Dermatology

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2022-06-02 11:59:01 ACNE VULGARIS • It is a self-limited disorder primarily of teenagers and young adults. • Increase in sebum production by sebaceous glands after puberty is a the permissive factor for the disease expression. • Clinical hallmark of acne vulgaris: Comedone, which may be closed (whitehead) or open (blackhead). • The earliest lesions seen in adolescence are generally mildly inflamed or noninflammatory comedones on the forehead. • Most common location for acne is the face, but involvement of the chest and back is common. Treatment of Acne • Minimal to moderate pauci-inflammatory disease respond adequately to local therapy alone: Topical agents such as retinoic acid, benzoyl peroxide, or salicylic acid. • Given the image, it is obvious that the case is not a minimal to moderate case of acne vulgaris. It is more likely moderate to acne vulgaris with inflammatory papules, pustules and comedones. • Harrisons states: “Patients with moderate to severe acne with a prominent inflammatory component will benefit from the addition of systemic therapy, such as tetracycline in doses of 250–500 mg BD or doxycycline in doses of 100 mg BD”
•If patients with severe nodulocystic acne are unresponsive to the therapies discussed above: Treatment with the synthetic retinoid isotretinoin is the choice. Its dose is based on the patient’s weight, and it is given once daily for 5 months. •Isotretinoin gives excellent result, but its teratogenic side effects limits its use in reproductive age group females. Open / Comment

2022-06-01 11:57:59 Open / Comment

2022-06-01 11:57:00 58) Best treatment of 24-year-old female with the following lesions? Open / Comment

2022-05-27 12:44:01 The Characteristic Features of Lichen Planus are: • Hyperkeratosis with absence of parakeratosis(which is a mode of keratinization characterized by the retention of nuclei in the stratum corneum) • Hypergranulosis (which is thickening of the granular layer) with Basal cell degeneration • Presence of irregular acanthosis with saw-tooth appearance of the rete-ridges. • Presence of upper dermal band-like lympho-histiocytic infiltrate that impinges on the epidermis, leading to obliteration of the dermo-epidermal interface • Presence of Civatte bodies (also known as colloid bodies and hyaline bodies), representing degenerated, apoptotic keratinocytes. Open / Comment

2022-05-26 12:42:56 Open / Comment

2022-05-22 16:53:01 • LGV is a STD, caused by chlamydia presents classically with painless lymphadenopathy. • Mnemonic to remember LGV: ABCDEFG: Asymptomatic, Bubo, Chlamydia, Doxy, Esthiomine, Fries test, Groove sign • Syphilis: Genital ulcer (Hard Chancre: Single, clean based, indurated, non tender, does not bleed on touch) Open / Comment

2022-05-21 16:52:20 Open / Comment

2022-05-21 11:18:54 #NEETPG2022 Posting
NEET PG 22 Recall questions & Discussion
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