Terbinafine is an effective systemic treatment for onychomycosis, a fungal infection of the nail. Pediatric cases of the infection, which results in discoloration and thickening of the nails, usually respond well to topical treatments, but when the infection starts to affect the nail’s matrix, a systemic option is needed. When adults use terbinafine, they undergo …
A small percentage of children are affected by chronic urticaria (CU), defined as the occurrence of wheals, angioedema, or both that lasts more than 6 weeks. This happens in two groups of children, those where the eruption of hives is idiopathic and those with a known autoimmune reaction. The authors of a recent study explored …
Many patients are concerned about the cosmetic effects of photoaging, premature skin aging attributable to long-term UV radiation exposure. Typically patients present with lentigines, rhytides, telangiectasias, inelasticity, and hyperpigmentation. There are numerous treatments that reduce the effects of photoaging such as over-the-counter topicals, topical retinoids, chemical peels, and laser therapy. A recent study looked at …
Consent for procedures and understanding treatment options takes on some nuance when working with a pediatric population. Informed consent was designed with the guiding principle that patients should be able to make their own decisions regarding their medical care. But what happens when a patient is a child and may lack the autonomy to decide …
Café au lait macules (aka CALMs) tend to have borders that either resemble the coast of Maine (irregular) or the coast of California (smooth). These cosmetically troubling but benign lesions have an inconsistent response to laser treatment. A recent study examined the morphological features of CALMs to determine whether they may provide a way to …
While demand for visits to the dermatology clinic are on the rise, so too are barriers for patients in the form of both direct and indirect costs. Dermatology may serve as a case study in barriers to specialty care as nationally there are long waits to see providers. Therefore, patients may have to travel further …