Skin Conditions

Jun 15, 2020 Issue
Ozenoxacin (Xepi) for the Treatment of Impetigo [STEPS]

Ozenoxacin is an effective and safe topical quinolone treatment for bullous and nonbullous impetigo in patients as young as two months. However, it is expensive and some patients may have limited access because it is only available through a physician or hospital.

Jun 15, 2020 Issue
Foreign Bodies in the Skin: Evaluation and Management [Article]

Long-term complications of retained foreign bodies include chronic pain and neurovascular impairment. Learn about the indications and contraindications for foreign body removal, and which imaging modalities are best for evaluation.

Jun 1, 2020 Issue
Pruritic Hyperkeratotic Papules on the Legs of a Patient with Atopic Dermatitis [Photo Quiz]

A presented with an intensely pruritic rash on both lower legs that coincided with progressive worsening of his chronic atopic dermatitis.

May 15, 2020 Issue
Severely Callused Hands and Feet [Photo Quiz]

A man presented with a long history of an uncontrollable, proliferating skin callus formation on both hands and feet.

Apr 1, 2020 Issue
Cutaneous Cryosurgery for Common Skin Conditions [Article]

Cryosurgery is a safe, effective, and inexpensive procedure. Dipstick, probe, or spray techiniques are used to treat benign, premalignant, and malignant skin lesions. Low-risk basal and squamous cell carcinomas may be treated with cryosurgery, and it is the treatment of choice for most actinic keratoses.

Mar 15, 2020 Issue
Genital Ulcers: Differential Diagnosis and Management [Article]

Genital ulcers are infectious or noninfectious and are located on the vagina, penis, and anorectal or perineal areas, and herpes simpex virus is the most common cause. Diagnosis for herpes simplex virus is made through physical examination and observation of the lesions. Noninfectious etiologies, including sexual trauma and psoriasis, should be considered.

Mar 1, 2020 Issue
Tense Bullae and Pruritus [Photo Quiz]

A 72-year-old man presents with a two-month history of worsening pruritic rash and painful blisters on his trunk, bilateral upper and lower extremities, face, and groin.

Feb 15, 2020 Issue
Topical Interventions Improve Outcomes After Cryosurgery for Actinic Keratosis [POEMs]

Based on a review of low-quality evidence, adding a topical intervention after cryosurgery for actinic keratosis improves the likelihood of complete clearance from 46% to 79% (number needed to treat = 3).

Feb 1, 2020 Issue
Accuracy of Dermoscopy vs. Visual Inspection for Diagnosing Melanoma in Adults [Cochrane for Clinicians]

The addition of dermoscopy to in-person visual inspection of skin lesions increases specificity and sensitivity in the detection of melanoma. In-person evaluation with dermoscopy is more accurate than image-based assessment.

Nov 15, 2019 Issue
Hydrogen Peroxide 40% (Eskata) for Seborrheic Keratosis [STEPS]

Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common.

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