillin, sulfasalazine, and topical fluorouracil looks like: treatment 

  • DERMATOLOGY

    Chilblains

    Pathophysiology Epidemiology Risk Factors Clinical Manifestations Association with COVID-19 Diagnosis Management Complications and Prognosis Differential Diagnoses

  • DERMATOLOGY

    Dermatitis

    Relationship with Eczema: Classification: Dermatitis can be categorized based on various factors: Epidemiology of Dermatitis Clinical Features of Dermatitis Racial Variation in Clinical Features Types of Dermatitis and Their Causes Exogenous Dermatitis: Endogenous Dermatitis: Atopic dermatitis — a common form of dermatitis occurring in children and adults, and often occurring in…

  • DERMATOLOGY,  PRURITIS

    Dermatitis herpetiform

    This extremely itchy condition is a chronic subepidermal vesicular condition in which the herpes simplex-like vesicles erupt at the dermo-epidermal junction.  Who Gets Dermatitis Herpetiformis? Pathology Differential Diagnosis of Dermatitis Herpetiformis Disease Differentiating features Dermatitis herpetiformis Pruritic, polymorphic, grouped and symmetrical lesions consisting of erythema, urticarial plaques, papules, vesicles and…

  • DERMATOLOGY

    diagnostic approach

    common dermatological problems fall into one of seven categories  Common dermatological conditions:  AcnePsoriasisAtopic dermatitis (eczema)UrticariaSun-related skin cancerDrug-related eruptionsInfections Bacterial: – impetigo Viral: – warts– herpes simplex, herpes zoster– pityriasis rosea– exanthemata Fungal: – tinea– candidiasis– pityriasis versicolor Acute and chronicPapular: – pediculosis– scabies– insect bites A problem that does not…

  • DERMATOLOGY

    Diagnostic tools

    Wood’s light examination of the eye after fluorescein staining. (A low-cost, small ultraviolet light unit called ‘the black light’ is also available.) Simply hold the ultraviolet light unit above the area for investigation in a dark room. Skin conditions that produce fluorescence in Wood’s light Tinea capitis Green/bright yellow (in…

  • DERMATOLOGY

    Eczema

    Eczema, a chronic inflammatory skin disease, impacts approximately 20% of children and 3% of adults, manifesting as Also referred to as atopic eczema or atopic dermatitis Background: Diagnosis: 4. Diagnostic Features (American Academy of Dermatology): 5. Diagnostic Criteria (Hanifin and Rajka, UK Working Party): Differential Diagnosis: Differential diagnosis of eczema…

  • DERMATOLOGY

    Erythema Multiforme

    Erythema Multiforme Prevalence and Demographics: Genetic Predisposition: Causes: Infections (90% of cases): Medications: Associated Conditions: Pathophysiology: Clinical Features: Prodromal Symptoms: Cutaneous Features: Mucosal Features: Complications: Diagnosis: Differential Diagnosis: Treatment: Mild Cases: Other Treatments: Severe Mucosal Disease: Recurrent Disease: Outcome:

  • DERMATOLOGY

    Erythema Nodosum

    Definition: Etiology: Epidemiology: Pathophysiology: Histopathology: Clinical Presentation: Associated Symptoms: Diagnosis: Treatment and Management: Prognosis: Pearls and Other Issues:

  • DERMATOLOGY,  HAIR

    Female Pattern Hair Loss (FPHL)

    Causes Normal Hair Growth Cycle Hair Shedding and Miniaturisation Clinical Presentation: Diagnostic Approach: Treatment Options Overview: Medications: Other Treatments: Key Considerations: Factors Influencing Prognosis: Complications of Androgenetic Alopecia While AGA itself is mainly a cosmetic concern, it can be associated with various complications and linked conditions: Physical Complications: Psychological and…

  • DERMATOLOGY,  PRURITIS

    Flexural Eczema

    Definition: Atopic dermatitis that develops in flexural areas (backs of knees, inner elbows, wrists). Location: Eczema refers to skin conditions causing itchy, inflamed, cracked, and sore patches.Flexural eczema occurs where skin bends or folds (e.g., joints, skin creases).Common areas: inner elbows, behind knees, wrists, ankles. Affected Population: Common in late…

  • BACTERIAL,  DERMATOLOGY

    Impetigo

    Epidemiology Pathophysiology Causes Predisposing Factors Types of Impetigo Bullous Impetigo Non-Bullous Impetigo Primary Impetigo Secondary Impetigo Symptoms Signs Streptococcal Impetigo Staphylococcal Impetigo Complications Differential Diagnosis Common Uncommon Course Management Topical Therapy Systemic Agents Cephalexin (Keflex) Dicloxacillin Staphylococcus Suspected (especially MRSA) Prevention

  • DERMATOLOGY

    Infantile acne

    Infantile acne usually starts after the age of 3 months, with comedones, papules and pustules on the cheeks and chin. For a diagnosis of acne, comedones must be present. See here for a photo of infantile acne. Milia, miliaria and neonatal cephalic pustulosis are commonly misdiagnosed as infantile acne. Most cases are mild and resolve by the age…

  • DERMATOLOGY

    Itchy anus

    Itchy anus is a common complaint characterized by intense itching in the perianal area between the buttocks. It can result from infestations, skin infections, inflammatory skin conditions, or rarely, skin tumors. When there is no obvious cause, it is referred to as pruritus ani. Demographics Itchy anus affects up to…

  • DERMATOLOGY

    Keloid and hypertrophic scar

    Hypertrophic scars Keloid scars Common in all races and ages. Less common; more frequent in Fitzpatrick skin types III to VI.Self-reported in 16% of Black individuals.More likely in Chinese than Indian or Malaysian origin.Least affected: White-skinned individuals and albinos.Genetic association with certain HLA haplotypes and blood group A.Associated conditions include…

  • DERMATOLOGY

    Male pattern hair loss (androgenetic alopecia, balding)

    Cause: DHT Effects: 5-Alpha Reductase: Genetics: Genetic Testing: Women with Male Pattern Hair Loss (MPHL) Characteristics: Female Pattern Hair Loss Prevalence: Prevalence of Male Pattern Baldness General Prevalence: Specific Statistics: Pathophysiology Role of Androgens: Normal Hair Growth Cycle Anagen Phase (Growth Phase): Catagen Phase (Transition Phase): Telogen Phase (Resting Phase):…

  • DERMATOLOGY

    Medications in Dermatology

    Corticosteroids Generic name Formulation Group I Mild Desonide 0.5% Lotion Hydrocortisone 0.5%, 1% Cream, ointment Group II Moderately potent Betamethasone valerate 0.02% Cream Betamethasone valerate 0.05% Cream, ointment Clobetasone butyrate 0.05% Cream Triamcinolone acetonide 0.02%, 0.05% Cream, ointment Group III Potent Betamethasone valerate 0.1% Cream, ointment Betamethasone dipropionate 0.05% Cream,…

  • DERMATOLOGY

    Melanoma

    Skin Neoplasia Naevi and Melanoma  Naevi = hamartoma of the skin. With respect to melanocytes, a benign neoplasm Melanocytic Naevi Dysplastic melanocytic naevi (Atypical Mole Syndrome): Halo naevi:  Blue naevus Melanoma Risk Factors:  VERY HIGH RISK: Less strong factors include  Extrinsic Risk Factors for Melanoma Solar UV radiation [8,11,12]   ●   Intermittent…

  • DERMATOLOGY

    Necrotizing Fasciitis

    Overview: Causative Organisms: Monomicrobial pathogens: Polymicrobial pathogens: Risk Factors: Clinical Assessment: History: Examination: Investigations: Laboratory: Imaging: Other: Management: Resuscitation: Specific Therapy: Empiric Antibiotics: Other Therapies: Supportive Care and Monitoring: Consults: Disposition: Prognosis:

  • DERMATOLOGY,  ECZEMA

    Nummular/discoid eczema

    scattered, well-defined, coin-shaped and coin-sized plaques of eczema. Discoid eczema is also called nummular dermatitis The eruption can be precipitated by: Differentials : annular skin eruptions including  Management

  • DERMATOLOGY,  FUNGAL

    Onychomycosis

    Onychomycosis, also known as tinea unguium, is a fungal infection of the nails. Accounts for over 50% of all nail diseases, with an estimated 5.5% prevalence. Toenails, fingernails, or both. Differential diagnosis of onychomycosis Differential diagnosis Clinical features Nail psoriasis Shares many common clinical and histopathological features with onychomycosisFingernails are…

  • DERMATOLOGY

    Periorificial dermatitis

    Periorificial dermatitis (POD) is a chronic inflammatory skin condition, characterized by eruptions around the body’s orifices. Here’s a breakdown of what it is, who it affects, its causes, clinical features, complications, diagnosis, differential diagnosis, treatment, and outcome: What is Periorificial Dermatitis? Who Gets Periorificial Dermatitis? Causes Clinical Features Complications Diagnosis…

  • DERMATOLOGY

    Periorificial Dermatitis (POD)

    Definition and Characteristics: Prevalence and Demographics: Etiology and Risk Factors: Clinical Presentation: Complications: Diagnosis: Differential Diagnosis: Treatment Approaches: Outcome and Prognosis: This comprehensive summary provides an in-depth look into the nature, prevalence, etiology, clinical presentation, complications, diagnosis, differential diagnosis, treatment approaches, and outcomes associated with Periorificial Dermatitis.

  • DERMATOLOGY

    Photodermatitis

    Who gets photosensitivity? Classification of photosensitivity Causes Clinical features Complications Diagnosis Treatment Prevention Outlook

  • BACTERIAL,  DERMATOLOGY

    Pitted Keratolysis

    Pitted keratolysis, also known as keratolysis plantare sulcatum or ringed keratolysis. is a Superficial bacterial skin infection. Characterized by crater-like pits on the skin and often accompanied by a malodorous smell. Primarily affects pressure-bearing areas on the soles of the feet; rare occurrences on the palms. Prevalence and Risk Groups…

  • DERMATOLOGY,  PRURITIS

    Pompholyx

    It is not related to occlusion of sweat glands as was first thought when the disease was recognised over 100 years ago, but there are some factors associated with the disorder, including:  DDx    Mx

  • DERMATOLOGY,  PRURITIS

    Pruritus ani

    Typical Patient Profile: Aetiology Idiopathic Causes: Benign Aetiology: Faecal Soiling, Diet, and the Itch-Scratch Cycle Causes of Faecal Soiling: Contributing Factors: Anorectal Conditions Common Conditions: Serious Conditions: Skin Disorders Contact Dermatitis: Therapeutic Agents: Infections Fungal Infections: Bacterial Infections: Parasitic Infections: Investigations Initial Review: Tests: Management Normalisation of Bowel Motions: Cleaning…

  • DERMATOLOGY

    Pruritus in the Elderly

    Skin Changes in the Elderly: Factors in Skin Ageing: Differential Diagnosis: Common dermatological causes of pruritus Xerosis This is the most common cause of pruritus in the absence of an identifiable skin lesion. It is characterised by dry, scaly skin, usually in the lower extremities. Atopic dermatitis Atopic dermatitis is…

  • DERMATOLOGY

    Psoriasis

    Types of psoriasis Differential diagnosis Infantile Seborrhoeic dermatitis, atopic dermatitis Plaque (commonest) Seborrhoeic dermatitis, discoid eczema, solar keratoses, Bowen disease Guttate Pityriasis rosea, secondary syphilis, drug eruption Flexural Tinea, candida intertrigo, seborrhoeic dermatitis Scalp (sebopsoriasis) Seborrhoeic dermatitis, tinea capitis Nail Tinea, idiopathic onycholysis Pustular (palmoplantar) Tinea, infected eczema Exfoliative Severe…

  • DERM PAEDS,  DERMATOLOGY,  PAEDIATRICS

    Rashes (kids)

    LESION DESCRIPTION PATHOGENS ORINFECTION a)Maculopapular rash macules – red/pink discrete flat areas, blanch on pressure papules – solid,raised hemispherical lesions, tiny, blanch on pressure VRS – Measles, rubella, roseola, erythema infectiosum, EBV, echovirus, HBV, HIV BACT – Erythema marginatum, scarlet fever, erysipelas, 2° syphilis, leptospirosis, Lyme dzs,  RICK – Rocky…

  • DERMATOLOGY

    Red Rashes on Face

    Background Assessment and Diagnosis Common Causes and Clinical Features Causes of red rashes on the face Diagnosis Morphology Distribution Clinical clues Diagnostic tests Atopic dermatitis (eczema) Erythema, scale, excoriations, xerosisLichenificationIll-defined plaquesHoney-coloured crusts if secondarily infected Anywhere on face, neck, scalp Variants: – NeckLips (eg licker’s eczema)– Eyelids (eg Dennie–Morgan folds)–…

  • DERMATOLOGY

    Rhinophyma

    Cause of Rhinophyma: Other Forms of Phymatous Rosacea: Severity Classification: Demographics: Treatment Options: Complications:

  • DERMATOLOGY

    Rosacea

    Background Clinical Features Demographics Pathophysiology Subtypes and Clinical Manifestations Cutaneous Features: Differential Diagnosis Complications Diagnostic criteria Major criteria (must occur in centrofacial distribution) Minor features In cases where there is diagnostic uncertainty, skin biopsy may be considered. Treatment Systemic Treatment Maintenance Therapy (if rosacea recurs within a month): Topical Treatment Apply for 6…

  • DERMATOLOGY,  PRURITIS

    Scabies

      Differential diagnoses of classical scabies Insect bites Infections Dermatitis Immune-mediated Mosquitos Folliculitis Eczema Papular urticarial Midges Impetigo Contact dermatitis Bullous pemphigoid Fleas Tinea   Pityriasis rosea Bedbugs Viral exanthems     Diagnosis: Differential Diagnoses: Insect bites Infections Dermatitis Immune-mediated Mosquitos Folliculitis Eczema Papular urticarial Midges Impetigo Contact dermatitis Bullous…

  • DERMATOLOGY

    scalp rashes

    The most common scalp symptoms are: Itch, Soreness, Scale/flaking, Pustules/sores Pityriasis amiantacea Very thick asbestos-like scaleScale is very adherent to hair shaftsSubsequent diagnosis usually seborrhoeic dermatitis or psoriasisPityriasis amiantacea Tinea capitis Irregular scaly plaques with moth-eaten hair lossMay have inflammatory, abscess-like kerionHairs are easy to extractPositive microscopy and culture of scrapings and extracted hairSometimes, fluorescence on Wood light examination Psoriasis Any age, most >…

  • DERMATOLOGY

    Squamous Cell Carcinoma (SCC)

    Risk Factors Types of SCC Clinical Presentation Prognostic Factors Surgical Margins and Incomplete Excision Rate Recommended Surgical Margins Based on Risk Level Considerations in Determining Surgical Margin Referral to a Specialist (Dermatologist or Plastic Surgeon) High-Risk SCC Features and Multidisciplinary Referral Alternative Treatment Modalities Management of Incompletely Excised Lesions Follow-up…

  • DERMATOLOGY,  FUNGAL

    Superficial fungal infection diagnosis and treatments

    Tinea Type Risk Factors Treatment Complications Tinea Capitis (Scalp Ringworm) Young childrenpoor hygienecontact with infected petsharing combs/hats Oral antifungals (e.g., griseofulvinterbinafineitraconazole) Permanent hair loss, secondary bacterial infection, kerion formation Tinea Corporis (Body Ringworm) Contact with infected individuals or animalswarm and humid climatescompromised immunity Topical antifungals (e.g., clotrimazole, miconazole) for mild…

  • DERMATOLOGY,  HAIR

    Telogen Effluvium

    Contrast with Anagen Effluvium Population Affected by Telogen Effluvium Causes and Triggers Clinical Features and Presentation Chronic Telogen Effluvium Characteristics Diagnostic Approach Differential Diagnosis Considerations Management Strategies Prognosis and Outcome

  • DERMATOLOGY

    Terminology Of Skin Lesions

    Primary lesions Macule Circumscribed area of altered skin colour (Latin for stain) without elevation <1 cm diameter Patch Macule of >1 cm diameter Papule Palpable mass on skin surface <1 cm diameter Plaque A flat-topped palpable mass >1 cm diameter. Nodule A circumscribed, solid palpable mass >1 cm diameter Wheal…

  • DERMATOLOGY,  FUNGAL

    Tinea incognito

    Tinea incognito (often mislabeled as “tinea incognita”) is a fungal infection modified and exacerbated by the inappropriate use of topical steroids, leading to an altered clinical appearance. The clinical features may become masked with attenuated scale and erythema, as well as a less well-defined border The infection may also be…

  • DERMATOLOGY,  FUNGAL

    Tinea Pedis

    Tinea pedis, commonly known as athlete’s foot, is a fungal infection of the foot caused by dermatophytes. Causes Risk Factors Clinical Features Diagnosis Differential Diagnoses Treatment Non-Pharmacological Pharmacological Topical Antifungals Oral Antifungals Prevention

  • DERMATOLOGY

    Topical Steroids

      click on heading to sort Potency Product-Name Active-Ingredient Formulation Pack Size Age Preg Cat Dosing Sched PBS Max Q & Repeats Very potent Diprosone OV3 Betamethasone dipropionate 0.05% (in optimised vehicle) Ointment 30 g 12 years+ B3 1-2 times daily S4 Not PBS Listed n/a Potent Betnovate Betamethasone valerate…

  • DERMATOLOGY,  IMMUNOLOGY,  PRURITIS

    Urticaria

    Clinical Recommendations Urticaria Characteristics Etiology and Pathophysiology Aggravating Factors Classification CLASSIFICATION ACCORDING TO SITE Clinical History and Examinaiton Possible Etiologies: CLINICAL CLUE POSSIBLE ETIOLOGY Abdominal pain, dizziness, hypotension, large erythematous patches, shortness of breath, stridor, tachycardia Anaphylaxis Dermatographism, physical stimuli Physical urticaria Food ingestion temporally related to symptoms Food allergy…

  • DERMATOLOGY

    Vitiligo

    Overview Epidemiology Race Sex Onset Inheritance Associated Autoimmune Disorders Treatment Specific Measures