Clinical Pearls in Dermatology 2018

    June 2018 in “ Disease-a-Month ”
    Mark D.P. Davis, Scott C. Litin, John B. Bundrick
    Image of study
    TLDR Remove inflamed cysts surgically, avoid topical antibiotics on wounds, treat skin and mouth conditions with specific medications, and address underlying causes of hair loss.
    The document from 2018 provides clinical guidance on managing various skin conditions. It recommends formal excision for inflamed epidermal cysts to prevent recurrence, advises against topical antibiotics for surgical wounds due to allergy risks and lack of evidence for improved healing, and suggests treating periorificial dermatitis with oral and topical antibiotics or calcineurin inhibitors, noting oral doxycycline for quick resolution. Burning mouth syndrome should be managed with topical anesthetics like lidocaine, while onychomycosis responds best to oral antifungals such as terbinafine. For recurrent canker sores, topical corticosteroids like fluocinonide gel are preferred, with other treatments for persistent cases. Topical brimonidine gel and oxymetazoline are effective for rosacea-related facial flushing. In cases of telogen effluvium, a form of hair loss, addressing the underlying cause is key, with iron supplementation helpful if iron deficiency is present, and hair regrowth may take 6 to 12 months after the cause is removed.
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