Download - Pat derma frec part 2
![Page 1: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/1.jpg)
Servicio de DermatologíaDra. Mª Luisa Obón
![Page 2: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/2.jpg)
![Page 3: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/3.jpg)
Jabones limpiadores antiacné. Productos queratolíticos. Peroxido de Benzoilo. Peeling
![Page 4: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/4.jpg)
![Page 5: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/5.jpg)
![Page 6: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/6.jpg)
![Page 7: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/7.jpg)
![Page 8: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/8.jpg)
Antibióticos vo:Tetraciclinas 2-3 meses.
Doxiclina capsulas de 50 mg,100 mg,y 200 mg. Durante 2-3 meses
Minociclina.( por su posible fotosensibilidad, las tetraciclinas mejor darlas en invierno. La minociclina podría darse también en verano, evitando la exposición solar.)
Isotretinoína en acné intenso o persistente. Mejor en invierno
.
![Page 9: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/9.jpg)
![Page 10: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/10.jpg)
Mupiracina pomada. Ó Ácido fusídico en pomada
.
![Page 11: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/11.jpg)
![Page 12: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/12.jpg)
Ácido fusídico al 2% ó mupirocina 2% tópico.
Calor húmedo y lavados con antisépticos tópicos
Si no mejora: Antibiotico :Cloxacilina 500 mg/6 h de
7-10 días vo AINE:
Estreptoquinasa+estreptodormasa.
.
![Page 13: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/13.jpg)
![Page 14: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/14.jpg)
Antibiotico :Cloxacilina. Prednisona vo. Isotretinoina.
.
![Page 15: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/15.jpg)
![Page 16: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/16.jpg)
![Page 17: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/17.jpg)
Afecta al cuello,tronco y en los miembros disposición en manga corta pantalón corto.
Tiene evolución autolimitada. Hidratación de la piel y si precisa dar
antihistamínicos vo
.
![Page 18: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/18.jpg)
![Page 19: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/19.jpg)
Retirides 0,1 % crema. Si son recurrentes se puede pautar
acexatmato de zinc (Copinal®).
.
![Page 20: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/20.jpg)
![Page 21: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/21.jpg)
Crioterapia si afectan a la barba para evitar sangrados con el afeitado
.
![Page 22: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/22.jpg)
![Page 23: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/23.jpg)
Para diferenciarlas de callosidad, en la verruga plantar si aprietas lateralmente duele. El callo duele al apretar en el centro.
Pelar y Crioterapia. Otra opción Salicilico ácido parches.
.
![Page 24: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/24.jpg)
![Page 25: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/25.jpg)
Pelar y vaselina salicilica al 30 %.Revisar al mes y volver a realizar tratamiento si precisa.
![Page 26: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/26.jpg)
![Page 27: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/27.jpg)
CONDILOMAS
![Page 28: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/28.jpg)
Solución tópica de podofilinio (wartec®), ó
Imiquimod tópico (aldara®), o Veregel® pomada (no quema). Si no ceden o son muy grandes
requieren cirugía
![Page 29: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/29.jpg)
![Page 30: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/30.jpg)
![Page 31: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/31.jpg)
Frecuente en niños y, especialmente si van con frecuencia a las piscinas
Curetearlos y poner microfilm Citelium spray® para secar., ó Molutrex® solución, preparado a base
de KOH
![Page 32: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/32.jpg)
![Page 33: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/33.jpg)
Alcohol o Povidona iodada tópico. Antihistaminicos:Ebastina. Analgésicos vo Aciclovir 800 mg 5 tomas vo 7 dias. Ó Valaciclovir 1 gr/8h 7 días, ó Famciclovir,
![Page 34: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/34.jpg)
![Page 35: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/35.jpg)
![Page 36: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/36.jpg)
Aceite de dimeticona (Neositrin®) durante 1 hora con gorro.
En casos muy resistentes Sulfametoxazol y trimetropin 1 cada 12 horas vo7 dias.
![Page 37: Pat derma frec part 2](https://reader036.vdocuments.pub/reader036/viewer/2022062406/55b89859bb61eb2b4d8b465a/html5/thumbnails/37.jpg)