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141. Atopic Dermatitis - Guidelines for Prescribing Topical Corticosteroids

swelling Vesicles form and rupture releasing serous fluid (IE. weeping) Crusts form as serous fluid dries Excoriations caused by scratching Chronic Thickening of skin with accentuated skin marks (lichenification) Hypo- or hyperpigmentation of the skin Scaling, fissures Fibrotic papules Dermal lesions Distribution Infants: trunk, face, and extensor surfaces. (Extensor surface is an anatomy term used to describe certain areas of the body. A body part flexes when it bends and extends when it straightens (...) . The parts of the skin that touch when a joint bends are called the flexor surfaces. The parts of the skin on the opposite side of the joint are called the extensor surfaces.) Children: the flexor surface of the elbow and of the knee. Adults: scalp, face, neck, hands, upper chest, and genital areas. Morphology of lesions: Infants: erythema (redness) and papules (solid skin elevation not containing pus); may develop oozing, crusting vesicles. Children and adults: chronic eczema may lead to skin

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2017 medSask

142. Tinea Corporis Infection - Guidelines for Prescribing Topical Antifungals

to 10 cm in circumference Itchiness and burning sensation are common, but may be asymptomatic Outbreaks common in close-contact sports Rule out the following conditions which can resemble tinea corporis. With the exception of seborrheic dematitis, these conditions do not respond to topical antifungal treatment. Bacterial infections such as - pustules with honey-colored crusts or fluid-filled blisters. - appears as yellow, greasy, scales on scalp and may extend down to face and upper chest

2017 medSask

143. Superficial Bacterial Skin Infections - Guidelines for Prescribing Topical Antibiotics for impetigo and folliculitis

of impetigo Begins as a single, red sore which forms a blister When the blister breaks, a yellowish exudate dries to form a crust Areas affected are most commonly the face and extremities (arms, legs) Sores are not painful, but may be itchy Multiple lesions may form Minimal redness around lesion Fever is rare Lymph nodes may be tender More severe form of impetigo Presents initially as rapidly enlarging soft bullae with sharp margins Blisters do not have a red border, but surrounding skin may be reddened (...) When blister breaks, in 3-5 days, it forms an oozing, yellow crust Areas affected are usually moist diaper areas, armpits and legs Systemic symptoms more likely, such as fever and diarrhea Small red, often itchy, papules and/or pustules at the base of hair shafts especially on neck, groin or armpits Secondary lesions which may follow folliculitis Start as a tender, reddened area or a folliculitis Progress to a hard, tender area with a white pustule at the center The pustule may break open and drain

2017 medSask

144. Persistent Pain with Breastfeeding

be responsible for nipple and/or breast pain in lac- tatingwomen.Anyoftheseconditionsmaybesecondarily infected with Staphylococcus aureus, causing impetigi- nous changes such as weeping, yellow crusting, and blis- ters. 18 (III) 1. Eczematous conditions These conditions can affect any skin, but are com- monly seen on and around the areola in breastfeeding women. Attention to the distribution of skin irritation and lesions may help identify the underlying cause/ trigger. Eczematous rashes vary considerably. B (...) . Adjust level of suction or ?t of ?ange. Eczematous conditions Erythematous skin Acute episodes: blisters, erosions, weeping/oozing, and crust formation Chronic eruptions: dry, scaling, and licheni?ed (thickened) areas. Lesions can be pruritic, painful, or even burning. 18,20 Reduce identi?able triggers. Apply an emollient. Apply low/medium-strength steroid ointment twice daily for 2 weeks (immediately after a breastfeed to maximize contact time before the next breastfeed). 20 Usesecond

2016 Academy of Breastfeeding Medicine

145. WHO guidelines for the treatment of Genital Herpes Simplex Virus

. Over a period of 2–3 weeks, new lesions appear and existing lesions progress to vesicles and pustules and then coalesce into ulcers before crusting over and healing. Lesions on mucosal surfaces may be ulcerative without initially presenting as vesicles (5). Atypical presentations of infections due to HSV-2 may include small erosions and fissures, as well as dysuria or urethritis without lesions. Although HSV-1 and HSV-2 are usually transmitted by different routes and affect different areas

2016 World Health Organisation Guidelines

146. Radiofrequency Ablation for Hypertrophy of the Inferior Nasal Turbinates

conventional surgery include performance of the procedure on an outpatient basis; preservation of the surface mucosa; and fewer adverse events, such as pain, bleeding, crusting and loss of smell. 1 However, it should be noted that squamous metaplasia (benign cancer) has been observed within the scar tissue 7 to 60 days post-intervention. 3 Company or developer Several companies develop and market radiofrequency generators and probes for treating nasal obstruction. For example, the Olympus AFU-100 (...) required by either group following the interventions and no ulceration, crust formation or mucosal erosion was observed. The most common complaints were minor nasal discharge and post-procedural obstructions up to five days following treatment. No further information regarding the frequency of these events was reported. Prokopakis et al 2014 12 The aim of the non-randomised controlled trial was to compare the efficacy of RFA, CO 2 laser ablation and electrocautery for the treatment of rhinitis. Between

2016 COAG Health Council - Horizon Scanning Technology Briefs

147. Moisturisers improve eczema symptoms and lessen the need for corticosteroids

the opportunity to choose between different moisturisers and use the ones that suit them best. Some may prefer using less oily creams during the day and thicker ointments at night. Share your views on the research. Why was this study needed? Eczema is a chronic skin disorder characterised by itchy dry skin. Scratching and cracking lead to further damage with redness, crusts, and oozing, and the itching can result in sleep deprivation and have a considerable impact on quality of life. Eczema often develops (...) Task Force on Atopic Dermatitis. . Dermatology. 1993;186:23-31. NICE. . London: National Institute for Health and Clinical Excellence; 2007. SIGN. . Edinburgh: Scottish intercollegiate guidelines network; 2011. Why was this study needed? Eczema is a chronic skin disorder characterised by itchy dry skin. Scratching and cracking lead to further damage with redness, crusts, and oozing, and the itching can result in sleep deprivation and have a considerable impact on quality of life. Eczema often

2018 NIHR Dissemination Centre

148. Gynecologic Care for Women and Adolescents With Human Immunodeficiency Virus

as noninfected women. Women infected with HIV are at increased risk of crusted scabies, which should be managed in consultation with a specialist (24). How does treatment of menstrual disorders differ between HIV-infected and non-HIV-infected women? Women with HIV should receive the same evaluation and treatment for menstrual disorders as uninfected women. Menstrual disorders are frequently reported by HIV-infected women, but the role of HIV and HIV-related immunosuppression in menstrual abnormalities

2016 American College of Obstetricians and Gynecologists

149. Management of scabies

is uncommon but can occur in those wearing heavily contaminated clothing or using a bed recently occupied by an infested person. 2 It is more likely to occur with crusted scabies due to the greater number of mites present 4,6,7 and because mites can survive longer for up to 7 days. 8 Clinical Manifestations Classical scabies The main clinical feature of scabies is intense generalised pruritus that is usually worse at night. The pruritus is due to a delayed type-IV hypersensitivity reaction to the mite (...) regions and these are intensely pruritic. They tend to persist after treatment and are thought to result from a hypersensitivity reaction to the mite. Urticarial lesions may rarely occur. 13,14 Presence of itchy papules and nodules on the penis and scrotum are indicative of sexually acquired scabies. Crusted scabies Crusted scabies (Scabies crustosa, Norwegian scabies) occur in immunocompromised states: e.g. in AIDS, leprosy, lymphoma, those receiving systemic or potent topical steroids, organ

2016 British Association for Sexual Health and HIV

150. Insect Bites - Guidelines for Prescribing Topical Hydrocortisone

that can be treated with antihistamines. Refer to physician for allergy testing if desired. (1 to 2 mm fragile pustules and / or honey-colored, crusted erosions) or other bacterial skin infections - can be the consequence of scratching a bite. - infected hair follicles; presenst as red, often itchy, papules and/or pustules at the base of the hair shaft. Subcutaneous folliculitis forms furuncles ( boils) - tender red swellings often with a central pustule. Adverse drug reactions which may present

2016 medSask

151. Kawasaki Disease Patients With Redness or Crust Formation at the Bacille Calmette-Guérin Inoculation Site. (PubMed)

Kawasaki Disease Patients With Redness or Crust Formation at the Bacille Calmette-Guérin Inoculation Site. A specific diagnostic test for Kawasaki disease (KD) is currently unavailable. Redness or crust formation at the Bacille Calmette-Guérin (BCG) inoculation site is listed as a positive sign in the diagnostic guidelines of KD. The purpose of this study was to investigate the epidemiologic features of KD patients with such changes at the BCG inoculation site and to evaluate the specificity (...) of this sign in KD diagnosis.Data on KD patients who received BCG vaccination were analyzed from a Japanese nationwide epidemiologic survey on KD conducted in 2007. Patients who had 5 or 6 principal signs (complete cases) with redness or crust formation at the BCG inoculation site were compared by sex, year of hospital visit, day of first hospital visit, recurrent status, and presence of KD in siblings. To evaluate the specificity of the sign for KD diagnosis, patients aged 2 years or younger who were

2009 Pediatric Infectious Dsease Journal

152. Geological significance of new zircon U-Pb geochronology and geochemistry: Niuxinshan intrusive complex, northern North China Craton. (PubMed)

into two groups. One group's geochemical signature exhibits steep rare earth element (REE) patterns with negligible Eu anomalies, lower Yb, higher Sr, and negative Nb-Ta-Ti (NTT) anomalies, which indicate a volcanic-arc environment with a thickened crust in a convergent setting. The other group exhibits flat REE patterns with obvious negative Eu anomalies, higher Yb, lower Sr, and weak NTT anomalies, which indicate an intra-plate extensional environment with a thinning crust. Combining geochronologic

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2019 PLoS ONE

153. Is There an Association Between Hyperbaric Oxygen Therapy and Improved Outcome of Deep Chemical Peeling? A Randomized Pilot Clinical Study. (PubMed)

PCP underwent 5 consecutive daily HBOT sessions, compared with PCP alone. Pain, pruritus, erythema, crusting, scaling, and edema were daily evaluated up to 28 days following PCP. Photographs taken on days 14 and 35 following PCP were assessed. Confidence to appear in public was assessed 14 days following PCP.Eight participants equally assigned to HBOT and control groups. Lower severity scores for erythema, scaling, and pruritus were documented in the HBOT group (mean difference 1.19, P = .006; .84 (...) , P = .04; and 2.19, P = .001, respectively). Photographic assessment severity score was higher for skin tightness, edema, erythema, crusting, and scaling in the control group on day 14 post PCP (P < .05) and for erythema on day 35 post PCP (P < .05). Epithelialization percentage was higher in the HBOT group on day 14 post PCP compared with controls (98.5% ± 1% vs 94.2% ± 1%; P = .021). The HBOT group scored higher in confidence to appear in public (20.8 ± 1.7 vs 14.5 ± 1.3; P = .029).Hyperbaric

2018 Plastic surgery (Oakville, Ont.)

154. Interventions for prevention of herpes simplex labialis (cold sores on the lips). (PubMed)

Interventions for prevention of herpes simplex labialis (cold sores on the lips). Herpes simplex labialis (HSL), also known as cold sores, is a common disease of the lips caused by the herpes simplex virus, which is found throughout the world. It presents as a painful vesicular eruption, forming unsightly crusts, which cause cosmetic disfigurement and psychosocial distress. There is no cure available, and it recurs periodically.To assess the effects of interventions for the prevention of HSL

2015 Cochrane

155. Mycosis Fungoides (Including Sézary Syndrome) Treatment (PDQ®): Health Professional Version

for Cutaneous Lymphomas; LN = lymph nodes; NCI = National Cancer Institute. a Reprinted with permission from AJCC: Primary cutaneous lymphomas. In: Edge SB, Byrd DR, Compton CC, et al., eds.: AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer, 2010, p 613-5. b For skin, patch indicates any size skin lesion without significant elevation or induration. Presence/absence of hypo- or hyperpigmentation, scale, crusting, and/or poikiloderma should be noted. c For skin, plaque indicates any size skin lesion (...) that is elevated or indurated. Presence or absence of scale, crusting, and/or poikiloderma should be noted. Histologic features such as folliculotropism or large-cell transformation (>25% large cells), CD30+ or CD30-, and clinical features, such as ulceration, are important to document. d For skin, tumor indicates at least 1 cm diameter solid or nodular lesion with evidence of depth and/or vertical growth. Note total number of lesions, total volume of lesions, largest size lesion, and region of body involved

2018 PDQ - NCI's Comprehensive Cancer Database

156. International Consolidated Venous Ulcer Guideline

. >1.985 mm as measured using high frequency ultrasound or other clinically documented technique. A (Choh et al., 2010; Vesic et al., 2008; Volikova et al., 2009; Xia et al., 2004), CVI= 0.667, Moderate SOR A.2.b.iii. Stasis dermatitis including tan or red-brown skin color (hemosiderin deposits) usually at medial ankle, or small erosions that may be open or crusted. A (Alguire et al., 1997; Burton, 1993; Pappas et al., 1997) CVI= 0.952, High SOR A.2.b.iv. Lipodermatosclerosis, (fibrosis of dermis

2015 Association for the Advancement of Wound Care

157. Skin Cancer Treatment (PDQ®): Patient Version

and raised (right panel). Squamous cell carcinoma occurs on areas of the skin that have been damaged by the sun, such as the ears, lower lip, and the back of the hands. Squamous cell carcinoma may also appear on areas of the skin that have been sunburned or exposed to or . Often this looks like a firm red bump. The may feel scaly, bleed, or form a crust. Squamous cell tumors may spread to nearby . Squamous cell carcinoma that has not spread can usually be . Actinic keratosis is a skin

2018 PDQ - NCI's Comprehensive Cancer Database

158. Langerhans Cell Histiocytosis Treatment (PDQ®): Patient Version

: Flaking of the scalp that may look like dandruff. Raised, red or brown, crusted rash in the area, , back, or chest, that may be itchy or painful. Bumps or on the scalp. Ulcers behind the ears, under the , or in the groin area. Fingernails that fall off or have discolored grooves that run the across the nail. Mouth Signs or symptoms of LCH that affects the mouth may include: Swollen . Sores on the roof of the mouth, inside the cheeks, or on the tongue or lips. Teeth that become uneven or fall out. Bone

2018 PDQ - NCI's Comprehensive Cancer Database

160. Public health guidance on varicella vaccination in the European Union

to vesicular lesions before crusting. Successive crops (usually two to four) appear over several days. The rash tends to have central distribution, with the highest concentration of lesions on the trunk [31]. Lesions can also occur on mucous membranes and cornea [5]. Humans are the only VZV reservoir which can be transmitted person-to-person by direct contact with respiratory secretions or inhalation of vesicle fluid (airborne spread) [31]. The period of communicability goes from one to two days before (...) the onset of the rash to when the lesions are crusted over, usually four to five days after the appearance of the rash. The incubation period goes from 10 to 21 days, commonly 14 to 16 days [31]. Although most people with varicella make full recoveries, complications can occur, especially in older age groups, pregnant women (including congenital varicella syndrome and neonatal varicella) and immunocompromised patients. Varicella is responsible for a substantial burden of hospitalisations

2015 European Centre for Disease Prevention and Control - Public Health Guidance

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