|
Name of Problem |
Organism Assoc. |
Therapy |
Alternative
Therapy |
| 1. Warts |
1. Papillomavirus 16: hands and
feet
2. PM virus 2: anogenital region (different subgroups for
different locations of warts) |
1. Benign neglect
2. Tape
occlusion
3. Hyperthermia
4. Salicylic acid
5. Cantharidin
6. Cryotherapy
7. Surgery: laser |
1. Hypnotherapy
2. Cimetidine
3. Interferons
4. Imiquimod
5. Cidofovir
6. Bleomycin injection |
| 2. Tinea Capitis |
**1. Trichophyton tonsurans
2.
Microsporum audouinii
3. Microsporum canis |
1. Griseofulvin: best a. 15-25
mg/kg/day if T. Tonsurans: give for up to 12 weeks
b. 10/kg/day for
Microsporum org.
2. Shampoo: 2.5% selenium sulfide: dec contagiousness |
1. Ketoconazole:
5 mg/kg/day; get lfts!
2. Terbinafine (no suspension yet)
3. Itraconazole (a lot of diarrhea)
4. Fluconazole |
| ----Kerions |
-Staph aureus in pus about half of
time
-gm negs 20% time |
If symptomatic add prednisone 1
mg/k/d for 5-10 days |
No evidence
steroids help except with symptoms. |
| 3. Atopic Dermatitis -precipitated by: stress, heat, infection, irritants, dry skin
|
Staph Aureus often complicates: 90%
present |
1. Topical lubricants
-petrolatum, mineral oil, cetaphil, moisturel, eucerin
2. Topical steroids
3. Antibiotics often: keflex, emycin, dicloxacillin |
1. Bathe with
cetaphil lotion
2. Topical steroid right after bath
3. Sedating antihistamine: benadryl or atarax_____
Phototherapy and UV or immunosuppression
|
| 4. Hemangiomas |
None |
1. Prednisone: 1-2/k check every 2
weeks
2. Interferon alpha daily subQ injections for many months
3. Lasers: vascular specific dye lasers |
Bad side
effects:
1. Radiation therapy
2. Cryotherapy
3. Nonspecific laser rx |
| 5. Scabies |
Sarcoptes scabiei |
Permethrin 5% is better than
lindane. |
Apply for 8-12
hours, then remove |
| 6. Erythema
Multif. |
Herpes simplex |
None: not
steroids |
Not acyclovir |