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Dermatology

Primary focal hyperhydrosis (Hyperhidrosis)

Are You Confident of the Diagnosis? Hyperhidrosis (HH) may be defined as excessive sweating beyond the volume required for thermoregulation. It may be primary(idiopathic, essential) or secondary to a number of medical conditions or prescribed drugs. HH can be generalized or focal. Generalized HH is beyond the scope of this section which will focus on…
Hospital Medicine

Hyperbilirubinemia

Hyperbilirubinemia I. Problem/Condition. Liver enzymes are frequently checked during inpatient hospitalization, and elevated serum bilirubin is a common finding. This hyperbilirubinemia is often caused by an underlying hepatic or hematologic derangement, but can also be a benign finding. The astute clinician must be able to identify the underlying cause when appropriate. Bilirubin is a normal…
Pediatrics

Psoriasis

OVERVIEW: What every practitioner needs to know Are you sure your patient has psoriasis? What are the typical findings for this disease? Erythematous plaques with white, micaceous scale over extensor surfaces of large joints, face, scalp, buttocks, umbilical area. Variable itchiness, but not infrequent, for example, on affected scalp areas. In newborns, babies: diaper area…
Dermatology

Sunburn (solar erythema)

Are You Confident of the Diagnosis? What you should be alert for in the history Sunburn is an acute cutaneous inflammatory reaction that follows excessive exposure of the skin to sunlight or other sources of ultraviolet radiation (UVR) such as tanning beds and phototherapy lamps. Characteristic findings on physical examination Most sunburns are superficial or…
Dermatology

Xerosis (Dry skin)

Xerosis [synonyms Dry skin] Are You Confident of the Diagnosis? Xerosis is dry skin resulting from dehydration of the stratum corneum (Figure 1, Figure 2, Figure 3). The outer keritanized skin layers require 10-20% of water by volume to compensate for evaporative loss and maintain structural integrity. Pathological loss of lipids in the stratum corneum…
Dermatology

Acne vulgaris, Acne conglobata & Acne fulminans

Are You Confident of the Diagnosis? Acne is an exceptionally common disorder in adolescents, affecting up to 85% of 12-24–year olds. In fact, most patients can accurately diagnose themselves. The presence of inflammatory papules and pustules along with comedones, involving the face, chest, shoulders and back, are hallmarks of acne vulgaris. Nodules and nodulocystic lesions…
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