lichen planus

Fingernail scarring – Friday Pop Quiz 7/22
by Mojgan Hosseinipour, DO, FAAD on
A 40-year-old female develops a wing of extra tissue in all of her fingernails which developed gradually through the years. You mention it is due to scarring in the nail matrix. What is the most common dermatologic association with this condition? A. Lichen planus B. Trauma C. Stevens-Johnson syndrome D. Alopecia areata E. Renal failure To find out the correct answer and read t …
Off-Label Use of Oral Metronidazole in Dermatology | Therapeutic Cheat Sheet
by Adrianna Gonzalez Lopez, MD on
While we have an increasing armamentarium of biologic agents and targeted systemic medications for certain dermatologic conditions such as psoriasis or atopic dermatitis, treatment options are still limited for a litany of other inflammatory cutaneous disorders. Additionally, when discussing therapeutic options, patients often opt for medications that are established, safe, well-tolerated and mini …
Acitretin for Psoriasis | Therapeutic Cheat Sheet
acitretin
by Azam Qureshi, MD on
Pustular psoriasis can present quickly and pose a life-threatening emergency. Acitretin is the only systemic retinoid FDA-approved for treatment of psoriasis, specifically both pustular and severe plaque-type psoriasis.1Systemic retinoids such as acitretin are utilized heavily in dermatology, and practitioners must be knowledgeable about all of the FDA-approved and off-label applications as well a …
Thalidomide for Dermatologic Conditions | Therapeutic Cheat Sheet
Thalidomide
by Emily Murphy, MD on
Thalidomide was introduced in the 1950s as a “safe” sleeping medication; however, it quickly became vilified and was removed from the market for its severe teratogenic effects, most commonly phecomelia, or loss of arms and legs. Despite these devastating birth defects, thalidomide has a variety of indications for dermatologic conditions, with manageable side effects when used appropriately. We …
Blastomycosis-like Pyoderma Arising in Lichen Planus – A JDD Case Report
Lichen Planus
by NEXT STEPS IN DERM TEAM on
CASE REPORT A 71-year-old Fitzpatrick phototype IV man with a history of hyperlipidemia and extensive travel to the Middle East presented with a mildly painful vegetative growth on his right lower leg for 1.5 months (Figure 1). In 2014, the patient reported a pruritic “rash” in the same location, which was treated with fluocinonide .05% ointment with resolution. [caption id="attachment …