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Legions of Lesions

Derm Potpourri

Andrew Buelt, DO and Heidi James, MD
00:00
10:42
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Tags dermatology · pharmacology

Dermatology is a never ending source of wonderment. In this segment, Heidi and Andrew review the treatment of keratosis pilaris, intra-lesional injections for nail psoriasis, Baboon syndrome, and Bowen Disease.  Keratosis Pilaris is best treated with aggressive moisturizing, creams containing debriding substances like glycolic acid, salicylic acid or urea.  Refractory cases may be responsive to laser (ZAP!!). Nail Psoriasis responds well to triamcinolone injections in the nail bed. Baboon Syndrome is a subset set of Symmetrical drug related intertriginous and flexural exanthema (SDRIFE)  which predominantly affects the buttocks. It can occur after systemic exposure to a food or drug. Bowen Disease is a diffuse area of squamous carcinoma in situ. Roughly 3-5% of lesions will proceed to full blown squamous carcinomas. It is linked to sun exposure and potentially HPV.

 

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Jennifer A. -

Thanks for this lecture. I am terrible with derm!!! I referred back to this today to diagnose keratosis pilaris (I could not remember the name for the life of me).

Heidi J., MD -

Happy to hear it was helpful!

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Legions of Lesions Full episode audio for MD edition 172:45 min - 81 MB - M4AHippo Primary Care RAP June 2017 Summary 12 MB - PDF