Common Treatments

A:
Acne Vulgaris:
Clindagel night
Tretinoin & benzaclin
Medicaid
Benzaclin, tretinoin,
minocycline oral
Private Insurance:
Onexton, Retin A,
soledyne-oral w/card
AM
medicationsBenzaclin
, onexton, aczone,
clindagel, epiduo
PM medications Retin
A, Tazorac, Adapalene,
Epiduo (tretinoin and
benzo p)
f/u 2months
Atopic Derm:
*Titrate steroids down and not up
Triamcenolone .025% in
Bathing protocol
SE: Atrophy with prolonged
usage, hypopigmentation
AD diagnosis: ask about
asthma, eczema and
allergies in the family
f/u 2weeks if first visit
Alopecia Areata:
Triamcenilone
Ketoconazole shampoo
Androgenic Alopecia:
Rogain % daily
Can cause hair growth in
other areas
NIZS
Prenatal vitamins
Hair loss panel

Biopsy

B:
Bullous Pemphigus
60mg and 2mg/kg
Biopsy: H&E , Immunofluorescence
Labs: CBC, CMP, BUN/CREATIN
C:
Confluent and Reticulated
Papilomatosis:
Triamcenolone
Minocycline 100mg
If not improving offer biopsy
D:
Dyschromia:
Triamcenolone
&
Retin A F/u 2months
E:
F:
Folliculitis Decalvans:
Doxicycline 100mg
F/u 2weeks
Folliculitis:
Gentamicin topical ointment
Culture
Oral antibioticsminocycline/doxi if needed
G:
H:
Hand eczema:
Clobetazol .05% with
occlusion therapy
Hidradenitis:
Mino/doxycycline 100mg bid
Clindagel
f/u 2weeks
Accutane an option- Get labs
if ordering
I:

Inverse Psoriasis:
Spectazole
Do DTM
Follow up, if r/o fungus then
steroid
J:
K:
KP- Cerave with coupon
L:
Lichen Planus:
Clobetazol .5% soln
M:
Mastocytosis:
N:
O:
Onychomycosis:
Penlaq, Jublia offer fungal
culture if first time. Takes
30days
P:
Pruritus & Urticaria:
Urticarial protocol
Zirtec
Hydoxizine at night
TACC
Pustular Psoriasis
Augmentin for 10days, plus
clobetazol/triamcinolone
Psoriasis:
Mild- Triamcenolone
Severe: Clobetasol cream,
solution or ointment x2weeks
for f/u
Prurigo Nodularis:
TACC
Q:
R:
Red cheeks: R/O rosacea, lopus,
dermatomyositis
Metronidozal lotion-(mlt),
finacea, solantra

Sodium Sulfacetamid wash

F/u 2 months, if no
improvement biopsy
Lab tests: ANA, R/O SLE

S:
Stasis Derm:
Manage irritation
TACC 240MG Tube .1-.5%
Scabies:
Permethrin for first and third
week + steroid cream
Punch if reason unknown
Scalp Psoriasis:
Clobetazole 0.0%5 solution
(MK)
Salex Shampoo
T-sal
Seb-derm:
TSAL
NIZS & Cream
Baby- NIZS or cream
T:
T-corporis:
Spectazole cream
T. Capitis:
Get culturs, f/u in one month
Give NIZS
If cultures are positiveGriseofulvin in peds,
terbinafine in adults
*In kids, concern for karion
which may lead to scarring
alopecia
U:
V:
Vitiligo:
Steroid-tacc80- F/u one
month
Immunomodulator-elidel/
protopic
Phototherapy

W:
Warts: Pp & private insurance
$180 for biopsy and freezing

X:
Y:

2nd visit only pay for office

visit, freez for free