Potency of Topical Corticosteroids
Table showing the class and potency of topical corticosteroids in the UK.
 Source: resourceclinical.com |
| Clinical Resource: Table |
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Skin Therapy LetterThis website lets you access articles published in Skin Therapy Letter© as well as comprehensive treatment information on various skin conditions including acne, rosacea, psoriasis, psoriatic arthritis, eczema, skin cancer, as well as botox™, mild cleansers and lice.
Skin Therapy Letter - Pharmacist Edition. In 2006 we introduced Skin Therapy Letter© – Pharmacist Edition and launched this corresponding website, which offers which offers current, peer-reviewed, dermatology information to pharmacists across Canada. This website also lets you access comprehensive patient information on various skin conditions written and peer-reviewed by dermatologists.
DermNet NZDermNet NZ provides authoritative information about skin diseases, conditions and treatment for patients and their health professionals.
DermQuestThe DermQuest Editorial Board are a panel of highly respected international dermatologists with interests in patient practice and academic research. The remit of the Editorial Board is as follows: to set and approve the DermQuest editorial strategy; to set topics for articles and key opinion pieces written for the DermQuest site; to develop articles and key opinion pieces for the DermQuest site, or commission colleagues to do so; and to vet and approve all new content developed for the DermQuest site and all content submitted by users in an independent manner.
Disease Management Project Dermatology ChaptersThe Disease Management Project is an online medical reference, designed to provide nationally established treatment guidelines for the most commonly seen diseases and conditions. Disease Management Project Chapters
The Electronic Textbook of DermatologyThis document is a resource of the Internet Dermatology Society Table of Contents
Primary Care Dermatology Society
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 Source: pcds.org.uk |
| Clinical Resource: Clinical Guidance and Diagnostic Tables |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Specials Recommended by the British Association of Dermatologists for Skin Disease
On behalf of the BAD Specials Working Group 2014
Most prescribing uses licensed medicines whose safety and efficacy are assured. For many common dermatological diseases including psoriasis and eczema, the range of licensed medicines is limited. As a result, Dermatology prescribing may rely significantly on unlicensed creams and ointments (known as ‘Specials’) containing tars, dithranol, salicylic acid, steroids and other active constituents in a range of concentrations and bases. This is of particular concern in primary care where lack of effective price controls and a mechanism to ensure independent scrutiny of product quality has increased costs and concern about standards. To address these concerns and help to optimise quality of care, adherence to the revised British Association of Dermatologists (BAD) list of preferred Specials (2014) is encouraged.
| Source: bad.org.uk |
| Clinical Resource: Publication |
| Register to Access Content: No |
| Last Checked: 15/05/15 | Link Error: Report It |
Topical issues - emollients and corticosteroids
This release discusses the role of emollients and topical corticosteroids for the treatment of dry itchy skin in dermatitis (eczema). The therapeutic brief promotes the regular use of emollients, and using the least potent topical corticosteroid required to control the symptoms, for the shortest duration possible.
| Source: veteransmates.net.au |
| Clinical Resource: Brief |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Emollients — advice for use
NHS Wirral
| Source: mm.wirral.nhs.uk |
| Clinical Resource: Guideline |
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| Last Checked: 13/05/14 | Link Error: Report It |
Choosing Topical Corticosteroids
Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids available, and they differ in potency and formulation. Successful treatment depends on an accurate diagnosis and consideration of the steroid’s delivery vehicle, potency, frequency of application, duration of treatment, and side effects. Although use of topical steroids is common, evidence of effectiveness exists only for select conditions, such as psoriasis, vitiligo, eczema, atopic dermatitis, phimosis, acute radiation dermatitis, and lichen sclerosus. Evidence is limited for use in melasma, chronic idiopathic urticaria, and alopecia areata.
| Source: aafp.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Topical Corticosteroids
A Quick Guide to Potency, Structural Class and Cross-Reactivity
In 2005, the American Contact Dermatitis Society designated corticosteroids as allergen of the year. In response, the following classification chart has been constructed with the objective to allow for quick referencing and cross-referencing of the members of the corticosteroid family.
| Source: the-dermatologist.com |
| Clinical Resource: Table |
| Register to Access Content: No |
| Last Checked: 28/11/16 | Link Error: Report It |
Relative Potency of Selected Topical Corticosteroids
Topical corticosteroids range in potency from mild (class VII) to superpotent (class I— Relative Potency of Selected Topical Corticosteroids). Intrinsic differences in potency are attributable to fluorination or chlorination (halogenation) of the compound.
| Source: merckmanuals.com |
| Clinical Resource: Table |
| Register to Access Content: No |
| Last Checked: 28/11/16 | Link Error: Report It |
Critical formulation aspects of local corticosteroids
Glucocorticoids play a major role in the treatment of various inflammatory skin disorders. Formulations individualised for patients’ unique skin and disease conditions offer many advantages, but may also raise certain problems.
| Source: eahp.eu |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Topical Corticosteroids: Face Facts
The use of topical corticosteroids on the face can result in harmful skin effects such as atrophy, telangiectasia and periorificial dermatitis. These adverse reactions are greater with the more potent steroids but can be minimised by limiting use on the face. The risks of facial use should be communicated to patients, along with clear directions about where to apply the topical steroid and for how long to continue treatment.
| Source: medsafe.govt.nz |
| Clinical Resource: Prescriber Update Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Dermatology Information System
DermIS.net is the largest dermatology information service available on the internet. It offers elaborate image atlases complete with diagnoses and differential diagnoses, case reports and additional information on almost all skin diseases
| Source: dermis.net |
| Clinical Resource: Image Atlases |
| Register to Access Content: No |
| Last Checked: 17/06/14 | Link Error: Report It |
Dermnet
Skin Disease Atlas
Dermnet is the largest independent photo dermatology source dedicated to online medical education though articles, photos and video. Dermnet provides information on a wide variety of skin conditions through innovative media.
| Source: dermnet.com |
| Clinical Resource: Image Atlas |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Drug Interactions in Dermatology
This article aims to assist pharmacists in identifying patients at risk for clinically significant dermatologic drug interactions, review the general mechanisms of drug interactions, and help lower patients' risk with a discussion of select dermatologic drugs that may lead to adverse effects. With this knowledge, as well as proper screening, prescribing, and monitoring, clinicians can help prevent fatal consequences.
| Source: uspharmacist.com |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Pharmacotherapy for Skin Disorders in Older People
Managing skin disorders in older people is often less than optimal because their special needs and limitations are not adequately addressed. This review provides an overview of treatments available for managing skin conditions commonly encountered in older people.
| Source: shpa.org.au |
| Clinical Resource: Journal Article |
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| Last Checked: 13/05/14 | Link Error: Report It |
| Source: idsociety.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 15/05/15 | Link Error: Report It |
Skin infections
A huge number of infections affect the skin either directly, as the primary site of infection, or indirectly, by virtue of causing an exanthem or other secondary eruption, such as erythema multiforme or vasculitis. Space does not permit significant discussion of such indirect associations so most of this review concentrates on direct skin infection and is highly selective. The emphasis is on disorders that are common but that may have significant health implications, and on some rarer but readily diagnosable disorders. Thus, the topics chosen for review are streptococcal cellulitis of the leg, staphylococcal scalded skin syndrome, herpes simplex and varicella zoster infections, and a potpourri of tropical skin infections that may present in returning travellers.
| Source: rcpe.ac.uk |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Common skin infections in children
Most children will have a skin infection at some time. Skin infections are a common reason for consultation in primary care and in dermatology practice. We review four common skin infections in children and describe their epidemiology, clinical features, and treatment, focusing on treatments with best evidence.
Molluscum contagiosum
Viral warts
Impetigo
Tinea capitis (scalp ringworm)
More common skin infections in children
We now review four more skin infections commonly seen in children, describing the epidemiology, clinical features, and treatment of each. For conditions with limited evidence, we provide pragmatic advice and recommendations.
Scabies
Head lice (pediculosis capitis)
Folliculitis
Cold sores (herpes simplex virus)
| Source: europepmc.org |
| Clinical Resource: Journal Articles |
| Register to Access Content: No |
| Last Checked: 07/04/14 | Link Error: Report It |
The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.
| Source: webarchive.org.uk |
| Clinical Resource: e-Learning |
| Register to Access Content: No |
| Last Checked: 24/04/15 | Link Error: Report It |
Mycology Online
These are superficial cosmetic fungal infections of the skin or hair shaft. No living tissue is invaded and there is no cellular response from the host. Essentially no pathological changes are elicited. These infections are often so innocuous that patients are often unaware of their condition.
These are superficial fungal infections of the skin, hair or nails. No living tissue is invaded, however a variety of pathological changes occur in the host because of the presence of the infectious agent and its metabolic products.
These are chronic, localized infections of the skin and subcutaneous tissue following the traumatic implantation of the aetiologic agent. The causative fungi are all soil saprophytes of regional epidemiology whose ability to adapt to the tissue environment and elicit disease is extremely variable.
| Source: mycology.adelaide.edu.au |
| Clinical Resource: Reference |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Fungal skin infections: current approaches to management
The dermatophyte skin infections tinea capitis, tinea pedis and onychomycosis are common and challenging to treat. Our Drug review focusses on key points and advances in their management, followed by further sources of information.
| Source: eu.wiley.com |
| Clinical Resource: Journal Article |
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| Last Checked: 13/05/14 | Link Error: Report It |
Fungal skin and nail infections: diagnosis and laboratory investigation guide for primary care
Public Health England
Guidance for primary care on taking samples for diagnosing and treating fungal skin and nail infections; for consultation and adaptation
| Source: gov.uk |
| Clinical Resource: Guidance |
| Register to Access Content: No |
| Last Checked: 23/02/15 | Link Error: Report It |
Common scalp disorders in general practice
Scalp diseases are common in both children and adults. They can occur as primary scalp diseases, such as tinea capitis, traction alopecia, folliculitis keloidalis nuchae, and folliculitis decalvans, or as part of a generalised skin disease, like atopic dermatitis, seborrhoeic dermatitis, psoriasis, lichen planus, pityriasis rubra pilaris, and secondary syphilis. Scalp disorders can be non-scarring and reversible, while others can cause scarring, and are often permanent.
| Source: sapj.co.za |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Recommended management of head lice and scabies
Patient education is vital in treating head lice and scabies to ensure successful eradication and to reduce the development of resistance. Our Drug review considers the available treatment options and some recent advances, followed by a review of the prescription data and sources of further information.
| Source: eu.wiley.com |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Head Lice
Questions & Answers for Healthcare Professionals
This bulletin is laid out in a ‘question and answer’ format under three main headings: Disease background, diagnosis and treatment.
| Source: wales.nhs.uk |
| Clinical Resource: Bulletin |
| Register to Access Content: No |
| Last Checked: 08/04/14 | Link Error: Report It |
Head Lice Treatment in Breastfeeding Mothers
Headlice are a common problem for mothers wih older children. The breastfeeding mother may need to apply lotions to her children and may find herself affected too.
| Source: breastfeedingnetwork.org.uk |
| Clinical Resource: Factsheet |
| Register to Access Content: No |
| Last Checked: 08/08/16 | Link Error: Report It |
Do Spinosad or Ivermectin Have a Place in Head Lice Eradication?
Increased incidence of resistance with evidence that common therapies are losing their effectiveness has lead to the production of new products. This article will discuss two new treatments for head lice to determine their place in therapy.
| Source: oregonstate.edu |
| Clinical Resource: Newsletter |
| Register to Access Content: No |
| Last Checked: 19/08/15 | Link Error: Report It |
Correction to the use of Malathion in scabies
| Source: bashh.org |
| Clinical Resource: Guideline |
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| Last Checked: 21/08/15 | Link Error: Report It |
| Source: iusti.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Scabies: diagnosis and treatment
Despite being readily treatable, scabies remains common. This is because it can be difficult both to diagnose and to ensure adequate treatment of patients and their contacts. This article seeks to clarify the diagnostic problems and help optimise treatment
| Source: europepmc.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 07/04/14 | Link Error: Report It |
Scabies - diagnosis and management
Key concepts
- Scabies transmission occurs when there is transfer of a fertilised female mite by direct, (approximately five minutes) skin-to-skin contact with an infected person.
- Diagnosis is usually made clinically. Laboratory diagnosis is not usually necessary but may be useful for uncertain cases or cases in residential care.
- Malathion and permethrin are effective treatments for scabies.
- All recent contacts should be treated.
- The itch may persist for weeks even though the mite is gone. However itch beyond six weeks may indicate treatment failure.
| Source: bpac.org.nz |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
What drug should be used for treating scabies in a pregnant woman?
Scabies is a parasitic skin infestation caused by the human mite Sarcoptes scabiei var hominis.
| Source: dpic.org |
| Clinical Resource: Drug and Poison Information Centre Newsletter |
| Register to Access Content: No |
| Last Checked: 19/10/15 | Link Error: Report It |
| Source: bashh.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 21/08/15 | Link Error: Report It |
| Source: iusti.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Recommendations for the Management of Herpes Zoster
The objective of this supplement to Clinical Infectious Diseases is to improve the care of patients with HZ by providing practical, evidence-based recommendations that take into account clinical efficacy, adverse effects, impact on quality of life, and costs of treatment. Pharmacologic management is emphasized, because few nonpharmacologic approaches have been evaluated in randomized controlled trials. These recommendations apply only to the acute phase of HZ; detailed recommendations for the treatment of postherpetic neuralgia (PHN), the most common complication of HZ, appear elsewhere. We describe the pathogenesis, epidemiological aspects, clinical aspects, and complications of HZ, and then we review the literature on the treatment of HZ and present specific treatment recommendations.
| Source: cid.oxfordjournals.org |
| Clinical Resource: Supplement Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
The prevention and management of herpes zoster
Here, we provide an overview of the new vaccine and introduce clinicians to a new clinical paradigm — the prevention of HZ. We also apply current opinion and evidence to the management of HZ.
| Source: mja.com.au |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
| Source: bashh.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 21/08/15 | Link Error: Report It |
| Source: bashh.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 05/10/15 | Link Error: Report It |
| Source: bashh.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 21/08/15 | Link Error: Report It |
| Source: sign.ac.uk |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 28/09/17 | Link Error: Report It |
National Eczema Society
For Healthcare Professionals
An area dedicated to healthcare professionals with resources, research and advice
| Source: eczema.org |
| Clinical Resource: Various |
| Register to Access Content: Yes - registration is FREE |
| Last Checked: 13/05/14 | Link Error: Report It |
COMPASS Therapeutic Notes on the Primary Care Pharmacological Management of Atopic Eczema
In this issue
Introduction and background
Managing atopic eczema
Emollients
Topical corticosteroids
Topical calcineurin inhibitors
Systemic therapy of atopic eczema
Other treatments in atopic eczema
Infection and antimicrobials
| Source: hscbusiness.hscni.net |
| Clinical Resource: Bulletin |
| Register to Access Content: No |
| Last Checked: 22/11/16 | Link Error: Report It |
Skin Conditions - Eczema and Psoriasis
The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.
| Source: webarchive.org.uk |
| Clinical Resource: e-Learning |
| Register to Access Content: No |
| Last Checked: 24/04/15 | Link Error: Report It |
| Source: eaaci.org |
| Clinical Resource: Position Paper |
| Register to Access Content: No |
| Last Checked: 28/04/14 | Link Error: Report It |
Contact dermatitis: A practice parameter - Update 2015
This parameter was developed by the Joint Task Force on Practice Parameters, which represents the American Academy of Allergy, Asthma & Immunology; the American College of Allergy, Asthma & Immunology; and the Joint Council of Allergy, Asthma & Immunology.
| Source: aaaai.org |
| Clinical Resource: Practice Parameter |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
Atopic dermatitis: A practice parameter update 2012
This parameter was developed by the Joint Task Force on Practice Parameters, representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology.
| Source: aaaai.org |
| Clinical Resource: Practice Parameter |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
Management of Difficult-to-Treat Atopic Dermatitis
The aim of this review is to provide health care professionals with a holistic approach to the management of difficult-to-treat atopic dermatitis, defined as atopic dermatitis seemingly unresponsive to simple moisturizers and mild potency (classes VI and VII) topical corticosteroids. The critical importance of education and advice is emphasized, as is the seminal role of secondary bacterial infection and polyclonal T-cell activation in causing acute flares in patients with severe, generalized disease. In atypical cases or those that do not respond to treatment, alternative diagnoses should be considered.
| Source: aaaai.org |
| Clinical Resource: Report |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
Management of Psoriasis in Primary Care
This bulletin will focus on the contemporary management of psoriasis in primary care.
| Source: stjames.ie |
| Clinical Resource: Medicines Information Centre Bulletin |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
| Source: sign.ac.uk |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 28/09/17 | Link Error: Report It |
Canadian Guidelines for the Management of Plaque Psoriasis
Canadian Psoriasis Guidelines Committee
| Source: dermatology.ca |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Psoriasis and Psoriatic Arthritis Pocket Guide: Treatment Algorithms and Management Options
The third edition of the Psoriasis and Psoriatic Arthritis Pocket Guide: Treatment Algorithms and Management Options, was authored by an expert panel of dermatologists and is aimed at helping physicians treat patients with specific types of psoriasis and psoriatic arthritis. The Pocket Guide, including its algorithms, was updated in the winter of 2009 to incorporate the use of biologic and other treatments that have become available since the second guide was issued in 2006.
| Source: psoriasis.org |
| Clinical Resource: Pocket Guide |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
PsoriasisTx.com
PsoriasisTx.com is designed to provide educational resources for clinicians – dermatologists, dermatology nurses, nurse practitioners, and physician assistants, rheumatologists, and other health care providers – who manage patients with moderate to severe psoriasis or with psoriatic arthritis. Our goal is to offer our users easily accessible, up-to-date clinical information and to create a community of health care professionals that share clinical insights.
| Source: psoriasistx.com |
| Clinical Resource: Various |
| Register to Access Content: Yes - registration is FREE |
| Last Checked: 13/05/14 | Link Error: Report It |
Psoriasis Image Library | International Psoriasis Council
The following images are made available as a courtesy for diagnosing and treating psoriasis. These are available for clinical and educational use only.
- Localized Disease Images
- Widespread Disease Images
- Treatment Consequences Images
- Other Disease Images
- Psoriasis Mimics
| Source: psoriasiscouncil.org |
| Clinical Resource: Images |
| Register to Access Content: Yes - registration is FREE |
| Last Checked: 13/05/14 | Link Error: Report It |
This Medicines Q&A reviews the evidence for the efficacy and safety of Fumaderm® in treating psoriasis.
| Source: sps.nhs.uk |
| Clinical Resource: Medicines Question and Answer |
| Register to Access Content: No |
| Last Checked: 22/09/16 | Link Error: Report It |
Managing acne in primary care
Acne is a common dermatological condition that affects most people at some stage in their life. Because acne is regarded as “normal” and over-the-counter products are readily available, most people will not seek treatment from their General Practitioner. However, for some, acne will become significant enough to require medical management. Pharmacological treatment for acne is based on the severity of the symptoms and the impact of the condition on the patient. Treatment ranges from topical medicines for mild acne to oral isotretinoin for severe acne.
| Source: bpac.org.nz |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
COMPASS Therapeutic Notes on the Management of Acne in Primary Care
In this issue:
Introduction, features &
complications
Topical treatments of acne
Oral treatments of acne
| Source: hscbusiness.hscni.net |
| Clinical Resource: Bulletin |
| Register to Access Content: No |
| Last Checked: 22/11/16 | Link Error: Report It |
The AARS Pediatric Acne Treatment Guidelines have been endorsed by the APP! The guidelines will be published in the May 2013 supplement to Pediatrics.
| Source: acneandrosacea.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Audiopearls | American Acne & Rosacea Society
As part of our educational initiative program, the AARS has developed Clinical and Research Audiopearls.
These audiopearls are recordings of conducted interviews between a member of the AARS Board or Executive Committee and a member of the Society regarding a hot topic in acne and rosacea science or treatment.
Oral Contraceptive Use in the Treatment of Acne
Updates in the Management of Rosacea
Novelties in Acne Pathogenesis
Childhood Acne
P. Acnes Decreased Sensitivity to Antibiotics
| Source: acneandrosacea.org |
| Clinical Resource: Clinical Audio Pearls |
| Register to Access Content: No |
| Last Checked: 20/08/15 | Link Error: Report It |
Medicines and Healthcare Products Regulatory Agency
Product-specific information and advice > Isotretinoin for severe acne
Featured publications:
Physician's guide to prescribing isotretinoin
Checklist for prescribing isotretinoin to female patients
Pharmacist's guide to dispensing isotretinoin
Patient information brochure for isotretinoin
Brochure on contraception with isotretinoin
| Source: webarchive.nationalarchives.gov.uk |
| Clinical Resource: Safety Information and Advice |
| Register to Access Content: No |
| Last Checked: 23/04/15 | Link Error: Report It |
SafeRx
Isotretinoin - Safe Prescribing - Hit the Spot!
Isotretinoin is a high-risk medicine because it is a potent human teratogen and can cause severe foetal malformations. Foetal damage may occur if taken during pregnancy, including:
• effects on the central nervous system (hydrocephalus, microcephalus)
• cardiovascular abnormalities
• facial dysmorphia
• absence/deformity of ears
• thymus and parathyroid gland abnormalities
• eye defects (microphthalmia)
| Source: saferx.co.nz |
| Clinical Resource: Bulletin |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Oral isotretinoin
Isotretinoin, a retinoid related to vitamin A, is an effective oral treatment for patients with severe cystic acne. Isotretinoin reduces sebum production, unblocks pores and stops formation of new comedones. By opening up the hair follicle, it also reduces the anaerobic bacteria that contribute to the inflammation seen in acne.
| Source: nps.org.au |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 08/08/16 | Link Error: Report It |
Acne: a guide to prescribing isotretinoin
After completing this module you should know:
- Which patients are appropriate candidates for isotretinoin therapy
- How to prescribe isotretinoin
- Important issues to cover when counselling a patient who is considering isotretinoin therapy
- How to avoid and/or manage adverse effects of isotretinoin.
| Source: learning.bmj.com |
| Clinical Resource: CPD / CME / Learning |
| Register to Access Content: Yes - registration is FREE |
| Last Checked: 16/05/14 | Link Error: Report It |
Acneiform Eruptions
Acneiform eruptions are dermatoses that resemble acne vulgaris. Lesions may be papulopustular, nodular, or cystic. While acne vulgaris typically consists of comedones, acneiform eruptions (such as acneiform drug eruptions) usually lack comedones clinically.
| Source: medscape.com |
| Clinical Resource: Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Rosacea Medical Management Guidelines
American Acne and Rosacea Society
| Source: acneandrosacea.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Rosacea: A Review
After reviewing this article, readers should be able to:
- Identify the common clinical presentations of rosacea.
- Review appropriate treatment options for rosacea, including topical, systemic, and other therapies.
- Differentiate between newer treatments for rosacea, both FDA-approved and non–FDA-approved.
- Determine the most appropriate treatment strategies for patients with rosacea.
| Source: europepmc.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 07/04/14 | Link Error: Report It |
Treatment options in the management of rosacea
Rosacea can be triggered by many factors, and lifestyle advice, trigger avoidance and skin care should underpin drug treatment. Here, the author discusses the clinical subtypes of rosacea and the treatment options.
| Source: eu.wiley.com |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
| Source: bsaci.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
The diagnosis and management of acute and chronic urticaria: 2014 update
These parameters were developed by the Joint Task Force on Practice Parameters (JTFPP), representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma & Immunology.
| Source: aaaai.org |
| Clinical Resource: Practice Parameters |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
EAACI/GA2LEN/EDF/WAO guideline: management of urticaria
EAACI/GA2LEN/EDF/WAO guideline: definition, classification and diagnosis of urticaria
| Source: eaaci.org |
| Clinical Resource: Guidelines |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
| Source: eaaci.org |
| Clinical Resource: Postion Paper |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Chronic Urticaria: Soothing the Itch
Urticaria and angioedema affects 15% to 25% of the population at some point in their lives. There are various causes for urticaria and angioedema. Urticarial vasculitis and urticaria pigmentosa are rare conditions but should be differentiated from urticaria. Diagnosis of these conditions is made by a biopsy.
| Source: stacommunications.com |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
| Source: bashh.org |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 21/08/15 | Link Error: Report It |
Common vulval dermatoses
Dermatoses that affect the vulva are the same as those that affect the rest of the skin, but the appearance is modified by the environment which produces heat, friction and occlusion. Vulval disorders present as infections, rashes, lesions and pigmentation, and pain. This article considers inflammatory vulval dermatoses that present as rashes that are erythematous, pale or erosive.
| Source: racgp.org.au |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Primary-care Diagnosis and Treatment of Common Dermatological Problems in HIV Medicine
At the completion of this educational session, participants should be able to:
- Recognize the dermatological signs of acute HIV.
- Be more familiar with common dermatological presentations in chronic and advanced HIV disease.
- Understand primary-care diagnosis and treatment approaches to common HIV-related dermatological problems, and when to refer to a specialist.
| Source: prn.org |
| Clinical Resource: Video |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
The hair and nails are often neglected in our dermatological assessments, as the sheer number and breadth of conditions affecting the skin can seem overwhelming. This article focuses on common and important presentations to general practice, including general and specific conditions affecting both hair and nails.
| Source: racgp.org.au |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Diagnosing and Treating Hair Loss
Hair loss is a common problem that affects up to 50 percent of men and women throughout their lives. It can occur anywhere on the body, but more commonly affects just the scalp when the patient presents with concerns about the cosmetic effect
| Source: aafp.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Alopecia
Alopecia is loss of hair. It comes in a variety of patterns with a variety of causes although often it is idiopathic.
| Source: patient.co.uk |
| Clinical Resource: Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Finasteride for Hair Loss in Women
The purpose of DPIC’s Drug Information Service is to provide information to help pharmacists and other healthcare professionals provide safe and rational drug therapy. DPIC was recently asked to clarify the use of finasteride for hair loss in women.
| Source: dpic.org |
| Clinical Resource: Health Professional Article |
| Register to Access Content: No |
| Last Checked: 19/10/15 | Link Error: Report It |
Stinging insect hypersensitivity: A practice parameter update 2011
These parameters were developed by the Joint Task Force on Practice Parameters, representing the American Academy of Allergy, Asthma & Immunology (AAAAI); the American College of Allergy, Asthma & Immunology (ACAAI); and the Joint Council of Allergy, Asthma and Immunology.
| Source: aaaai.org |
| Clinical Resource: Practice Parameter |
| Register to Access Content: No |
| Last Checked: 08/05/15 | Link Error: Report It |
| Source: sign.ac.uk |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 28/09/17 | Link Error: Report It |
International Dermoscopy Society
The IDS has been founded in 2003 by H. Peter Soyer, Rainer Hofmann-Wellenhof and Giuseppe Argenziano to promote clinical research in dermoscopy and to represent a clinically oriented international organization with a thrust towards helping and improving education in dermoscopy.
| Source: dermoscopy-ids.org |
| Clinical Resource: Various |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
The International Atlas of Dermoscopy and Dermatoscopy is an educational activity of The Skin Cancer College of Australia and New Zealand.
| Source: dermoscopyatlas.com |
| Clinical Resource: Atlas |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
The resources which are available for this therapeutic topic can be accessed via the menu on the left-hand side of the page. The e-learning home page suggests ways in which you may like to use the wide variety of e-learning materials.
| Source: webarchive.org.uk |
| Clinical Resource: e-Learning |
| Register to Access Content: No |
| Last Checked: 24/04/15 | Link Error: Report It |
The full list of all SMTL dressings datacards, alphabetically.
| Source: dressings.org |
| Clinical Resource: Data Cards |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
World Wide Wounds
The mission of World Wide Wounds is to be the premier online resource for peer-reviewed information on dressing materials providing practical guidance on all aspects of wound management to health professionals worldwide.
As an independent online journal, World Wide Wounds is dedicated to promoting excellent practice and better communication across the speciality. The information provided will vary in complexity and depth. Basic articles will be provided to meet the needs of inexperienced nurses or those in training. More detailed articles will be provided for those with experience in wound care, whilst articles at the cutting edge of scientific research will attract leaders of the field. The focus of the majority of articles will remain clinically based and be of direct practical relevance to those who manage wounds on a daily basis.
| Source: worldwidewounds.com |
| Clinical Resource: Journal |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Wound dressings
This article describes wound dressings currently available in the UK.
| Source: europepmc.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 07/04/14 | Link Error: Report It |
Wound Management: In Need of a Structured Approach and Better Evidence for the Treatments
The series of articles on wound management will, I am sure, provide readers of the journal with relevant advice and information on a range of aspects of wounds and wound healing in clinical practice.
The Biology of Wound Healing
Wound healing involves a highly orchestrated sequence of events which is triggered by tissue injury and ends in either partial or complete regeneration or more commonly by repair.
Cleansing and Disinfection of Acute and Chronic Wounds
Wounds are cleansed with water or sterile saline mainly to support debridement of devitalised tissue by mechanical means. Disinfection may help reduce the microbial load of colonised or infected wounds.
Silver Dressings and Maggots
To many, any connection between silver and maggots may not be immediately obvious. To healthcare professionals, however, particularly those working in the wound management field, there is a clear link between the two.
| Source: eahp.eu |
| Clinical Resource: Journal Articles |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Topical Antibiotic Treatment - powders, wound dressings and ointments
The purpose of this article is to provide an overview of the more commonly used topical antibiotic agents and their role in therapy.
| Source: sapj.co.za |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Q: A prescriber has requested “Humalogue” insulin cream to enhance wound healing. Is this preparation available?
| Source: dpic.org |
| Clinical Resource: Health Professional Article |
| Register to Access Content: No |
| Last Checked: 19/10/15 | Link Error: Report It |
Hyperhidrosis – Management Pathway
NHS Mid Essex Clinical Commissioning Group
| Source: midessexccg.nhs.uk |
| Clinical Resource: Pathway |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Acute Cutaneous Adverse Drug Reactions
Cutaneous adverse drug reactions (CADR) are a common form of adverse drug reaction, affecting upto 3% of hospital patients. Almost any drug can cause a CADR and the effects can range from mild to life-threatening. When investigating a possible CADR it is important to include in the history all current/recent drugs, topical, over the counter (OTC), alternative medicines, vaccines and contrast media.
| Source: druginformation.co.nz |
| Clinical Resource: Drug Information Service Bulletin |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Cutaneous Drug Reactions
In this review, we assess the current knowledge of four categories of cutaneous drug reactions: immediate-type immune-mediated reactions, delayed-type immune-mediated reactions, photosensitivity reactions, and autoimmune syndromes. Moreover, we describe evidence that viral infection is an important predisposing factor for the development of cutaneous drug reactions upon drug administration. Finally, we review the current knowledge of the type and mechanisms of cutaneous drug reactions to several categories of drugs.
| Source: pharmrev.aspetjournals.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Drug Eruptions
Drug eruptions can mimic a wide range of dermatoses. The morphologies are myriad and include morbilliform, urticarial, papulosquamous, pustular, and bullous. Medications can also cause pruritus and dysesthesia without an obvious eruption.
A drug-induced reaction should be considered in any patient who is taking medications and who suddenly develops a symmetric cutaneous eruption. Medications that are known for causing cutaneous reactions include antimicrobial agents, nonsteroidal anti-inflammatory drugs (NSAIDs), cytokines, chemotherapeutic agents, anticonvulsants, and psychotropic agents.
| Source: medscape.com |
| Clinical Resource: Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Causes and management of drug-induced angioedema
This article considers the recommended management of angioedema and the drugs commonly implicated.
| Source: eu.wiley.com |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 11/05/15 | Link Error: Report It |
Photosensitivity: Light, sun and pharmacy
Educational aims
- To provide an overview of different types of drug-induced photosensitivity reactions
- To provide an overview of treatment options and prevention strategies
- To provide an practical help as regards the use of sunscreen
| Source: mcppnet.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Drug-Induced Photosensitivity
Drug-induced photosensitivity refers to the development of cutaneous disease as a result of the combined effects of a chemical and light. Exposure to either the chemical or the light alone is not sufficient to induce the disease; however, when photoactivation of the chemical occurs, one or more cutaneous manifestations may arise. These include phototoxic and photoallergic reactions, a planus lichenoides reaction, pseudoporphyria, and subacute cutaneous lupus erythematosus. Photosensitivity reactions may result from systemic medications and topically applied compounds.
| Source: medscape.com |
| Clinical Resource: Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Drug-induced photosensitivity reaction
Drug induced photosensitivity reactions are a relatively common side effect associated with many medications. These reactions occur via activation of a chemical by ultra-violet or visible light. Many commonly used drugs are implicated (both systemic and topical use), and include amiodarone, NSAIDs, phenothiazines, retinoids, quinolones, sulfonamides, tetracyclines, and thiazides.
| Source: auspharmlist.net.au |
| Clinical Resource: Pharmacy E-Bulletin |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Q: What are the differences between chemically-induced phototoxic and photoallergic reactions
A: Phototoxicity and photoallergy are two classifications of a chemically-induced reaction more commonly referred to as photosensitivity. This dermatologic reaction results from exposure to the sun after administration of select drugs and is characterized by erythema, edema, vesicles, and the formation of papules.
| Source: duq.edu |
| Clinical Resource: Pharmaceutical Information Centre Publication |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Latex allergy occupational aspects of management
NHS Plus and Royal College of Physicians
The guideline focuses on the occupational aspects of managing latex allergy. Its aim is to provide evidence-based guidance to occupational health professionals.
| Source: rcplondon.ac.uk |
| Clinical Resource: Guideline |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
American Latex Allergy Association
We have assembled a wealth of information on latex allergy—these are our favorite and most frequently requested items. Learn about products for home, medical, dental and school use; federal documents and regulations; expert answers to common questions; and much more.
| Source: latexallergyresources.org |
| Clinical Resource: Various |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Latex Reactions: Allergic and Non-Allergic Hypersensitivity
Approximately 12% of harvested latex is treated either with 0.7% of ammonia alone (high ammoniated latex) or with 0.2% ammonia and thiuram (low ammoniated latex) and used in the production of "dipped" products such as condoms, balloons and gloves.
| Source: worldallergy.org |
| Clinical Resource: Summary |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Latest Latex List
Directory of non-medical latex-free product alternatives
| Source: lasg.org.uk |
| Clinical Resource: List |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Q: A patient has a history of latex allergy. Can she receive Miacalcin® Nasal Spray and Zofran® injection?
A: Natural latex is the milky sap that originates from the rubber tree, Hevea brasiliensis. It is subsequently vulcanized with heat and chemicals to increase its elasticity. This newly formed product is termed natural rubber or natural rubber latex.
| Source: duq.edu |
| Clinical Resource: Pharmaceutical Information Centre Publication |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
How to manage a common dermatologic complaint – pruritus
When evaluating a patient with pruritus, it is important to determine if the pruritus is localized or generalized – to ascertain if it is related to an underlying systemic disease – and if it is occurring in the setting of primary lesions or only secondary excoriations.
| Source: albertadoctors.org |
| Clinical Resource: Newsletter |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Underlying systemic causes of itch
Hepatobiliary, renal, endocrine and lymphoproliferative diseases are some of the most common underlying systemic causes of itch.Treatment should be guided by the diagnosis, and may include topical ster oids, oral antihistamines, opioid antagonists and phototherapy. In this review we outline the steps to take when evaluating a patient with pruritus. In addition,we highlight some of the more common systemic causes of itch and discuss treatment options.
| Source: rcpe.ac.uk |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Skin manifestations of systemic disease
This article aims to highlight common dermatologic presentations where further assessment is needed to exclude an underlying systemic disease, to discuss classic cutaneous features of specific systemic diseases, and to outline rare cutaneous paraneoplastic syndromes.
| Source: racgp.org.au |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Dermatologic Manifestations of HIV Infection
This article summarizes a presentation on dermatologic manifestations of HIV disease by Toby A. Maurer, MD, at the 8th Annual Clinical Conference for Ryan White CARE Act clinicians in New Orleans in June 2005.
| Source: iasusa.org |
| Clinical Resource: Journal Article |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
Q: Why would antiviral agents be prescribed prior to dermabrasion?
A: In recent years, cosmetic facial resurfacing has gained in popularity. This procedure involves removal of layers of damaged or wrinkled skin resulting in improved appearance.
| Source: duq.edu |
| Clinical Resource: Pharmaceutical Information Centre Publication |
| Register to Access Content: No |
| Last Checked: 13/05/14 | Link Error: Report It |
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