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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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 Hair Loss Disorders - American Family Physician
Jul 1, 2003 - Hair loss (alopecia) affects men and women of all ages and often significantly affects social and psychologic well-being. Although alopecia has several causes, a careful history, dose attention to the appearance of the hair loss, and a few simple studies can quickly narrow the potential...
American Family Physician : Article
https://www.aafp.org/afp/2003/0701/p93.html
Molluscum Contagiosum and Warts - American Family Physician
Mar 15, 2003 - Molluscum contagiosum and warts are benign epidermal eruptions resulting from viral infections of the skin. Molluscum contagiosum eruptions are usually self-limited and without sequelae, although they can be more extensive in immunocompromised persons. Spontaneous disappearance of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0315/p1233.html
Alopecia in Women - American Family Physician
Mar 1, 2003 - Alopecia can be divided into disorders in which the hair follicle is normal but the cycling of hair growth is abnormal and disorders in which the hair follicle is damaged. Androgenetic alopecia is the most common cause of hair loss in women. Other disorders include alopecia areata, ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0301/p1007.html
Topical Tacrolimus: A New Therapy for Atopic Dermatitis - American Family Physician
Nov 15, 2002 - Atopic dermatitis is a common problem affecting up to 10 percent of all children. The mainstays of therapy have been oral antihistamines, topical emollients, topical doxepin, and topical corticosteroids. Side effects associated with higher potency topical corticosteroids have limited ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1115/p1899.html
Removal of Unwanted Facial Hair - American Family Physician
Nov 15, 2002 - Unwanted facial hair is a common problem that is seldom discussed in the primary care setting. Although men occasionally request removal of unwanted facial hair, women most often seek help with this condition. Physicians generally neglect to address the problem if the patient does not ...
American Family Physician : Article
https://www.aafp.org/afp/2002/1115/p1907.html
Occupational Skin Disease - American Family Physician
Sep 15, 2002 - Contact dermatitis, the most common occupational skin disease, is characterized by clearly demarcated areas of rash at sites of exposure. The rash improves on removal of the offending agent. In allergic contact dermatitis, even minute exposures to antigenic substances can lead to a skin...
American Family Physician : Article
https://www.aafp.org/afp/2002/0915/p1025.html
Tick Removal - American Family Physician
Aug 15, 2002 - Many methods of tick removal that have been reported in the literature have proved to be unsatisfactory in controlled studies. Some methods may even cause harm by inducing the tick to salivate and regurgitate into the host. Ticks are best removed as soon as possible, because the risk of...
American Family Physician : Article
https://www.aafp.org/afp/2002/0815/p643.html
Rosacea: A Common Yet Commonly Overlooked Condition - American Family Physician
Aug 1, 2002 - Rosacea is a common, but often overlooked, skin condition of uncertain etiology that can lead to significant facial disfigurement, ocular complications, and severe emotional distress. The progression of rosacea is variable; however, typical stages include: (1) facial flushing, (2) ...
American Family Physician : Article
https://www.aafp.org/afp/2002/0801/p435.html
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