Common Dermatologic Conditions . Toby Maurer, MD University of California, San Francisco. Topicals. BP 5% gel (10% - more drying) BP 5% wash-great for comedones back/chest Retin A 0.025% - 0.1% ( vehicle determines strength - start with crème) Cleocin T or erythromycin topically
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Toby Maurer, MD
University of California, San Francisco
?Not improving after 8 weeks?
Topicals: Cleocin T Gel bid
p.o. antibiotics –TCN
- bid x 8 wks
Keeps pts in remission x 2 yrs.
Minoxidil 5% bid topically (even in women)
Minoxidil 5% foam-use once/day
What about finasteride (propecia)?-equal to minoxidil in men. Does not work in women.
Tar (LCD 5% in TAC 0.1% oint) ( Tar emulsions)
topical retinoids (Tazarac)
Decrease the INFLAMMATORY RATE of the skin
Steroid Ointment (mid-potency-1st line)
Calcipotriene (Dovonex Creme)-not on face or groin
Septra, Doxycycline, Clindamycin, Cipro/Levofloxacillin
Consider it, biopsy it and send tissue culture
Diseases that Masquerade as Infectious Diseases Ann Int Med 2005 Jan 4; 142:47-55