Pearls in Dermatology cruise 2017 (Pediatric, Adult & Geriatric)

148 Pages·2017·25.3 MB·English

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.
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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