Treatments Flashcards
1
Q
Chronic Plaque Psoriasis
A
- 1st Line: potent corticosteroid OD + vitamin D analogue OD for up to 4 weeks
- 2nd Line: no improvement after 8 weeks, vitamin D analogue twice BD
- 3rd Line: no improvement after 8-12 weeks, potent corticosteroid BD for up to 4 weeks or coal tar preparation OD/BD
- Regular emollients
2
Q
Scalp Psoriasis
A
- Potent topical corticosteroid 4 weeks
- No improvement, different steroid preparation or remove scale before steroid application
3
Q
Secondary Care Management of Psoriasis
A
- Phototherapy (narrow band UVB/Psoralen +UVA)
- PO Methotrexate
- Ciclosporin
- Systemic Retinoids
- Biological Agents (Infliximab, Etanercept and Adalimumab)
- Ustekinumab
4
Q
Face, Flexural and Genital Psoriasis
A
- Mild/Moderate Corticosteroid OD/BD for max 2 weeks
5
Q
Pemphigus Vulgaris
A
- Steroids
- Immunosuppressants
6
Q
Bullous Pemphigoid
A
- Referral to dermatologist for biopsy and diagnosis confirmation
- PO Corticosteroids
- Topical Corticosteroids, immunosuppressants and antibiotics also used
7
Q
Lichen Planus
A
- Topical steroids are mainstay of treatment
- Extensive disease may require PO steroids or immunosuppression
8
Q
Lichen Sclerosus
A
- Topical steroids and emollients
9
Q
BCC
A
- Surgical removal
- Curretage
- Cryotherapy
- Topical cream (imiquinod or fluorouracil)
- Radiotherapy
10
Q
Keratoacanthoma
A
- Spontaneous regression in 3 months
- Need to be excised if suspicion of SCC
11
Q
Seborrhoeic Keratosis
A
- Conservative Management
- Shave Excision
12
Q
Tinea Capitis
A
- PO Terbinafine (Trichophyton) or Griseofulvin (Microsporum)
- Topical Ketoconazole (shampoo) for 2 weeks
13
Q
Tinea Corporis
A
- PO Fluconazole
14
Q
Pityriasis Versicolor
A
- Topical antifungal/ketoconazole shampoo
- PO Itraconazole if extensive disease
15
Q
Acne Vulgaris
A
- Single topical therapy (steroid/benzyl peroxide)
- Topical combination therapy (antibiotic, benzyl peroxide and retinoid)
- PO Oxytetracycline/Doxycycline
- PO Isotretinoin (only under specialist supervision)
