Pearls in Dermatology cruise 2017 (Pediatric, Adult & Geriatric) PDF
Preview Pearls in Dermatology cruise 2017 (Pediatric, Adult & Geriatric)
Pearls in Dermatology (Pediatric, Adult & Geriatric) Richard M. Haber MD, FRCPC Professor of Medicine Acting Zone Clinical Section Chief Section of Dermatology University of Calgary Copyright © 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied, stored, or transmitted in any form or by any means – graphic, electronic, or mechanical, including photocopying, recording, or information storage and retrieval systems without prior written permission of Sea Courses Inc. except where permitted by law. Sea Courses is not responsible for any speaker or participant’s statements, materials, acts or omissions. Faculty/Presenter Disclosure • Faculty Dr. Richard Haber • No conflicts of interest in this lecture • Relationships with commercial interests: Advisory Boards: Abbvie, Actelion, Amgen, Galderma, Janssen, Johnson & Johnson, Laroche Posay, Pediapharm, Prollenium Mitigating Potential Bias • Whenever possible, generic drugs names will be used. However some trade names will be mentioned. • Whenever possible, therapeutic suggestions will be evidence based. However, some therapeutics suggestions may be off label. Skin Pearls 1 Molluscum Contagiosum • Caused by a pox virus (dna virus) • Skin colored umbilicated papules • Often spread by autoinnocuation • Three major settings: – children - esp. those with atopic dermatitis – STD - young adults –AIDS and immunosuppressed transplant pts. Molluscum Contagiosum 2009 Cochrane review concluded: no evidence based interventions can be recommended Treatment considerations: • No treatment – await spontaneous resolution (1-2years) • Cantharidin 0.7% • Cryotherapy (liquid nitrogen) • Curettage • Imiquimod 5% cream (Aldara) 3 times weekly overnight – NOT EVIDENCE BASED
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