Common Benign Chronic Vulvar Disorders - American Family Physician
Nov 1, 2020 - Common benign chronic vulvar conditions include genitourinary syndrome of menopause (formerly called vulvovaginal atrophy), lichen sclerosus, lichen planus, lichen simplex chronicus, and vulvodynia. Genitourinary syndrome of menopause results from the hypoestrogenic state that leads to ...
American Family Physician : Article
https://www.aafp.org/afp/2020/1101/p550.html
Basal Cell and Cutaneous Squamous Cell Carcinomas: Diagnosis and Treatment - American ...
Sep 15, 2020 - Keratinocyte carcinoma, traditionally referred to as nonmelanoma skin cancer, includes basal cell and cutaneous squamous cell carcinoma and is the most common skin cancer malignancy found in humans. The U.S. Preventive Services Task Force recommends counseling about minimizing exposure ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0915/p339.html
Henoch-Schönlein Purpura (IgA Vasculitis): Rapid Evidence Review - American Family ...
Aug 15, 2020 - Henoch-Schönlein purpura, now called immunoglobulin A (IgA) vasculitis, is a systemic, immune complex–mediated, small-vessel leukocytoclastic vasculitis characterized by nonthrombocytopenic palpable purpura, arthritis, and abdominal pain. It is the most common vasculitis in children but...
American Family Physician : Article
https://www.aafp.org/afp/2020/0815/p229.html
Atopic Dermatitis: Diagnosis and Treatment - American Family Physician
May 15, 2020 - Atopic dermatitis (atopic eczema) is a chronic relapsing and remitting inflammatory skin disease affecting one in 10 people in their lifetime. Atopic dermatitis is caused by a complex interaction of immune dysregulation, epidermal gene mutations, and environmental factors that disrupts ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0515/p590.html
Outpatient Burn Care: Prevention and Treatment - American Family Physician
Apr 15, 2020 - Most patients with burn injuries are treated as outpatients. Two key determinants of the need for referral to a burn center are burn depth and percentage of total body surface area involved. All burn injuries are considered trauma, prompting immediate evaluation for concomitant ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0415/p463.html
Cutaneous Cryosurgery for Common Skin Conditions - American Family Physician
Apr 1, 2020 - Cryosurgery is the application of freezing temperatures to achieve the destruction of tissue. Cutaneous cryosurgery has become a commonly performed outpatient procedure because of the combination of its safety, effectiveness, low cost, ease of use, lack of need for injectable ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0401/p399.html
Genital Ulcers: Differential Diagnosis and Management - American Family Physician
Mar 15, 2020 - Genital ulcers may be located on the vagina, penis, and anorectal or perineal areas and may be infectious or noninfectious. Herpes simplex virus is the most common cause of genital ulcers in the United States. A diagnosis of genital herpes simplex virus infection is made through ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0315/p355.html
Chronic Wounds: Evaluation and Management - American Family Physician
Feb 1, 2020 - Chronic wounds are those that do not progress through a normal, orderly, and timely sequence of repair. They are common and are often incorrectly treated. The morbidity and associated costs of chronic wounds highlight the need to implement wound prevention and treatment guidelines. ...
American Family Physician : Article
https://www.aafp.org/afp/2020/0201/p159.html
Hidradenitis Suppurativa: Rapid Evidence Review - American Family Physician
Nov 1, 2019 - Hidradenitis suppurativa is a chronic folliculitis affecting intertriginous areas. Onset generally occurs in young adulthood to middle adulthood (18 to 39 years of age). Females and blacks are more than twice as likely to be affected. Additional risk factors include family history, ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1101/p562.html
Acne Vulgaris: Diagnosis and Treatment - American Family Physician
Oct 15, 2019 - Acne vulgaris is the most prevalent chronic skin disease in the United States, affecting nearly 50 million people per year, mostly adolescents and young adults. Potential sequelae of acne, such as scarring, dyspigmentation, and low self-esteem, may result in significant morbidity. ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1015/p475.html
Hand-Foot-and-Mouth Disease: Rapid Evidence Review - American Family Physician
Oct 1, 2019 - Hand-foot-and-mouth disease is caused by human enteroviruses and coxsackieviruses. Outbreaks can occur in the spring to fall and are common in North America, and most cases occur in patients younger than 10 years. Hand-foot-and-mouth disease is transmitted by fecal-oral, oral-oral, and ...
American Family Physician : Article
https://www.aafp.org/afp/2019/1001/p408.html
Venous Ulcers: Diagnosis and Treatment - American Family Physician
Sep 1, 2019 - Venous ulcers are the most common type of chronic lower extremity ulcers, affecting 1% to 3% of the U.S. population. Venous hypertension as a result of venous reflux (incompetence) or obstruction is thought to be the primary underlying mechanism for venous ulcer formation. Risk factors ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0901/p298.html
Hirsutism in Women - American Family Physician
Aug 1, 2019 - Hirsutism is the excessive growth of terminal hair in a typical male pattern in a female. It is often a sign of excessive androgen levels. Although many conditions can lead to hirsutism, polycystic ovary syndrome and idiopathic hyperandrogenism account for more than 85% of cases. Less ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0801/p168.html
Erythema Multiforme: Recognition and Management - American Family Physician
Jul 15, 2019 - Erythema multiforme is an immune-mediated reaction that involves the skin and sometimes the mucosa. Classically described as target-like, the erythema multiforme lesions can be isolated, recurrent, or persistent. Most commonly, the lesions of erythema multiforme present symmetrically on...
American Family Physician : Article
https://www.aafp.org/afp/2019/0715/p82.html
Lice and Scabies: Treatment Update - American Family Physician
May 15, 2019 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed with visualization of live lice. Nits (lice eggs or egg casings) alone are not sufficient to diagnose a current infestation. A no-nit ...
American Family Physician : Article
https://www.aafp.org/afp/2019/0515/p635.html
Annular Lesions: Diagnosis and Treatment - American Family Physician
Sep 1, 2018 - Annular lesions can present in a variety of diseases. Knowledge of the physical appearance and history of presentation of these skin findings can help in the diagnosis. A pruritic, annular, erythematous patch that grows centrifugally should prompt evaluation for tinea corporis. Tinea ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0901/p283.html
Noninfectious Penile Lesions - American Family Physician
Jan 15, 2018 - Noninfectious penile lesions are classified by clinical presentation as papulosquamous (e.g., psoriasis), inflammatory (e.g., lichen sclerosus, lichen nitidus, lichen planus), vascular (e.g., angiokeratomas), or neoplastic (e.g., carcinoma in situ, invasive squamous cell carcinoma). ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0115/p102.html
Pityriasis Rosea: Diagnosis and Treatment - American Family Physician
Jan 1, 2018 - Pityriasis rosea is a common self-limiting rash that usually starts with a herald patch on the trunk and progresses along the Langer lines to a generalized rash over the trunk and limbs. The diagnosis is based on clinical and physical examination findings. The herald patch is an ...
American Family Physician : Article
https://www.aafp.org/afp/2018/0101/p38.html
Pigmentation Disorders: Diagnosis and Management - American Family Physician
Dec 15, 2017 - Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules. These conditions are generally ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1215/p797.html
Herpes Zoster and Postherpetic Neuralgia: Prevention and Management - American Family ...
Nov 15, 2017 - Herpes zoster, or shingles, is caused by reactivation of varicella zoster virus, which causes chickenpox. There are an estimated 1 million cases in the Unites States annually, with an individual lifetime risk of 30%. Patients with conditions that decrease cell-mediated immunity are 20 ...
American Family Physician : Article
https://www.aafp.org/afp/2017/1115/p656.html
Acute and Chronic Paronychia - American Family Physician
Jul 1, 2017 - Paronychia is inflammation of the fingers or toes in one or more of the three nail folds. Acute paronychia is caused by polymicrobial infections after the protective nail barrier has been breached. Treatment consists of warm soaks with or without Burow solution or 1% acetic acid. ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0701/p44.html
Acute and Chronic Urticaria: Evaluation and Treatment - American Family Physician
Jun 1, 2017 - Urticaria commonly presents with intensely pruritic wheals, sometimes with edema of the subcutaneous or interstitial tissue. It has a lifetime prevalence of about 20%. Although often self-limited and benign, it can cause significant discomfort, continue for months to years, and ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0601/p717.html
Laceration Repair: A Practical Approach - American Family Physician
May 15, 2017 - The goals of laceration repair are to achieve hemostasis and optimal cosmetic results without increasing the risk of infection. Many aspects of laceration repair have not changed over the years, but there is evidence to support some updates to standard management. Studies have been ...
American Family Physician : Article
https://www.aafp.org/afp/2017/0515/p628.html
Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders ...
Jun 15, 2016 - An occupational illness is an event or exposure that occurs in the workplace that causes or contributes to a condition or worsens a preexisting condition. If an occupational disorder is suspected, a directed history should be taken with particular attention to establishing a temporal ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0615/p1000.html
Diagnosis and Management of Sarcoidosis - American Family Physician
May 15, 2016 - Sarcoidosis is a systemic disease of unknown etiology characterized by the presence of noncaseating granulomas in any organ, most commonly the lungs and intrathoracic lymph nodes. A diagnosis of sarcoidosis should be suspected in any young or middle-aged adult presenting with ...
American Family Physician : Article
https://www.aafp.org/afp/2016/0515/p840.html
Common Questions About Pressure Ulcers - American Family Physician
Nov 15, 2015 - Patients with limited mobility due to physical or cognitive impairment are at risk of pressure ulcers. Primary care physicians should examine at-risk patients because pressure ulcers are often missed in inpatient, outpatient, and long-term care settings. High-risk patients should use ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1115/p888.html
Diagnosing Common Benign Skin Tumors - American Family Physician
Oct 1, 2015 - Patients will experience a wide range of skin growths and changes over their lifetime. Family physicians should be able to distinguish potentially malignant from benign skin tumors. Most lesions can be diagnosed on the basis of history and clinical examination. Lesions that are ...
American Family Physician : Article
https://www.aafp.org/afp/2015/1001/p601.html
Skin and Soft Tissue Infections - American Family Physician
Sep 15, 2015 - Skin and soft tissue infections result from microbial invasion of the skin and its supporting structures. Management is determined by the severity and location of the infection and by patient comorbidities. Infections can be classified as simple (uncomplicated) or complicated ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0915/p474.html
Common Skin Rashes in Children - American Family Physician
Aug 1, 2015 - Because childhood rashes may be difficult to differentiate by appearance alone, it is important to consider the entire clinical presentation to help make the appropriate diagnosis. Considerations include the appearance and location of the rash; the clinical course; and associated ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0801/p211.html
Rosacea: Diagnosis and Treatment - American Family Physician
Aug 1, 2015 - Rosacea is a chronic facial skin condition of unknown cause. It is characterized by marked involvement of the central face with transient or persistent erythema, telangiectasia, inflammatory papules and pustules, or hyperplasia of the connective tissue. Transient erythema, or flushing, ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0801/p187.html
Atypical Moles: Diagnosis and Management - American Family Physician
Jun 1, 2015 - Atypical moles are benign pigmented lesions. Although they are benign, they exhibit some of the clinical and histologic features of malignant melanoma. They are more common in fair-skinned individuals and in those with high sun exposure. Atypical moles are characterized by size of 6 mm ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0601/p762.html
Diagnosis and Treatment of Seborrheic Dermatitis - American Family Physician
Feb 1, 2015 - Seborrheic dermatitis is a common skin condition in infants, adolescents, and adults. The characteristic symptoms—scaling, erythema, and itching—occur most often on the scalp, face, chest, back, axilla, and groin. Seborrheic dermatitis is a clinical diagnosis based on the location and ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0201/p185.html
Common Questions About Wound Care - American Family Physician
Jan 15, 2015 - Lacerations, abrasions, burns, and puncture wounds are common in the outpatient setting. Because wounds can quickly become infected, the most important aspect of treating a minor wound is irrigation and cleaning. There is no evidence that antiseptic irrigation is superior to sterile ...
American Family Physician : Article
https://www.aafp.org/afp/2015/0115/p86.html
Diagnosis and Management of Tinea Infections - American Family Physician
Nov 15, 2014 - Tinea infections are caused by dermatophytes and are classified by the involved site. The most common infections in prepubertal children are tinea corporis and tinea capitis, whereas adolescents and adults are more likely to develop tinea cruris, tinea pedis, and tinea unguium ...
American Family Physician : Article
https://www.aafp.org/afp/2014/1115/p702.html
Management of External Genital Warts - American Family Physician
Sep 1, 2014 - Genital warts affect 1% of the sexually active U.S. population and are commonly seen in primary care. Human papillomavirus types 6 and 11 are responsible for most genital warts. Warts vary from small, flat-topped papules to large, cauliflower-like lesions on the anogenital mucosa and ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0901/p312.html
Impetigo: Diagnosis and Treatment - American Family Physician
Aug 15, 2014 - Impetigo is the most common bacterial skin infection in children two to five years of age. There are two principal types: nonbullous (70% of cases) and bullous (30% of cases). Nonbullous impetigo, or impetigo contagiosa, is caused by Staphylococcus aureus or Streptococcus pyogenes, and ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0815/p229.html
Botulinum Toxin Injection for Facial Wrinkles - American Family Physician
Aug 1, 2014 - Botulinum toxin injection for treatment of facial wrinkles is the most frequently performed cosmetic procedure in the United States, and it is one of the most common entry procedures for clinicians seeking to incorporate aesthetic treatments into their practice. Treatment of frown lines...
American Family Physician : Article
https://www.aafp.org/afp/2014/0801/p168.html
Intertrigo and Secondary Skin Infections - American Family Physician
Apr 1, 2014 - Intertrigo is a superficial inflammatory dermatitis occurring on two closely opposed skin surfaces as a result of moisture, friction, and lack of ventilation. Bodily secretions, including perspiration, urine, and feces, often exacerbate skin inflammation. Physical examination of skin ...
American Family Physician : Article
https://www.aafp.org/afp/2014/0401/p569.html
Onychomycosis: Current Trends in Diagnosis and Treatment - American Family Physician
Dec 1, 2013 - Onychomycosis is a fungal infection of the nails that causes discoloration, thickening, and separation from the nail bed. Onychomycosis occurs in 10% of the general population, 20% of persons older than 60 years, and 50% of those older than 70 years. It is caused by a variety of ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1201/p762.html
Dermoscopy for the Family Physician - American Family Physician
Oct 1, 2013 - Noninvasive in vivo imaging techniques have become an important diagnostic aid for skin cancer detection. Dermoscopy, also known as dermatoscopy, epiluminescence microscopy, incident light microscopy, or skin surface microscopy, has been shown to increase the clinician’s diagnostic ...
American Family Physician : Article
https://www.aafp.org/afp/2013/1001/p441.html
Dermatologic Conditions in Skin of Color: Part I. Special Considerations for Common ...
Jun 15, 2013 - Skin of color traditionally refers to that of persons of African, Asian, Native American, Middle Eastern, and Hispanic backgrounds. Differences in cutaneous structure and function can result in skin conditions with distinct presentations and varying prevalence that require unique ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p850.html
Dermatologic Conditions in Skin of Color: Part II. Disorders Occurring Predominately in...
Jun 15, 2013 - Several skin conditions are more common in persons with skin of color, including dermatosis papulosa nigra, pseudofolliculitis barbae, acne keloidalis nuchae, and keloids. Dermatosis papulosa nigra is a common benign condition characterized by skin lesions that do not require treatment,...
American Family Physician : Article
https://www.aafp.org/afp/2013/0615/p859.html
Psoriasis - American Family Physician
May 1, 2013 - Psoriasis is a chronic inflammatory skin condition that is often associated with systemic manifestations. It affects about 2 percent of U.S. adults, and can significantly impact quality of life. The etiology includes genetic and environmental factors. Diagnosis is based on the typical ...
American Family Physician : Article
https://www.aafp.org/afp/2013/0501/p626.html
Cutaneous Cryosurgery - American Family Physician
Dec 15, 2012 - Cutaneous cryosurgery refers to localized application of freezing temperatures to achieve destruction of skin lesions. It can be used to treat a broad range of benign and premalignant skin conditions, and certain malignant skin conditions, with high cure rates. Cellular destruction is ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1215/p1118.html
Diagnosis and Treatment of Acne - American Family Physician
Oct 15, 2012 - Acne is a chronic inflammatory skin disease that is the most common skin disorder in the United States. Therapy targets the four factors responsible for lesion formation: increased sebum production, hyperkeratinization, colonization by Propionibacterium acnes, and the resultant ...
American Family Physician : Article
https://www.aafp.org/afp/2012/1015/p734.html
Bedbug Infestation - American Family Physician
Oct 1, 2012 - The significant resurgence of bedbugs in the past decade has been attributed to pesticide resistance, more frequent travel, lack of public awareness, and inadequate pest control programs. Bedbugs are obligate blood parasites (insect family Cimicidae). They can withstand a large range of...
American Family Physician : Article
https://www.aafp.org/afp/2012/1001/p653.html
Pediculosis and Scabies: A Treatment Update - American Family Physician
Sep 15, 2012 - Pediculosis and scabies are caused by ectoparasites. Pruritus is the most common presenting symptom. Head and pubic lice infestations are diagnosed by visualization of live lice. Finding nits (louse egg shells) alone indicates a historical infestation. A no nit policy for schools and ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0915/p535.html
Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinoma - American Family ...
Jul 15, 2012 - Family physicians are regularly faced with identifying, treating, and counseling patients with skin cancers. Nonmelanoma skin cancer, which encompasses basal cell and squamous cell carcinoma, is the most common cancer in the United States. Ultraviolet B exposure is a significant factor ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0715/p161.html
Atopic Dermatitis: An Overview - American Family Physician
Jul 1, 2012 - Atopic dermatitis, also known as atopic eczema, is a chronic pruritic skin condition affecting approximately 17.8 million persons in the United States. It can lead to significant morbidity. A simplified version of the U.K. Working Party’s Diagnostic Criteria can help make the diagnosis....
American Family Physician : Article
https://www.aafp.org/afp/2012/0701/p35.html
Evaluation of Nail Abnormalities - American Family Physician
Apr 15, 2012 - Knowledge of the anatomy and function of the nail apparatus is essential when performing the physical examination. Inspection may reveal localized nail abnormalities that should be treated, or may provide clues to an underlying systemic disease that requires further workup. Excessive ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0415/p779.html
Hirsutism in Women - American Family Physician
Feb 15, 2012 - Hirsutism is excess terminal hair that commonly appears in a male pattern in women. Although hirsutism is generally associated with hyperandrogenemia, one-half of women with mild symptoms have normal androgen levels. The most common cause of hirsutism is polycystic ovary syndrome, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0215/p373.html
Diagnosis and Management of Genital Ulcers - American Family Physician
Feb 1, 2012 - Herpes simplex virus infection and syphilis are the most common causes of genital ulcers in the United States. Other infectious causes include chancroid, lymphogranuloma venereum, granuloma inguinale (donovanosis), secondary bacterial infections, and fungi. Noninfectious etiologies, ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0201/p254.html
Cutaneous Malignant Melanoma: A Primary Care Perspective - American Family Physician
Jan 15, 2012 - Cutaneous malignant melanoma accounts for 3 to 5 percent of all skin cancers and is responsible for approximately 75 percent of all deaths from skin cancer. Persons with an increased number of moles, dysplastic (also called atypical) nevi, or a family history of the disease are at ...
American Family Physician : Article
https://www.aafp.org/afp/2012/0115/p161.html
Shave and Punch Biopsy for Skin Lesions - American Family Physician
Nov 1, 2011 - Shave and punch biopsies are essential procedures for physicians who manage skin conditions. These office-based procedures can diagnose questionable dermatologic lesions, including possible malignancies. Approaches include the superficial shave biopsy, saucerization excision, punch ...
American Family Physician : Article
https://www.aafp.org/afp/2011/1101/p995.html
Treatment of Nongenital Cutaneous Warts - American Family Physician
Aug 1, 2011 - Numerous treatments for nongenital cutaneous warts are available, although no single therapy has been established as completely curative. Watchful waiting is an option for new warts because many resolve spontaneously. However, patients often request treatment because of social stigma or...
American Family Physician : Article
https://www.aafp.org/afp/2011/0801/p288.html
Diagnosis and Treatment of Lichen Planus - American Family Physician
Jul 1, 2011 - Lichen planus is a chronic, inflammatory, autoimmune disease that affects the skin, oral mucosa, genital mucosa, scalp, and nails. Lichen planus lesions are described using the six P’s (planar [flat-topped], purple, polygonal, pruritic, papules, plaques). Onset is usually acute, ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0701/p53.html
Urticaria: Evaluation and Treatment - American Family Physician
May 1, 2011 - Urticaria involves intensely pruritic, raised wheals, with or without edema of the deeper cutis. It is usually a self-limited, benign reaction, but can be chronic. Rarely, it may represent serious systemic disease or a life-threatening allergic reaction. Urticaria has a lifetime ...
American Family Physician : Article
https://www.aafp.org/afp/2011/0501/p1078.html
Nongenital Herpes Simplex Virus - American Family Physician
Nov 1, 2010 - Nongenital herpes simplex virus type 1 is a common infection usually transmitted during childhood via nonsexual contact. Most of these infections involve the oral mucosa or lips (herpes labialis). The diagnosis of an infection with herpes simplex virus type 1 is usually made by the ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1101/p1075.html
Dermatologic Emergencies - American Family Physician
Oct 1, 2010 - Life-threatening dermatologic conditions include Rocky Mountain spotted fever; necrotizing fasciitis; toxic epidermal necrolysis; and Stevens-Johnson syndrome. Rocky Mountain spotted fever is the most common rickettsial disease in the United States, with an overall mortality rate of 5 ...
American Family Physician : Article
https://www.aafp.org/afp/2010/1001/p773.html
Diagnosis and Management of Contact Dermatitis - American Family Physician
Aug 1, 2010 - Contact dermatitis is a common inflammatory skin condition characterized by erythematous and pruritic skin lesions that occur after contact with a foreign substance. There are two forms of contact dermatitis: irritant and allergic. Irritant contact dermatitis is caused by the ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0801/p249.html
Skin and Soft Tissue Infections in Immunocompetent Patients - American Family Physician
Apr 1, 2010 - The increasing incidence of skin and soft tissue infections requires family physicians to be familiar with the management of these conditions. Evidence of systemic infection, such as fever, tachycardia, and hypotension, is an indication for inpatient management. Urgent surgical referral...
American Family Physician : Article
https://www.aafp.org/afp/2010/0401/p893.html
The Generalized Rash: Part I. Differential Diagnosis - American Family Physician
Mar 15, 2010 - Physicians often have difficulty diagnosing a generalized rash because many different conditions produce similar rashes, and a single condition can result in different rashes with varied appearances. A rapid and accurate diagnosis is critically important to make treatment decisions, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0315/p726.html
The Generalized Rash: Part II. Diagnostic Approach - American Family Physician
Mar 15, 2010 - Although it is important to begin the evaluation of generalized rash with an inclusive differential diagnosis, the possibilities must be narrowed down by taking a focused history and looking for key clinical features of the rash. Part I of this two-part article lists the common, ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0315/p735.html
Common Tongue Conditions in Primary Care - American Family Physician
Mar 1, 2010 - Although easily examined, abnormalities of the tongue can present a diagnostic and therapeutic dilemma for physicians. Recognition and diagnosis require a thorough history, including onset and duration, antecedent symptoms, and tobacco and alcohol use. Examination of tongue morphology ...
American Family Physician : Article
https://www.aafp.org/afp/2010/0301/p627.html
Aesthetic Procedures in Office Practice - American Family Physician
Dec 1, 2009 - Since the approval of botulinum toxin, dermal fillers, and lasers for cosmetic use, minimally invasive aesthetic procedures have rapidly become the treatments of choice for age-related facial changes.
American Family Physician : Article
https://www.aafp.org/afp/2009/1201/p1231.html
Treatment Options for Acne Rosacea - American Family Physician
Sep 1, 2009 - Rosacea is a common chronic, and sometimes progressive, dermatosis. It is characterized, alone or in combination, by central facial erythema,symmetric flushing, stinging sensation, inflammatory lesions (papules and pustules), telangiectasias, and phymatous changes (tissue hyperplasia ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0901/p461.html
Management of Keloids and Hypertrophic Scars - American Family Physician
Aug 1, 2009 - Keloids and hypertrophic scars represent an exuberant healing response that poses a challenge for physicians. Patients at high risk of keloids are usually younger than 30 years and have darker skin. Sternal skin, shoulders and upper arms, earlobes, and cheeks are most susceptible to ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0801/p253.html
Choosing Topical Corticosteroids - American Family Physician
Jan 15, 2009 - Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an accurate diagnosis and consideration of the steroid's delivery ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0115/p135.html
Common Pigmentation Disorders - American Family Physician
Jan 15, 2009 - Common causes of hyperpigmentation include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and cafe-au-lait macules. Although most hyperpigmented lesions are benign and the diagnosis is straightforward, it is important to exclude melanoma and its ...
American Family Physician : Article
https://www.aafp.org/afp/2009/0115/p109.html
Pressure Ulcers: Prevention, Evaluation, and Management - American Family Physician
Nov 15, 2008 - A pressure ulcer is a localized injury to the skin or underlying tissue, usually over a bony prominence, as a result of unrelieved pressure. Predisposing factors are classified as intrinsic (e.g., limited mobility, poor nutrition, comorbidities, aging skin) or extrinsic (e.g., pressure,...
American Family Physician : Article
https://www.aafp.org/afp/2008/1115/p1186.html
Atypical Moles - American Family Physician
Sep 15, 2008 - Atypical moles can be distinguished visually by clinical features of size greater than 6 mm in diameter, color variegation, indistinct borders, and textured surface. All patients who have atypical moles should be counselled about sun avoidance, screening of family members, and regular ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0915/p735.html
Common Tinea Infections in Children - American Family Physician
May 15, 2008 - The common dermatophyte genera Trichophyton, Microsporum, and Epidermophyton are major causes of superficial fungal infections in children. These infections (e.g., tinea corporis, pedis, cruris, and unguium) are typically acquired directly from contact with infected humans or animals or...
American Family Physician : Article
https://www.aafp.org/afp/2008/0515/p1415.html
Newborn Skin: Part I. Common Rashes - American Family Physician
Jan 1, 2008 - Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional work-up. Erythema toxicum neonatorum, acne neonatorum, and transient neonatal pustular melanosis are transient ...
American Family Physician : Article
https://www.aafp.org/afp/2008/0101/p47.html
Newborn Skin: Part II. Birthmarks - American Family Physician
Jan 1, 2008 - Birthmarks in newborns are common sources of parental concern. Although most treatment recommendations are based on expert opinion, limited evidence exists to guide management of these conditions. Large congenital melanocytic nevi require evaluation for removal, whereas smaller nevi may...
American Family Physician : Article
https://www.aafp.org/afp/2008/0101/p56.html
Management of Foreign Bodies in the Skin - American Family Physician
Sep 1, 2007 - Although puncture wounds are common, retained foreign bodies are not. Wounds with a foreign body sensation should be evaluated. The presence of wood or vegetative material, graphite or other pigmenting materials, and pain is an indication for foreign body removal. Radiography may be ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0901/p683.html
Treatment Options for Actinic Keratosis - American Family Physician
Sep 1, 2007 - Actinic keratoses are rough, scaly lesions that commonly occur on sun-exposed areas of the skin. The prevalence of the condition increases with age. Actinic keratoses are thought to be carcinomas in situ, which can progress to squamous cell carcinomas. The decision to treat can be based...
American Family Physician : Article
https://www.aafp.org/afp/2007/0901/p667.html
Diagnosis and Treatment of Impetigo - American Family Physician
Mar 15, 2007 - Impetigo is a highly contagious, superficial skin infection that most commonly affects children two to five years of age. The two types of impetigo are nonbullous impetigo (i.e., impetigo contagiosa) and bullous impetigo. The diagnosis usually is made clinically, but rarely a culture ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0315/p859.html
Common Spider Bites - American Family Physician
Mar 15, 2007 - There are more than 30,000 species of spiders, most of which cannot inflict serious bites to humans because of their delicate mouthparts and impotent or prey-specific venoms. However, some spiders produce toxic venoms that can cause skin lesions, systemic illnesses, and neurotoxicity. ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0315/p869.html
Erythema Nodosum: A Sign of Systemic Disease - American Family Physician
Mar 1, 2007 - Erythema nodosum, a painful disorder of the subcutaneous fat, is the most common type of panniculitis. Generally, it is idiopathic, although the most common identifiable cause is streptococcal pharyngitis. Erythema nodosum may be the first sign of a systemic disease such as ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0301/p695.html
Treatment Options for Atopic Dermatitis - American Family Physician
Feb 15, 2007 - Atopic dermatitis is a common inflammatory skin condition that usually affects children. It is a chronic disease, with periods of remission and flare-ups, that adversely affects the quality of life of patients and their families. Aggressive therapy with emollients is an important ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0215/p523.html
Common Skin Conditions During Pregnancy - American Family Physician
Jan 15, 2007 - Common skin conditions during pregnancy generally can be separated into three categories: hormone-related, preexisting, and pregnancy-specific. Normal hormone changes during pregnancy may cause benign skin conditions including striae gravidarum (stretch marks); hyperpigmentation (e.g., ...
American Family Physician : Article
https://www.aafp.org/afp/2007/0115/p211.html
Erythema Multiforme - American Family Physician
Dec 1, 2006 - Erythema multiforme is a skin condition considered to be a hypersensitivity reaction to infections or drugs. It consists of a polymorphous eruption of macules, papules, and characteristic
American Family Physician : Article
https://www.aafp.org/afp/2006/1201/p1883.html
Diagnosis and Management of Granuloma Annulare - American Family Physician
Nov 15, 2006 - Granuloma annulare is a benign, asymptomatic, self-limited papular eruption found in patients of all ages. The primary skin lesion usually is grouped papules in an enlarging annular shape, with color ranging from flesh-colored to erythematous. The two most common types of granuloma ...
American Family Physician : Article
https://www.aafp.org/afp/2006/1115/p1729.html
Seborrheic Dermatitis: An Overview - American Family Physician
Jul 1, 2006 - Seborrheic dermatitis affects the scalp, central face, and anterior chest. In adolescents and adults, it often presents as scalp scaling (dandruff). Seborrheic dermatitis also may cause mild to marked erythema of the nasolabial fold, often with scaling. Stress can cause flare-ups. The ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0701/p125.html
Chronic Plaque Psoriasis - American Family Physician
Feb 15, 2006 - Chronic plaque psoriasis, the most common form of psoriasis, is a papulosquamous disease defined by erythematous plaques with a silvery scale. The diagnosis usually is clinical, but occasionally a biopsy is necessary. Psoriasis affects 0.6 to 4.8 percent of the U.S. population, and ...
American Family Physician : Article
https://www.aafp.org/afp/2006/0215/p636.html
Management of Staphylococcus aureus Infections - American Family Physician
Dec 15, 2005 - Because of high incidence, morbidity, and antimicrobial resistance, Staphylococcus aureus infections are a growing concern for family physicians. Strains of S. aureus that are resistant to vancomycin are now recognized. Increasing incidence of unrecognized community-acquired ...
American Family Physician : Article
https://www.aafp.org/afp/2005/1215/p2474.html
Hidradenitis Suppurativa: A Treatment Challenge - American Family Physician
Oct 15, 2005 - Hidradenitis suppurativa is a chronic, recurrent, debilitating disease that presents with painful, inflamed lesions in the apocrine-gland-bearing areas of the body, most commonly the axillary, inguinal, and anogenital areas. Etiology traditionally has been attributed to occlusion of the...
American Family Physician : Article
https://www.aafp.org/afp/2005/1015/p1547.html
Intertrigo and Common Secondary Skin Infections - American Family Physician
Sep 1, 2005 - Intertrigo is inflammation of skinfolds caused by skin-on-skin friction. It is a common skin condition affecting opposing cutaneous or mucocutaneous surfaces. Intertrigo may present as diaper rash in children. The condition appears in natural and obesity-created body folds. The friction...
American Family Physician : Article
https://www.aafp.org/afp/2005/0901/p833.html
Mohs Micrographic Surgery - American Family Physician
Sep 1, 2005 - Mohs micrographic surgery is an approach to skin cancer removal that aims to achieve the highest possible rates of cure and to minimize the size of the wound and consequent distortions at critical sites such as the eyes, ears, nose, and lips. Mohs micrographic surgery is a two-step, ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0901/p845.html
Diagnosis of Lyme Disease - American Family Physician
Jul 15, 2005 - The use of serologic testing and its value in the diagnosis of Lyme disease remain confusing and controversial for physicians, especially concerning persons who are at low risk for the disease. The approach to diagnosing Lyme disease varies depending on the probability of disease (based...
American Family Physician : Article
https://www.aafp.org/afp/2005/0715/p297.html
Cutaneous Melanoma: Update on Prevention, Screening, Diagnosis, and Treatment - ...
Jul 15, 2005 - Melanoma is an increasingly common malignancy, and it affects a younger population than most cancers. Risk factors for melanoma include white race, sun sensitivity, family history of melanoma, and melanocytic nevi. Sunburn and intermittent sun exposure appear to increase the risk of ...
American Family Physician : Article
https://www.aafp.org/afp/2005/0715/p269.html
Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinomas - American Family ...
Oct 15, 2004 - Rates of squamous cell and basal cell carcinomas have been increasing, possibly as a result of increased exposure to ultraviolet radiation. Primary care physicians can expect to diagnose six to seven cases of basal cell carcinoma and one to two cases of squamous cell carcinoma each ...
American Family Physician : Article
https://www.aafp.org/afp/2004/1015/p1481.html
Cryosurgery for Common Skin Conditions - American Family Physician
May 15, 2004 - Cryosurgery is a highly effective treatment for a broad range of benign skin problems. With appropriate instruction and supervised experience, family physicians can master the technique quickly. Cryosurgery is best suited for use in patients with light skin and for treatment of lesions ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0515/p2365.html
Diagnosis and Treatment of Acne - American Family Physician
May 1, 2004 - Acne can cause significant embarrassment and anxiety in affected patients. It is important for family physicians to educate patients about available treatment options and their expected outcomes. Topical retinoids, benzoyl peroxide, sulfacetamide, and azelaic acid are effective in ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0501/p2123.html
Nail Abnormalities: Clues to Systemic Disease - American Family Physician
Mar 15, 2004 - The visual appearance of the fingernails and toenails may suggest an underlying systemic disease. Clubbing of the nails often suggests pulmonary disease or inflammatory bowel disease. Koilonychia, or
American Family Physician : Article
https://www.aafp.org/afp/2004/0315/p1417.html
Urticaria and Angioedema: A Practical Approach - American Family Physician
Mar 1, 2004 - Urticaria (i.e., pruritic, raised wheals) and angioedema (i.e., deep mucocutaneous swelling) occur in up to 25 percent of the U.S. population. Vasoactive mediators released from mast cells and basophils produce the classic wheal and flare reaction. Diagnosis can be challenging, ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0301/p1123.html
Pediculosis and Scabies - American Family Physician
Jan 15, 2004 - Pediculosis and scabies are caused by ectoparasites; patients usually present with itching. Head and pubic lice infestations are diagnosed by the visualization of insects or viable nits (eggs). Primary treatment is topically administered 1 percent permethrin. Malathion is one ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0115/p341.html
Pityriasis Rosea - American Family Physician
Jan 1, 2004 - Pityriasis rosea is a common, acute exanthem of uncertain etiology. Viral and bacterial causes have been sought, but convincing answers have not yet been found. Pityriasis rosea typically affects children and young adults. It is characterized by an initial herald patch, followed by the ...
American Family Physician : Article
https://www.aafp.org/afp/2004/0101/p87.html
Common Hyperpigmentation Disorders in Adults: Part I. Diagnostic Approach, Cafe au Lait...
Nov 15, 2003 - The cause of hyperpigmentation usually is traced to the activity and presence of melanocytes. Cafe au lait macules may be solitary benign findings or may indicate the presence of neurofibromatosis with its associated complications. Diffuse hyperpigmentation should prompt a search for ...
American Family Physician : Article
https://www.aafp.org/afp/2003/1115/p1955.html
Common Hyperpigmentation Disorders in Adults: Part II. Melanoma, Seborrheic Keratoses, ...
Nov 15, 2003 - Nevi, or moles, are localized nevocytic tumors. The American Cancer Society's ABCD rules are useful for differentiating a benign nevus from malignant melanoma. While acanthosis nigricans may signal an underlying malignancy (e.g., gastrointestinal tumor), it more often is associated with...
American Family Physician : Article
https://www.aafp.org/afp/2003/1115/p1963.html
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