Dermatology: Acne, Fungal, Bacterial, Viral, and Skin Cancer Treatments

- Retinoids: Adapalene, Tretinoin

- Abx: (Topical) Clindamycin, Dapsone

- (Oral) Tetras: Doxycycline

Acne Vulgaris (Inflammatory)

- Abx: (Topical) Clindamycin, Dapsone

- Benzoyl Peroxide

Acne Vulgaris (P. Acne)

Retinoids: Adapalene, Tretinoin

Acne Vulgaris (Comedonal)

- Weight Reduction, No Smoking, Chlorhexadine Scrub

- Steroid: Intralesional Triamcinolone

- Abx: Topical Tetracycline

- Biologics: Humira

Hidradentis Suppurativa

- Abx: Topical Mupirocin

- Antifungal: Topical Azoles, Selenium Sulfide

Folliculitis (Staph Aur; Malassezia)

- Abx: Oral Dicloxacillin, Cephalexin

- (IF MRSA: Oral Bactrim, Doxy, or Clinda)

Furuncles/Carbuncles

- Abx: Topical Gentamycin

- Abx: Oral Ciprofloxacin

Hot Tub Folliculitis (Pseudomonas)

- Abx: Topical Metronidazole, Sulfacetamide

- Abx: Oral Doxy (Low Dose)

Rosacea

- (Baby): Coconut Oil, Aquaphor

- (Recurrent Adult): Hydrocortisone Cream

Seborrheic Dermatitis

- Oral Antihistamines

- Topical Steroids

Erythema Multiforme (Prior HSV; Mycoplasma Pneumoniae)

- Stop Medication

- Hospital

SJS/TEN (Adverse Drug Reaction)

- Steroid: (Local) Topical Triamcinolone

- Immunomodulators: (Wide) Oral JAK Inhibitors

Alopecia Areata

- ALL: Topical Minoxidil

- Female: Oral Spironolactone

- Male: Oral Finasteride

Androgenic Alopecia

Abx: Topical or Systemic

Paronychia (Bacterial)

Antifungal: ORAL TERBINAFINE, fluconazole

Onychomycosis (Tinea Ungium)

None

Erythema Infectiosum (red-slapped cheeks; lacy patch on limbs)

- Support: Antiseptic Mouthwash; Oral/Topical Analgesics

- Fluids: IV if necessary

Hand-Foot-Mouth Disease (Coxsackie Virus)

- Prevention: MMR Vaccine

- Tx: None

Measles/Rubeola (Koplik Spots)

- Abx: Oral Dicloxacillin, Cephalexin

- I&D (Do it 1st if you can)

- (IF MRSA) Abx: Oral Bactrim, Doxy, Clinda

- (MAYBE) IV: Vanco

Cellulitis (Staph, Strep, H. Flu, MRSA)

Abx: (Oral or IV) Penicillin

Erysipelas

Abx: Oral Dicloxacillin, Cephalexin

Impetigo (GAS, Staph)

- Abx: IM Penicillin G

- "Chancre"

Primary Syphilis (T. Pallidum)

- Abx: IM Penicillin G

- "Palms and Soles" not spared

Secondary Syphilis (T. Pallidum)

- Abx: IM Penicillin G

- Gummatous Lesion

Tertiary Syphilis (T. Pallidum)

1. Antifungal: Oral Azoles (Ketoconazole, Fluconazole)

2. Antifungal: Echinocandins (Anidulafungin, Micafungin, Caspofungin)

+ Nystatin can be effective

Intertrigo (Candidiasis)

Antifungals: Oral Fluconazole + Nystatin Suspension

Thrush (Candidiasis)

Antifungal: Oral Griseofulvin, Terbinafine

Tinea Capitis

- Antifungal: Topical Azole, Terbinafine

- Ringworm

Tinea Corporis

- Antifungal: Topical Azole, Terbinafine

- Jock Itch

Tinea Cruris

- Antifungal: Topical Azole, Terbinafine

- Athlete's Foot

Tinea Pedis

- Antifungals: Oral Griseofulvin

- Majocchi's Granuloma

Tinea Incognito

- Antifungal: Oral Terbinafine

- One Hand, Two Feet

Tinea Manuum

- Antifungal: Topical Azole, Terbinafine

- "Trying to Tan"

Tinea Versicolor

- Permethrin

- Nit Comb

Pediculosis Capitis

- Topical: Permethrin (2 doses. Day of, Week After that)

- Oral: Ivermectin (Same Dose Cycle ^)

Scabies

- Support: Topical Steroids, Antihistamines

- Get rid of bugs and linens

Bed Bugs (Bites in 2's & 3's)

- Topical Salicylic Acid

- Cryotherapy

Verruca Vulgaris (Warts, many kinds)

- Topical Imiquimod +

- Salicylic Acid

- Or Cryotherapy

Condyloma Acuminatum (HPV)

Antiviral: Oral Valacyclovir (Or Acyclovir)

Herpes Simplex (1 OR 2)

- Antivirals: Oral Valacyclovir

- Antineuralgic: Oral Gabapentin

- Prevention: Vaccine

Herpes Zoster (Shingles)

- Topical: Cantharidin "Beetle Juice"

- Cryotherapy

(BOTH activate immune system in papules)

Mollusca Contagiosum

(ANY)

- Cryotherapy

- Photodynamic Therapy

- 5-fluorouracil; Imiquimod

Actinic Keratosis

- Cryotherapy

- Curettage

Seborrheic Keratosis

None (Blue, Becker's or Otherwise)

Nevi

Excise Entirely

Dysplastic Nevi

Excise Entirely

- Moh's

- ED & C

Otherwise

- Imiquimod

- Radiation

- Chemo

Basal Cell Carcinoma

Excise Immediately + Radiation

Merkel Cell Carcinoma

No Tx Listed ??

Paget Disease

- Excision

- Otherwise, Radiation

Bowen's Disease (SCC in Situ)

- Excision (Moh's)

- Otherwise, Radiation

Keratoacanthoma (SCC)

- Excision

~Later~

- Immunotherapy (Ipilimumab/Keytruda; Nivolumab/Opdivo)

- Chemotherapy

Melanoma

- Excision

- Radiation

- Injected Chemotherapy

- Laser Ablation

Kaposi Sarcoma (HIV/AIDS Association)

- Steroids: Topical

- Chemotherapy: Topical/Oral

- Phototherapy: UV

Mycosis Fungoides (T Cell Lymphoma)

- Steroids: Topical Hydrocortisone

- CONSIDER Immunomodulators: Tacrolimus

Mild Atopic Dermatitis

- Steroids: Topical Triamcinolone

- CONSIDER Immunomodulators: Tacrolimus

Moderate Atopic Dermatitis

1. Steroids: Oral Prednisone

1. Monoclonal Antibodies: Injectable Dupilumab/Dupixent

2. JAK Inhibitors

Severe Atopic Dermatitis

- Steroids: High Potency Topical + Tape

- Steroids: Injectable, Intralesional Kenalog

Lichen Simplex Chronicus

- Steroids: "Super-potent Topical/Intralesional"

- Retinoids: Oral Isotretinoin

Lichen Planus (4 P's; Hep C Association)

- None

- "Salmon colored, Herald Patch, Christmas Tree"

Pityriasis Rosacea

Topical

1. Steroids: Topical

2. UV Therapy

Systemic

- Oral Methotrexate

- Retinoids: Oral Acitetin

- PDE4 Inhibitors: Otezla

- Biologics: Stelara (IL 12/23), Skyrizi (IL 23)

Psoriasis

- Topical Hydroquinone

- Retinoid: Topical Tretinoin

Melasma

- UVB Phototherapy

- Jak Inhibitor: Ruxolitinib/Opezelura

- Total Depigmentation: Monobenzone

Vitiligo

Abx: Topical Sulfadiazine Ointment

Burn

- Compression Stockings

- Steroids: Topical Triamcinolone

Stasis Dermatitis

None Needed

Cherry Angioma

- Beta Blocker: Topical Timolol (<8 weeks)

- Beta Blocker: Oral Propranolol (Specialist)

Infantile Hemangioma

Steroids: High-Dose Oral Prednisone

Pemphigus Vulgaris

- Steroids: High-Dose Oral Prednisone

- Immunosuppressant: Azathioprine/Imuran

Bullous Pemphigoid

- Weight Loss

- Retinoids: Topical

Acanthosis Nigricans (DM Association)

- Gluten Free

- Abx: Oral Dapsone

Dermatitis Herpetiformis

Laser/Surgery

Xanthoma

- None Necessary

- Excision

Lipoma

- Surgery

- Intralesional Kenalog (if inflamed)

Epidermal Inclusion Cyst (Central Pore)

Antihistamines: Oral Zyrtec PRN

(Chronic) Antihistamines: Oral, Injectable Omalizumab/Xolair

Urticaria (Hives)

Colorectal Surgeon

Pilonidal Disease

- Topical Aluminum Chlorides

- Anticholinergics: Oral Glycopyrrolate

- Botox Injections

Hyperhidrosis

Piperacillin-Tazobactam OR Meropenem +

Vancomycin OR Linezolid

Necrotizing Fasciitis