Comprehensive Dermatologic Drug Therapy FOURTH EDITION Stephen E. Wolverton, MD Theodore Arlook Professor of Clinical Dermatology Department of Dermatology Indiana University School of Medicine Indianapolis, Indiana, USA Associate Editor Jashin J. Wu, MD Founder and Course Director San Diego Dermatology Symposium May 29-31, 2020; Founder and CEO Dermatology Research and Education Foundation Irvine, California, USA Elsevier 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 COMPREHENSIVE DERMATOLOGIC DRUG THERAPY, FOURTH EDITION ISBN: 978-0-323-61211-1 Copyright © 2021 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. 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To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors, or con- tributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Control Number: 2019952758 Senior Content Strategist: Charlotta Kryhl/Nancy Duffy Senior Content Development Specialist: Rae L. Robertson Publishing Services Manager: Deepthi Unni Senior Project Manager: Beula Christopher Design Direction: Brian Salisbury Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 This book is dedicated to the following individuals: To my wife Cheryl, for her support and help over the past 18 months of the book development and the editorial process, let alone for our 39 years of marriage. To our sons Dr. Jay Edward Wolverton (age 33) and Justin David Wolverton (age 31), who continue to enable us to see the world through their creative minds, kind hearts, and strong relationships. To my parents Elizabeth Ann (1924–2000) and Dr. George M. Wolverton Sr. (1925–2011), for the passion, wisdom, compassion, and encouragement provided throughout their lives; these traits continue to have a positive influence on my life on a daily basis. And lastly to my wonderful (and large) nuclear family with three sisters (Anne, Cynthia, and Pam) and five brothers (George Jr. [1951–1996], Greg, Jeff, Doug, and Dan), for their kindness to and consideration for others, and their ongoing camaraderie and generosity. Stephen E. Wolverton, MD To my loving wife Stephanie, who lovingly supports my career over 10 years of marriage. To my baby boy Conrad, who I hope grows to be a man of maturity, wisdom, intellect, and strength. To my parents Shin Wu, MD and Jane Joaquin-Wu, MD, who installed in me the value of hard work and perseverance: thank you for all that you have given me. Jashin J. Wu, MD v Contributors David R. Adams, MD, PharmD Jonathan A. Braue, MD Professor of Dermatology Staff Dermatologist Department of Dermatology Cleveland Clinic Indian River Hospital Penn State Hershey Medical Center Scully-Welsh Cancer Center Hershey, Pennsylvania, USA Vero Beach, Florida, USA Stewart Adams, MD, FRCP, FAAD Robert T. Brodell, MD Clinical Lecturer Professor and Chair Department of Medicine Department of Dermatology University of Calgary University of Mississippi Medical Center Calgary, Alberta, Canada Jackson, Mississippi, USA; Instructor Mina Amin, MD Department of Dermatology Department of Dermatology University of Rochester School of Medicine and Dentistry Kaiser Permanente Los Angeles Medical Center Rochester, New York, USA; Los Angeles, California, USA Professor Department of Pathology Nidhi Avashia-Khemka, MD University of Mississippi Medical Center Assistant Professor of Clinical Dermatology Jackson, Mississippi, USA Department of Dermatology Indiana University School of Medicine David G. Brodland, MD Indianapolis, Indiana, USA Assistant Professor Department of Dermatology, Kristen M. Beck, MD Assistant Professor Clinical Fellow Department of Otolaryngology, Psoriasis and Skin Treatment Center Assistant Professor University of California Department of Plastic Surgery San Francisco, California, USA University of Pittsburgh Pittsburgh, Pennsylvania, USA Bhavnit K. Bhatia, MD Physician Candace Broussard-Steinberg, MD, BS Department of Dermatology Resident The Permanente Medical Group Department of Dermatology Richmond, California, USA Indiana University School of Medicine Indianapolis, Indiana, USA Sravya Mallam Bhatia, MD Resident Physician Jeffrey P. Callen, MD, FACP, MAAD, MACR Department of Dermatology Professor of Medicine (Dermatology) Duke University Medical Center Chief Durham, North Carolina, USA Division of Dermatology University of Louisville School of Medicine Tina Bhutani, MD Louisville, Kentucky, USA Assistant Professor Psoriasis and Skin Treatment Center University of California San Francisco, California, USA vi Contributors vii Charles Camisa, MD, FAAD Cynthia M.C. DeKlotz, MD, MASt Director and Founder Assistant Professor of Clinical Medicine and Pediatrics Psoriasis Treatment Center Internal Medicine and Pediatrics Riverchase Dermatology Division of Dermatology Naples, Florida, USA; Georgetown University School of Medicine; Affiliate Associate Professor Pediatric and Adult Dermatologist Department of Dermatology and Cutaneous Surgery Department of Dermatology University of South Florida MedStar Washington Hospital Center/Georgetown University Tampa, Florida, USA Hospital Washington, District of Columbia, USA Ahmad Chehade, PharmD Clinical Pharmacist Gabrielle-Eugenie Duprat, MD Calgary, Alberta, Canada Indiana University School of Medicine Indianapolis, Indiana, USA Margot Chima, MC Resident William H. Eaglstein, MD Department of Dermatology Professor and Chairman Emeritus Icahn School of Medicine at Mount Sinai The Doctor Phillip Frost Department of Dermatology and New York, New York, USA Cutaneous Surgery University of Miami Miller School of Medicine Richard A. Clark, MD Miami, Florida, USA Professor Department of Biomedical Engineering and Dermatology Carly A. Elston, MD Stony Brook University Assistant Professor Stony Brook, New York, USA Department of Dermatology University of Alabama at Birmingham Abigail Cline, MD, PhD Birmingham, Alabama, USA Resident Physician Department of Dermatology Dirk M. Elston, MD Metropolitan Hospital Professor and Chair New York, New York, USA Department of Dermatology Medical University of South Carolina Kelly M. Cordoro, MD Charleston, South Carolina, USA Professor of Dermatology and Pediatrics University of California Ashley N. Emerson, MD San Francisco, California, USA Assistant Professor Department of Dermatology Julio C. Cruz Ramón, MD University of Mississippi Medical Center Dermatologist and Dermatopathologist Jackson, Mississippi, USA Buckeye Dermatology Dublin, Ohio, USA Stephanie K. Fabbro, MD Attending Dermatologist Loretta S. Davis, MD Department of Dermatology Professor and Chair Buckeye Dermatology Department of Dermatology, Columbus, Ohio, USA Residency Program Director Medical College of Georgia Steven R. Feldman, MD, PhD Augusta University Professor Augusta, Georgia, USA Department of Dermatology Wake Forest School of Medicine Salma de la Feld, MD Winston-Salem, North Carolina, USA Assistant Professor Department of Dermatology Laura K. Ferris, MD, PhD Emory University Associate Professor of Dermatology Augusta, Georgia, USA University of Pittsburgh Pittsburgh, Pennsylvania, USA Kelly A. Foley, PhD Medical Research Associate Department of Dermatology Mediprobe Research Inc. London, Ontario, Canada viii Contributors Seth B. Forman, MD Aditya K. Gupta, MD, PhD, FRCP(C) Dermatologist Professor Dermatology Division of Dermatology, Department of Medicine Department of ForCare Medical Group University of Toronto Tampa, Florida, USA Toronto, Ontario, Canada; Director Craig Garofola, DO Mediprobe Research Inc. PGY4 Dermatology Resident London, Ontario, Canada Virginia College of Osteopathic Medicine/Lewis Gale Montgomery Anita Haggstrom, MD Blacksburg, Virginia, USA Associate Professor Department of Dermatology Jeffrey R. Gehlhausen, MD, PhD Indiana University Resident Physician Indianapolis, Indiana, USA Department of Dermatology Yale New Haven Hospital Christopher T. Haley, MD New Haven, Connecticut, USA Clinical Research Fellow Department of Dermatology Joel M. Gelfand, MD, MSCE Center for Clinical Studies Professor of Dermatology and Epidemiology Webster, Texas, USA Departments of Dermatology and Biostatisitcs, Epidemiology and Informatics Russell P. Hall III, MD University of Pennsylvania Perelman School of Medicine J. Lamar Callaway Professor and Chair Philadelphia, Pennsylvania, USA Department of Dermatology Duke University Medical Center Michael Girardi, MD Durham, North Carolina, USA Professor, Vice Chair, and Residency Program Director Department of Dermatology Iltefat Hamzavi, MD, FAAD Yale School of Medicine Senior Staff Physician New Haven, Connecticut, USA Department of Dermatology Henry Ford Health System; Tobias Goerge, MD Clinical Associate Professor Professor of Dermatology Wayne State University SOM Department of Dermatology Detroit, Michigan, USA University of Münster Münster, Germany Michael P. Heffernan, MD US Dermatology Lead Kenneth B. Gordon, MD Department of Dermatology Professor and Chair Probity Medical Research Department of Dermatology San Luis Obispo, California, USA Medical College of Wisconsin Milwaukee, Wisconsin, USA Yolanda R. Helfrich, MD Associate Professor Teri M. Greiling, MD, PhD Department of Dermatology Assistant Professor University of Michigan Medical School Department of Dermatology Ann Arbor, Michigan, USA Oregon Health and Science University Portland, Oregon, USA Adam B. Hessel, MD Adjunct Assistant Professor Erin E. Grinich, MD Department of Dermatology Resident Physician The Ohio State University Department of Internal Medicine Columbus, Ohio, USA; Loma Linda University Medical Center Dermatologist and Dermatopathologist Loma Linda, California, USA Buckeye Dermatology Dublin, Ohio, USA Daniel Grove, MD Resident Shauna Higgins, MD Department of Dermatology Clinical Research Fellow Indiana University Department of Dermatology Indianapolis, Indiana, USA University of Nebraska Medical Center Omaha, Nebraska, USA Contributors ix Whitney A. High, MD, JD, MEng Hee Jin Kim, MD Professor and Vice Chairman Dermatology Resident Departments of Dermatology and Pathology Department of Dermatology University of Colorado Icahn School of Medicine at Mount Sinai Denver, Colorado, USA New York, New York, USA Katherine Hrynewycz, BS, MD Sa Rang Kim, MD Dermatology Resident Department of Dermatology Department of Dermatology Yale School of Medicine Indiana University New Haven, Connecticut, USA Indianapolis, Indiana, USA Melanie Kingsley, MD Sylvia Hsu, MD Director of Cosmetic Dermatology and Laser Surgery Professor and Chair Department of Dermatology Department of Dermatology Indiana University School of Medicine Temple University Lewis Katz School of Medicine Indianapolis, Indiana, USA Philadelphia, Pennsylvania, USA Sandra R. Knowles, BScPhm [Retired] Michael J. Huether, MD Drug Information Pharmacist Medical Director Department of Pharmacy Mohs Micrographic Surgery Sunnybrook Health Sciences Centre Arizona Skin Cancer Surgery Center, P.C. Toronto, Ontario, Canada Tucson, Arizona, USA John Y.M. Koo, MD Michael J. Isaacs, MD Professor Physician Psoriasis and Skin Treatment Center Department of Dermatology University of California Indiana University School of Medicine San Francisco, California, USA Indianapolis, Indiana, USA Carol L. Kulp-Shorten, MD Michael S. Kaminer, MD Clinical Professor of Medicine (Dermatology) Associate Clinical Professor Departments of Medicine/Dermatology Department of Dermatology University of Louisville School of Medicine Yale Medical School Louisville, Kentucky, USA New Haven, Connecticut, USA; Assistant Clinical Professor Megan N. Landis, MD Department of Dermatology Clinical Associate Professor of Dermatology Brown Medical School Department of Medicine Providence, Rhode Island, USA Division of Dermatology University of Louisville Prasanthi Kandula, MD Louisville, Kentucky, USA; Department of Dermatology Dermatologist SkinCare Physicians Department of Dermatology Chestnut Hill, Massachusetts, USA The Dermatology and Skin Cancer Center of Southern Indiana Corydon, Indiana, USA Swetha Kandula, MD, FAAD Founder Mark G. Lebwohl, MD Dermatology and Skincare Arts Chairman Parsippany, New Jersey, USA Department of Dermatology Icahn School of Medicine at Mount Sinai Sewon Kang, MD, MPH New York, New York, USA Noxell Professor and Chairman Department of Dermatology Erica B. Lee, MD Johns Hopkins School of Medicine Department of Internal Medicine Baltimore, Maryland, USA Santa Barbara Cottage Hospital Santa Barbara, California, USA Marshall B. Kapp, JD, MPH Director and Professor Emeritus Center for Innovative Collaboration in Medicine and Law Florida State University Tallahassee, Florida, USA x Contributors Katherine B. Lee, MD David Martell, DO Assistant Clinical Professor Chief of Dermatology Department of Dermatology Department of Medicine University of California, Irvine Irwin Army Community Hospital Irvine, California, USA; Fort Riley, Kansas, USA Medical Director Halcyon Dermatology Rachel R. Mays, BSc Laguna Hills, California, USA Research Associate Department of Dermatology Amy B. Lewis, MD Mediprobe Research Inc. Clinical Assistant Professor London, Ontario, Canada Department of Dermatology Yale University School of Medicine Linda F. McElhiney, PharmD, RPh, MSP New Haven, Connecticut, USA Team Lead Compounding Pharmacist Compounding Pharmacy Geoffrey F.S. Lim, MD Indiana University Health Medical Director Indianapolis, Indiana, USA Mohs Micrographic Surgery and Dermatologic Oncology OptumCare Medical Group Ginat W. Mirowski, DMD, MD Colorado Springs, Colorado, USA Adjunct Associate Professor Department of Oral Pathology, Medicine Radiology Henry W. Lim, MD Indiana University School of Dentistry; Former Chair Clinical Professor Department of Dermatology Department of Dermatology Henry Ford Hospital; Indiana University School of Medicine Senior Vice President for Academic Affairs Indianapolis, Indiana, USA Henry Ford Health System Detroit, Michigan, USA Shoko Mori, MD Research Fellow Benjamin N. Lockshin, MD Dermatology Service Director of the Clinical Trials Center Memorial Sloan Kettering Cancer Center U.S. Dermatology Partners New York, New York, USA Rockville, Maryland, USA; Assistant Professor Kiran Motaparthi, MD Department of Dermatology Associate Professor Georgetown University Department of Dermatology Washington, Maryland, USA University of Florida College of Medicine Gainesville, Florida, USA Thomas A. Luger, MD Professor of Dermatology Uyen Ngoc Mui, MD Department of Dermatology Clinical Research Fellow University of Münster Department of Dermatology Münster, Germany Center for Clinical Studies Houston, Texas, USA Jacquelyn Majerowski, MD, BS Resident, PGY-4 Christian Murray, MD, FRCPC Department of Dermatology Associate Professor Medical College of Wisconsin Departments of Dermatology/Medicine Milwaukee, Wisconsin, USA University of Toronto Toronto, Ontario, Canada Lawrence A. Mark, MD, PhD Associate Professor of Clinical Dermatology Colton Nielson, MD Department of Dermatology Resident Physician Indiana University School of Medicine Department of Dermatology Indianapolis, Indiana, USA University of Florida Gainesville, Florida, USA Dana Marshall, MD, FAAD Board Certified Dermatologist Megan H. Noe, MD, MPH, MSCE Klinger and Marshall Dermatology Clinical Instructor Gretna, Louisiana, USA Department of Dermatology University of Pennsylvania Philadelphia, Pennsylvania, USA Contributors xi Ginette A. Okoye, MD Dana L. Sachs, MD Professor and Chair Professor Department of Dermatology Department of Dermatology Howard University College of Medicine University of Michigan Washington, District of Columbia, USA Ann Arbor, Michigan, USA Cindy England Owen, MD, MS Naveed Sami, MD Associate Clinical Professor Professor Department of Dermatology Departments of Internal Medicine and Dermatology University of Louisville University of Central Florida Louisville, Kentucky, USA Orlando, Florida, USA Timothy Patton, DO Marty E. Sawaya, MD, PhD Assistant Professor of Dermatology President Department of Dermatology Department of Dermatology University of Pittsburgh Sujo Co. Pittsburgh, Pennsylvania, USA Ocala, Florida, USA Warren W. Piette, MD Courtney R. Schadt, MD Chair Associate Professor Division of Dermatology Division of Dermatology Department of Internal Medicine University of Louisville John H. Stroger, Jr. Hospital of Cook County; Louisville, Kentucky, USA Professor Department of Dermatology William Schaffenburg, MD Rush University Medical Center Department of Dermatology Chicago, Illinois, USA Walter Reed National Military Medical Center Bethesda, Maryland, USA Sahand Rahnama-Moghadam, MD, MS Assistant Professor of Dermatology Bethanee J. Schlosser, MD, PhD Department of Dermatology Assistant Professor Indiana University Department of Dermatology Indianpolis, Indiana, USA Northwestern University Chicago, Illinois, USA Sarika Manoj Ramachandran, MD, FAAD Assistant Professor Sahil Sekhon, MD Yale University School of Medicine Resident Physician New Haven, Connecticut, USA Department of Dermatology Howard University Elizabeth A. Rancour, MD Washington, District of Columbia, USA Dermatologist Private Practice Vidhi V. Shah, MD Missouri Dermatology Laser and Vein Center Department of Dermatology St. Louis, Missouri, USA University of South Florida Tampa, Florida, USA Jaggi Rao, MD, FRCPC Board Certified Dermatologist Lori E. Shapiro, MD, FRCPC Clinical Professor of Medicine Staff Physician University of Alberta Department of Dermatology Edmonton, Alberta, Canada Department of Clinical Pharmacology Drug Safety Clinic Misha Rosenbach, MD Sunnybrook Health Sciences Centre Associate Professor of Dermatology and Internal Medicine Toronto, Ontario, Canada Vice Chair, Education and Training Director, Dermatology Inpatient Consult Service Neil H. Shear, BASc, MD, FRCPC, FACP Perelman School of Medicine at the University of Pennsylvania Professor Philadelphia, Pennsylvania, USA Department of Medicine (Dermatology, Clinical Pharmacology) University of Toronto; Katherine Roy, MD Dermatologist-in-Chief Dermatologist, Dermatopathologist Department of Dermatology Dermatology Group of the Carolinas Sunnybrook Health Sciences Centre Concord, North Carolina, USA Toronto, Ontario, Canada xii Contributors Michael Sheehan, MD Stephen K. Tyring, MD, PhD, MBA Dermatology Physicians Inc. Clinical Professor Columbus, Indiana, USA Department of Dermatology University of Texas Health Science Center; Eric L. Simpson, MD, MCR Medical Director Professor Department of Dermatology Department of Dermatology Center for Clinical Studies Oregon Health and Science University Houston, Texas, USA Portland, Oregon, USA Kaitlin Vogt-Schiavo, MD Alexandra Snodgrass, MD Department of Dermatology Department of Dermatology Indiana School of Medicine University of Florida College of Medicine Indianapolis, Indiana, USA Gainesville, Florida, USA Raj Vuppalanchi, MBBS Nowell Solish, MD FRCP Professor of Medicine Assistant Professor Department of Medicine–Gastroenterology Department of Dermatology Indiana University School of Medicine University of Toronto Indianapolis, Indiana, USA Toronto, Ontario, Canada Steve Q. Wang, MD Ally-Khan Somani, MD, PhD Director of Dermatologic Surgery and Dermatology Assistant Professor, Dermatology Service Director of Dermatologic Surgery and Cutaneous Oncology, Memorial Sloan Kettering Cancer Center Director of Micrographic Surgery and Dermatologic Oncology New York, New York, USA Dermatology, Adjunct Assistant Professor of Otolaryngology Gillian Weston, MD Department of Otolaryngology-Head and Neck Surgery Department of Dermatology Indiana University School of Medicine University of Connecticut Health Center Indianapolis, Indiana, USA Farmington, Connecticut, USA Najwa Somani, MD, FRCPC Stephen E. Wolverton, MD Assistant Professor Theodore Arlook Professor of Clinical Dermatology Department of Dermatology Department of Dermatology Indiana University School of Medicine Indiana University School of Medicine Indianapolis, Indiana, USA Indianapolis, Indiana, USA Bruce Strober, MD, PhD Jashin J. Wu, MD Department of Dermatology Founder and Course Director Yale University San Diego Dermatology Symposium New Haven, Connecticut, USA May 29-31, 2020; Founder and CEO Mathias Sulk, MD Dermatology Research and Education Foundation Department of Dermatology Irvine, California, USA University of Münster Münster, Germany Ashley Wysong, MD, MS Founding Chairman Kathleen C. Suozzi, MD William W. Bruce MD Distinguished Chair of Dermatology Assistant Professor, Department of Dermatology Director, Aesthetic Dermatology University of Nebraska Medical Center Department of Dermatology Omaha, Nebraska, USA Yale School of Medicine New Haven, Connecticut, USA John Zic, MD, MMHC Professor of Dermatology Michael D. Tharp, MD Department of Dermatology Chair and Professor Emeritus Vanderbilt University Medical Center Department of Dermatology Nashville, Tennessee, USA Rush University Medical Center Tampa, Florida, USA Jeffrey P. Zwerner, MD, PhD Assistant Professor Mary M. Tomayko, MD, PHD Department of Dermatology Associate Professor Vanderbilt University Departments of Dermatology and Pathology Nashville, Tennessee, USA Yale University School of Medicine New Haven, Connecticut, USA