Serpiginous rash treatment

Treatment is topical or systemic, depending on the extent and location of the lesions. Systemic treatment is preferred for widespread or multiple lesions or lesions located near the eye, but use is limited due to a high incidence of adverse effects Krypton or argon laser treatments may arrest the progress of neovascular membranes associated with Serpiginous Choroiditis. Treatment is not indicated unless the fovea of the retina is affected. When the fovea is involved, anti-inflammatory medication is recommended Management of the condition requires treatment of any underlying disorder as well as withdrawal of any drugs that might be aggravating it. Foods that evoke allergic reaction should be completely avoided. Rheumatic fever, being the most common cause of this condition, must be treated by appropriate means Treatment options include a single oral dose of albendazole or ivermectin, topical thiabendazole, and prolonged courses of oral albendazole in cases complicated by Löffler syndrome

A serpiginous, itchy rash on the foot Cleveland Clinic

  1. Angioma serpiginosum is a harmless condition that does not require medical treatment. Treatment with a vascular laser may be performed for cosmetic reasons. See smartphone apps to check your skin
  2. There is no cure for elastosis perforans serpiginosa. Usually, it spontaneously resolves without complications after a few years. See smartphone apps to check your skin
  3. The serpiginous erythematous rash did not follow the course of any of the superficial veins on his foot. In addition, the patient had a macerated rash that extended beneath the 5th toe, TREATMENT First line therapy is with oral ivermectin 200 mcg/kg daily for 1-2 days. Albendazole and mebendazole are second-line agents (Table 1)
  4. e for 22 years for Wilson's disease [ 51A ]. Replacement with trientine and treatment with topical adapalene 0.1% cream did not improve symptoms, which then progressed to pruritic lesions at 2 years later
  5. Treatment should be initiated promptly to avoid progression of the disease and involvement of extracutaneous organ systems (cardiac, musculoskeletal, and neurologic). Doxycycline, amoxicillin, and..

Choroiditis, Serpiginous - NORD (National Organization for

Erythema marginatum is a serpiginous, blanching, and nonindurated rash. It begins as an area of erythema that spreads with central clearing. It will blanch to pressure and the leading edges will be pinkish or salmon in color. The rash may be difficult to observe in any but lightly pigmented individuals A Serpiginous Eruption on the Buttocks. Am Fam Physician. 2000 Dec 1;62 (11):2493-2494. A 25-year-old woman presented with a one-month history of a pruritic eruption on the buttocks (see the.

Cutaneous Larva Migrans | NEJM

Erythema Marginatum - Pictures ,Symptoms ,Causes & Treatmen

Patients with acute generalized maculopapular rashes and no systemic symptoms are often treated symptomatically without a definitive diagnosis. If the rash does not resolve spontaneously, skin.. If you visit your dermatologist, there's a good chance he or she will mention the word erythema during the appointment. While it may sound serious, it's actually just the technical term for redness of the skin, which is an all-too-common skin plight — right up there with acne, dryness or an oily T-zone.But no matter how common the problem, skin redness can be annoying and tricky to. NSAIDs and/or antihistamines may be used for symptomatic treatment. Systemic glucocorticoids may be useful in patients with more severe symptoms and high fevers (though evidence is low) Once a SSLR or true serum sickness is diagnosed, the offending drug should ideally be avoided. Re-exposure may lead to a more rapid and severe serum sickness Treatment involves antifungal cream or gel

The treatment for erythema gyratum repens is to identify and treat the primary malignancy. Erythema gyratum repens usually resolves once the malignancy has been removed, for example, with surgical resection. Topical steroids have not been found to be effective. See smartphone apps to check your skin What is a rash? Definition by Webster's - an eruption of the body Definition - The popular term for a group of spots or red, inflamed skin that is usually a symptom of an underlying condition or disorder. Often temporary, a rash is only rarely a sign of a serious problem. The Free Dictionary by Farle

A patient aged 55 years presents with a rash on his face. It has been present for a month. On exam a subtle annular patch with serpiginous borders is noted Treatment includes aspirin or other nonsteroidal anti-inflammatory drugs, corticosteroids during severe carditis, and antimicrobials to eradicate residual streptococcal infection and prevent reinfection

The most common symptoms of scabies, itching and a skin rash, are caused by sensitization (a type of allergic reaction) to the proteins and feces of the parasite. Severe itching (pruritus), especially at night, is the earliest and most common symptom of scabies. A pimple-like (papular) itchy (pruritic) scabies rash is also common A common form of sun rash is polymorphic light eruption, also known as sun poisoning. Some people have a hereditary type of sun rash, while others develop signs and symptoms only when triggered by another factor — such as certain types of medications or skin exposure to certain plants, such as limes or wild parsnip

A 59-year-old man with diabetes mellitus, hypertension, coronary artery disease, and gout presented to the dermatology clinic with an 18-month history of a pruritic widespread rash (Fig 1). Dull, erythematous, arcuate, and serpiginous smooth plaques, involving the chest, abdomen, arms, and back with a few scattered, scaly, erythematous plaques intermixed were observed Treatment was initiated with albendazole 400 mg twice daily for 5 days. At follow-up 1 week later, the rash had not progressed. The lesions fully resolved 9 weeks after therapy initiation. Case 2. A 37-year-old man presented with a pruritic serpiginous rash 3 weeks following a trip to Jamaica where he spent a week at an all-inclusive resort

What is a Serpiginous rash? - TreeHozz

  1. Blisters can cause long-term problems if they form in certain parts of the body or break open. Blisters that pop open can cause infections. After they heal, they can leave scars. In the throat or.
  2. ately on the trunk and proximal extremities. The lesions are serpiginous with central clearing, and are fleeting on exam. The diagnosis of ARF is based on the clinical manifestations and evidence of recent GAS infection. Treatment is with anti-inflammatory medication
  3. A serpiginous, itchy rash on the foot A 22-year-old woman presented with a serpiginous, erythematous, itchy lesion on her left foot (Figure 1), 10 days after returning from a beach holiday in Tan-zania. She noted that the site of the lesion kept chang-ing. Her medical history was otherwise unremarkable
The typical strongyloid rash or ‘larva currens’ (creeping

and serpiginous smooth plaques, involving the chest, abdomen, arms, and back with a few scattered, scaly, erythematous plaques intermixed were observed. Episodes of the rash lasted for several months at a time, had no clear triggers, and resolved spontaneously. Previous treatments included triamcinolone 0.1% cream Symptomatology includes a progressive migrating serpiginous rash commonly with pruritus. While the disease can affect any exposed area, the most common location is the feet. The natural progression of the disease is self-limited as the organisms are unable to produce a collagenase to penetrate the basement membrane and reach the. The word serpiginous shares a root with serpent, or snake. The rash has that name because you can see the hookworms moving around under the surface of the skin, like snakes. This rash migrates one to two centimeters a day, from which we get the migrans part of the name Treatment of enterobiasis is focused on the whole family on the first occasion of infection only. Mebendazole (100mg immediate dose) is the treatment of choice for enterobiasis infection. 'Ground itch' may occur at the site of penetration and serpiginous rash of cutaneous larva migrans may be seen in hookworm infections (see 'Photo. Overview. Erythema marginatum is a rare skin rash that spreads on the trunk and limbs. The rash is round, with a pale-pink center, surrounded by a slightly raised red outline

Treatment: stop any drugs that can be safely held. Give antihistamines for itching. DRESS. drug rash with eosinophilia and systemic symptoms. 8-10% mortality. high and long lasting fever macular erythematous rash which usually begins on the trunk and the abdomen. itchy and may feature papules or pustule Cutaneous larva migrans skin Rash 25 F recent Caribbean vacation, walked barefoot on sand and now with creepy rash. diagnosis? Cutaneous larva migrans is a characteristic serpiginous skin lesion which may be seen in travelers Carribean & Americas. most common causative organisms are Ancylostoma braziliense and Ancylostoma caninum Acute: (Self- limited process) Pruritus and rash are the primary manifestations. Transient pruritic, pink or red, raised wheals of variable form and sizes. May coalesce, form polycyclic, serpiginous or annular lesions and last 20 min to 3-24 hours, disappear and reappear

How to Treat Shingles (Herpes Zoster) and Get Rid of PainPhysical examination | Dermatology Education

Angioma serpiginosum DermNet N

A 59-year-old man with diabetes mellitus, hypertension, coronary artery disease, and gout presented to the dermatology clinic with an 18-month history of a pruritic widespread rash (Fig 1).Dull, erythematous, arcuate, and serpiginous smooth plaques, involving the chest, abdomen, arms, and back with a few scattered, scaly, erythematous plaques intermixed were observed In comparison, the rash of larva currens is typically pink, evanescent, and urticarial and might be linear, serpiginous, annular, arcuate, or plaque-like . This rash usually appears on the buttocks and abdomen during the chronic autoinfective stage of strongyloidiasis The latter appears as multiple, flat, irregularly shaped, serpiginous red patches with raised keratotic rims that heal spontaneously and reappear in constantly changing patterns. The lesions usually occur on the buccal mucosa and the labial and oral vestibule, but the floor of the mouth, ventral tongue, soft palate, and gingiva may be also. Erythema marginatum is a characteristic rash that occurs in 5% of patients. The rash is wavy and has a snakelike appearance (serpiginous) that has distinct erythematous (red) borders or margins. The rash is not itchy or painful, starts on the trunk, and expands to involve the extremities. It does not affect the face

Elastosis perforans serpiginosa DermNet N

Shades of blue, silver, and gray can result from deposition of drugs or metals in the skin, including minocycline, amiodarone, and silver (argyria). Ischemic skin appears purple to gray in color. Deep dermal nevi appear blue. Black skin lesions may be melanocytic, including nevi and melanoma A boy of 6 months was diagnosed with subcutaneous Serpiginous rash on his right buttock extending down to his right leg. Generals: The child presented with an itchy spreading eruption on one buttock. The rash shows the typical features of cutaneous larva migrans. The rashes left a whitish (leukoderma like) patch on the right buttock This is highly unlikely, because the larva is typically an estimated 2 to 3 cm ahead of the leading edge of the serpiginous rash, and most biopsies are taken from the serpiginous region. The biopsy specimen shows a lymphocytic dermal infiltrate with eosinophils. Treatment: The mainstays of treatment are the anthelmintic agents The bacteria that cause impetigo often enter the skin through a small cut, insect bite or rash. Other health conditions. Children with other skin conditions, such as atopic dermatitis (eczema), are more likely to develop impetigo. Older adults, people with diabetes or people with a weakened immune system are also more likely to get it.

Symptoms of HAE can present as early as 6 months but onset typically manifests for the first time between 6-11 years of age.[18, 19] Swelling may be preceded by a prodrome which may be a wide variety of sensations including a sense of uneasiness, nausea, tingling or by the classic serpiginous rash, Erythema Marginatum.[2, 20] Swelling can. Because the rash did not respond to empiric treatment with terbinafine cream, 2 skin biopsy specimens were obtained from different sites. Both specimens revealed dermal collections of atypical lymphocytes along with exocytosis of these same cells into the epidermis (Pautrier microabscess) Diagnosis. Treatment. A skin plaque is an elevated, solid, superficial lesion that is typically more than 1 centimeter in diameter (a little more than half an inch) and associated with a number of skin conditions, most commonly psoriasis. 1  The word plaque is French for plate which is fitting because the lesions often look like. The rash of KD appears within the first 2-7 days of the illness. The rash is considered mixed or polymorphous, due to its variable appearance. The most common is an erythematous eruption that is maculopapular and resembles scarlet fever (scarlatiniform) or measles (morbilliform). Less common are erythematous plaques or papules

Herpes Zoster Ophthalmicus (HZO), commonly known as shingles, is a viral disease characterized by a unilateral painful skin rash in one or more dermatome distributions of the fifth cranial nerve (trigeminal nerve), shared by the eye and ocular adnexa. HZO occurs typically in older adults but can present at any age and occurs after reactivation of latent varicella-zoster virus (VZV) present. The rash began as a red bump that rapidly expanded to involve her entire axilla; it was described as red, burning, itchy, and painful. She reported no known allergies and denied recent irritation or substance exposure to the affected area. Treatment included daily over-the-counter hydrocortisone cream but failed to provide symptomatic relief Therefore, the eruption most commonly occurs as a single or unilateral erythematous, pruritic, serpiginous tract on the feet, hands, or buttocks (Figure). 2 The larval tract typically migrates at a rate of 1 to 2 cm per day, 3 which is in contrast to the serpiginous urticarial rash of larva currens of strongyloidiasis that can travel up to 10. symptoms with urticarial papules and serpiginous plaques radiating from the initial site (Figure 4). The patient was diagnosed with cutaneous larva migrans. She was instructed to discontinue the oral steroid and was given a single dose of 12 mg oral ivermectin. One week after treatment, the patient's rash was resolved. Discussio Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment. Among the common presentations seen on a day-to-day basis are annular lesions. The term annular is derived from the Latin word annulus, meaning ring shaped. 1 These lesions have a characteristic appearance, described as round to.

Transmission occurs when larvae penetrate the skin, typically when patients walk barefoot on contaminated sand or soil. This may cause cutaneous larva migrans, characterized by a serpiginous, pruritic rash near the site of penetration. Treatment is with bendazoles, pyrantel pamoate, or ivermectin On examination, he had erythematous skin lesions that appeared in concentric, raised, serpiginous bands, with desquamation. The rash affected mainly the trunk and proximal extremities. A clinical diagnosis of erythema gyratum repens was made

After treatment for CLM with albendazole (800 mg/d for 3 days) and after resolution of perifocal edema and inflammation the typical serpiginous tracks became more obvious. springer In immunocompetent hosts the infection causes transient pruritic urticarial serpiginous lesions mostly located on the buttocks or lower extremities and unspecific. Differential diagnosis. The characteristic skin lesions of cutaneous larva migrans include itchy serpiginous eruptions that advance with time. The differential diagnosis includes larva currens, epidermal dermatophytosis,5 phytophotodermatitis, erythema chronicum migrans and scabies.6 Rash in larva currens closely resembles cutaneous larva migrans and is caused by Strongyloides stercoralis recurrent maculopapular or urticarial rash most commonly found along the buttocks, perineum, and thighs due to repeated auto-infection, but can be found anywhere on the skin; larva currens - pathognomonic serpiginous or urticarial rash that advances as rapidly as 10cm/hr. How soon after the exposure do symptoms develop

She also developed an erythematous rash over the neck, trunk and proximal regions of all limbs. The rash was evanescent, not itching and became prominent with the development of fever, with some raised areas and a serpiginous border (Fig. 1). Her throat showed congestion and tonsillar enlargement Erythematous papules first, then itchy rash serpiginous tracks, lesions that may become infected. mild treatment for cutaneous large migrans. do not need treatment. Severe treatment for cutaneous large migrans. albendazole and Ivermectin. Enterobiasis Treatment of cutaneous larva migrans may be done with 10 - 15% thiabendazole ointment or solution topically three times a day for 15 days. Within 48 hours the itching stops and the rash ceases.

Cutaneous Larva Migrans: The Rash Is Not What You Think EMR

Differential diagnosis. The acute onset of an erythematous rash in a localised distribution led to the initial diagnosis of shingles. However, several features of the presentation, including the patient reporting of intense itch but no pain, skin involvement across multiple dermatomes bilaterally and the subsequent appearance of serpiginous lesions did not fit with this diagnosis It usually causes small bumps (papules) on the skin sometimes with serpiginous lines (burrows). The skin rash is often on the hands, feet, and genital area but can be located almost anywhere on the body with exception of the head in adults. Transmission. Scabies transmission usually requires significant skin to skin contact (direct and prolonged) a severely pruritic and painful rash of 1 week's duration. The . rash began as an erythematous papule on the right buttock but had spread in a serpiginous manner to the groin and left buttock. The patient stated that he could see the rash spreading in a serpiginous manner over a matter of hours

Elastosis Perforans Serpiginosa - an overview

BMT and intensive 1ST with ATG and CyA are widely recog- a Defined by serpiginous rash with arthralgtas and fever. nized effective treatments for SAA.4,5,8,9 The decision to pursue b Seven of eight BMT patients who developed pulmonary complications one treatment or the other is largely dependenton the availabil- died Military Medicine, Vol. 167. taminated soil, causing a localised itchy rash. Infection by nonhuman hookworms can cause a persistent, intensely itchy serpiginous rash, known as cutaneous larva migrans. Migration through the lungs can cause a more persistent pneumonitic Loeffler's syndrome than that seen with Ascaris, sometimes lasting several months soil, causing a localised itchy rash ('ground itch'). Infection by nonhuman hookworms can cause a persistent, intensely itchy serpiginous rash, known as cutaneous larva migrans. Migration through the lungs can cause a more persistent pneumonitic Löeffler's syndrome than that seen with Ascaris, sometimes lasting several months Rashes in Returning Travelers Esther Freeman MD PhD Director, Global Health Dermatology Ivermectin is an effective treatment D) Treatment of choice is cryotherapy at the advancing edge •Edematous, serpiginous tract that advances daily •Self limited (ITCHY!), but can treat w Yesterday she noticed a linear serpiginous rash on her legs and arms that was slightly painful. Today it has progressed and become somewhat darker and is now pruritic. Activities that she participated in while on vacation included swimming in the ocean, tanning (with SPF 30 sunblock) and water aerobics in the swimming pool

Skin Rash From Cat To Human - toxoplasmosisLupus and your skin: Signs and symptoms

Annular Lesions: Diagnosis and Treatment - American Family

Lichen planus is an inflammatory disorder characterized by violaceous, flat, shiny papules ranging from 0.75 to 3 inches (2 to 8 mm) in diameter. The glans penis is frequently involved. An oral examination may reveal the classic serpiginous white streaks on the buccal mucosa (see Fig. 12-15). Figure 18-10 shows lichen planus of the penis (see. Cutaneous Larva Migrans. Clinically, cutaneous larva migrans (CLM) or creeping eruption, is a raised, erythematous, linear or serpiginous skin eruption, which is often accompanied by intense pruritus. Cutaneous larva migransis a widespread and well-recognized disease in the tropics and is considered the most common dermatological problem. Cutaneous larva migrans look like a curvy red line on the skin. Lines are often bumpy and can have little blisters or scales. Doctors call them serpiginous lesions.. This means that the lines look like a snake.. The lines show the path that the nematode larva follows on the skin. CLM lesions are extremely itchy The slightly serpiginous border on the thigh, at our left, could be taken as indicative of tinea cruris. Some edema is inferred from loss of the wrinkles on the lateral border of the scrotum; some whitening, inferior to the erosions, suggests scarring since it is not, clearly, merely a residue of medicine as the white grainy matter at the base. Treatment of cutaneous larva migrans with a single oral 12-mg dose of ivermectin. Another study involved 67 Belgian tourists treated with a single dose (12 mg) of ivermectin. Fifty-one patients were assessable and 48 (94%) were cured; 2 patients relapsed, and treatment failed in an immunodeficient patient [ 26 ]

Erythema Marginatum - an overview ScienceDirect Topic

Creeping eruption is a skin infection caused by hookworms. The infection is also called cutaneous larva migrans or sandworm disease. Creeping eruption causes severe itching, blisters, and a red growing, winding rash. The rash can grow up to 1 to 2 centimeters per day Cutaneous larva migrans is the most common tropically acquired dermatosis. It is characterised by erythematous, serpiginous, pruritic, cutaneous eruption caused by percutaneous penetration and subsequent migration of larvae of various nematode parasites.1 It is most commonly found in tropical and subtropical geographic areas; however, because of the ease and the increasing incidence of foreign.

A Serpiginous Eruption on the Buttocks - Photo Quiz

The wheals will often be round, serpiginous, or polymorphic, and tend to grow and combine with other lesions rapidly.1. The onset of urticarial symptoms is rapid, occurring over minutes. The individual wheals typically will resolve within 24 hours in most cases without treatment, although as old lesions dissipate, new lesions can arise - Serpiginous - Targetoid - Lacey • Consistency rash, conjunctival hyperemia, cervical lymphadenopathy, redness of the oral and pharyngeal mucosa, strawberry treatment should對 be given to children within 10 d of fever onset and those beyond day 10 with clinical and laboratory signs \⠀䌀刀倀Ⰰ 䔀匀刀尩 of ongo. Picture of Erythema Multiforme 1. This disorder is termed multiforme because the morphology of its lesions is so variable. The primary lesion is most often an erythematous macule that evolves into a papule. Early in the course, these lesions may easily be mistaken for urticaria. As the lesions enlarge, they form round or irregularly shaped plaques

Freshwater fish, specifically loaches, are potential hosts of Gnathostoma species. Consumption of uncooked freshwater loaches may result in cutaneous larva migrans. We report the case of a 70-year-old Taiwanese man who presented with a serpiginous skin rash on his abdomen single or unilateral erythematous, pruritic, serpiginous tract on the feet, hands, or buttocks (Figure).2 The larval tract typically migrates at a rate of 1 to 2 cm per day,3 which is in contrast to the serpiginous urticarial rash of larva currens of strongyloidiasis that can travel up to 10 cm per hour.4 Clinical Presentatio

Atopic Dermatitis Symptoms Genital Herpes Rash Picture

Chronic strongyloidiasis: patients commonly develop a linear, serpiginous urticarial rash that predominantly affects the trunk, groin, or buttocks. The rash is transient and may move, leading to the term larva currens The rash was erythematous and serpiginous (Figure 2). Some excoriations were present. He was afebrile and did not have any palpable lymphadenopathy. In the event of treatment failure, this dose can be repeated and usually provides a cure. It is contraindicated in children (weight <15 kg or <5 years) and in pregnant and breastfeeding women • serpiginous (snakelike), slightly elevated, erythematous tunnels that are 2- to 3-mm wide and track 3- after treatment with topical steroids rash is present in several members of the same family Treatment: Lindane or Permethrin (permethrin is drug of choice and can be used in all ages; lindane i People who work with cardboard every day are more at risk. On exposure, a red, itchy rash usually develops within 6 to 12 hours. The reaction will get worse over the next 48 to 72 hours, and eczema (scaly, weepy skin) may develop. To have a cardboard allergy, a person must have been exposed to the substance. The reaction will get worse over the.

Butt Rashes: Causes, Home Remedies, Treatment, and More. An 18-year-old man presented with a several-week history of an expanding pruritic serpiginous and linear eruption on the rash.The patient recently had. Adult Butt Rash - Causes, Symptoms, and Treatment An 18-year-old man presented with a several-week history of an expanding pruritic serpiginous and linear eruption on the buttocks . The patient recently had spent some time vacationing at the beach in the southeastern United States Itching and rash may affect much of the body or be limited to common sites such as: between the fingers, wrist, elbow, armpit, penis, nipple, waist, buttocks, or shoulder blades. or shoulder blades. Tiny burrows sometimes are seen on the skin. These burrows appear as tiny raised and crooked (serpiginous) grayish-white or skin-colored lines.

Dog Rash On Groin Pictures - atopic dermatitis symptomsHereditary angioedema and bradykinin-mediated angioedema

A 7 month old baby presented to the dermatology clinic with a three month history of a widespread, itchy rash, predominantly on the trunk and limbs. The family's general practitioner had prescribed topical steroids and oral antibiotics to treat the rash, to no avail. The baby was systemically well. On examination there was a widespread florid polymorphic eruption with erythematous papules. Cutaneous larva migrans (abbreviated CLM) is a skin disease in humans, caused by the larvae of various nematode parasites of the hookworm family (Ancylostomatidae).These parasites live in the intestines of dogs, cats, and wild animals and should not be confused with other members of the hookworm family for which humans are definitive hosts, namely Ancylostoma duodenale and Necator americanus After a decade of steady decline from 1990 to 2000, syphilis rates in the US have increased in the past few years [1]. The diagnosis of syphilis for an ophthalmologist can be challenging but should be considered in every case of unexplained neuro-ophthalmic findings regardless of sexual history. Serologic testing is low risk and should be considered for this potentially treatable disease The rash was red and having a serpiginous track which keeps on moving and itches constantly. Treatment was topical cream and also a new medicine Ivermectin 12 mg per day (one dose treatment). The patient also was given local cream compounded in water soluble media to be applied locally About four weeks later, the patient developed the rash and continued to progress in other parts of her body. During her general physical examination, the physician found small, greyish, serpiginous, linear lesions with minute black speck at the closed end, in an inter-digital web space

Acute urticaria is most often a benign, self-limited skin disease. It usually occurs independently, but it may contribute to the more serious clinical manifestations of anaphylaxis: angioedema and anaphylactic shock.The etiologies of both acute and chronic urticaria are numerous (see Causes in Presentation).The etiologic agent is more likely to be identified in acute urticaria (40-60%) than in. A serpiginous rash called erythema marginatum, fatigue and muscle aches are prodromal symptoms reported by 50% of patients with hereditary angioedema . 12.1.4. Prophylaxis and treatment Treatment of Seborrheic dermatitis Face/body: Topical steroids for short term uses Flares: hydrocortisone or desonide BID x 1-2 weeks Antifungals: Ketoconazole shampoo or cream Scalp: Antiseborrheic shampoos in rotation (selenium sulfide, zinc pyrethione, ketoconazole, salicylic acid, tar) Change type of shampoo every other week Tar: stinks and stains hai Dermatologic Signs of Systemic Disease Online Medical Reference - from diagnosis through treatment options. Co-authored by Lisa M. Grandinetti and Kenneth J. Tomecki of the Cleveland Clinic. The skin is often a window to systemic disease. By recognizing cutaneous manifestations of systemic diseases, the internist can often determine the appropriate diagnosis and therapy or the need for.