Common dermatological cases

1. COMMON
DERMATOLOGICAL CASES
HABIBA AL HARTHI
R3 FAMCO RESIDENT

2. • 16 YEARS OLD MALE WITH NO MEDICAL PROBLEM WITH THIS PRESENTATION
• ??DIAGNOSIS
• ??HOW TO APPROACH

3. • MANAGEMENT
• TOPICALS
• 1-CLINDAMYCIN
• 2-BENZOIL PEROXIDE
• 3-TRETONION (CAN BE USED ONLY FOR 6 MONTHS )

4. • ORALLY
• FIRST STEP : DOXYCLINE 100 MG OD (UP TO 9 MONTHS) USAUALL COURSE 4-6
MONTHS TO SEE THE EFFECTIVINESS
• ISOTRETONION ( RE COTAN)
• CONSENT GIVEN TO EXPLAIN SIDE EFFECTS ,( RIASIGN IN CHOLESTEROL , LDL ,
HIGH LIVER ENZYMES )
• BASIC BLOOD INVESTIGATIONS ( CBC , LIPID PROFILE ,RFT, LFT, RBS OR FBS )

5. • THEN EVERY VISIT ( LIPID PROFILE , CBC , LFT)
• HOW TO CALCULATE THE DOSE
• PATIENT WEIGHT X120
• EG ,
• 60X120 =7200
• START DOSE 20-30 MG OD
• GOOD MOISTURIZER +SUN BLOCK +ARTIFICIAL TEARS

6. • 67 YEARS OLD LADY PRESENTED WITH THE FOLLOWING
• ??DIAGNOSIS
• HOW TO PROCEED

7. TINEA CORPORIS
MANAGEMENT
1- TOPICAL (MICONAZOLE NITRATE CREAM BD )
2-NIZORAL SHAMPOO
3-ORALLY (250 MG OD FOR 14 DAYS )

8. • 30 YEARS OLD MALE PRESNTED WITH THIS PICTURE
• ?DIAGNOSIS
• ?TREATMENT

9. • TINEA VERSICOLOR OR PITYRIASIS VERSICOLOR
• MANAGEMENT
• 1- TOPICALS ( MICONAZOLE NITRATE ) NIZORAL SHAMPOO
• 2- ORALLY (ITRAKONAZOLE TABLETS )

10. • 26 YEARS OLD MALE WITH THE FOLLOWING PRESENTATION
• ??DIAGNOSIS
• ??TREATMENT

11. • ALOPECIA AREATA
• MANAGEMENT
• TOPICALS ( MOMENTASONE FURATE )
• INJECTIONS ( INTRALESIONAL INJECTIONS )
• STEROID INJECTION +ANALGESIA

12. 36 YEARS OLD FEMALE WITH THE FOLLOWING PICTURE
HAIR FALL
INVESTIGATIONS , CBC, FERITTIN, IRON LEVEL , VIT D, TSH
MANAGEMENT (IF NO CLEAR REASON)
1-ORAL MULTIVITAN
2-MINOXIDIL DROPS
3- HAIR TRANSPLANT

13. • MINOXIDIL 5%
• SIDE EFFECTS HAIR GROWTH OVER FACE
• BREAST FEEDING ONLY 2%

14. • 5 YEARS OLD GIRL WITH THE FOLLOWING
??DIAGNOSIS
??MANAGMENT

15. • 10 YEARS OLD BOY WITH THE FOLLOWING
• DIAGNOSIS
• MANAGEMENT

16. • VIRAL WARTS
• TOPICALS (SALICYLIC ACID+BENZOIC )
• CRYOTHERAPY EVERY 2-3 WEEKS
• CUTERY

17. • 2 YEARS OLD CHILD
• ?DIAGNOSIS
• MANAGEMENT

18. • MOMENTASONE FURATE +MOISTRAL CREAM ,+_ FUSIDIC CREAM
• BETAMETHASONE CREAM
• HYDROCORTISONE CREAM

19. • 45 YEARS OLD LADY WITH NO MEDICAL BACKGROUND
• ??DIAGNOSIS
• ??MANAGEMENT

20. • MELASMA OR CHLOSMA
• MANAGEMENT
• TRETONION 0.05 GEL HS
• HYDROQUINONE
• HYDROCORTISONE , OR MOMENTASONE FURATE
• MAXIMUM FOR 6 MONTHS