Treatment of Exotic Cutaneous Lesions in the Lower Limb; Marc Brenner, DPM

Slide 1 © 2003 By Default! Esoteric, Potpourri, of Dermatological Conditions of the Lower Limb Dr. Marc Alan Brenner Glendale, New York SAL SAL Orlando October 8-10 A Free sample background from www.awesomebackgrounds.com

Slide 9 © 2003 By Default! Erysipelas (St. Anthony’s Fire)  Betahemolytic Streptococci pyoderma  Lesions sharply demarcated and may be ecchymotic  Treatment: Augmentin, Keflex, Cipro or IV forms of same  Followed by ten days of topical antimicrobes A Free sample background from www.awesomebackgrounds.com

Slide 12 © 2003 By Default! Erosio interdigitalis blastomycetica Monilial infection in diabetic feet accompanied by hand or mouth involvement Treatment: control diabetes Nystatin in various forms Amphotericin B orally or topically Castellani's paint or GV A Free sample background from www.awesomebackgrounds.com

Slide 14 © 2003 By Default! Cutaneous Larva Migrans (The creeping eruption)  Humans become accidental, dead end host for parasitic hookworm  Treatment: Thiabendazol-oral or topical  Ethyl chloride spray  Never attempt to excise hookworm surgically A Free sample background from www.awesomebackgrounds.com

Slide 19 © 2003 By Default! Three main forms of KPPH 1)Howel Evans Syndrome CA of the esophagus with KPPH 2)Mal De Meleda KPPH of knees and dorsum Three miles off the Yugo coast 3)Papillon-Lefevre syndrome KPPH with periodontosis Recessive trait Treatment: etretinate 1mg/kg/day for one month Oral/topical vitamin A A Free sample background from www.awesomebackgrounds.com

Slide 28 © 2003 By Default! Acute Bacterial Meningococcenia  Seen in young people  Disseminated intravascular coagulation  Gangrene of digits  Waterhouse Fredrickson syndrome A Free sample background from www.awesomebackgrounds.com

Slide 34 © 2003 By Default! Madura Foot (Mycetoma -Maduromycosis)  Deep fungal infection  Chronic, progressive, destructive infection  Usually actinomycetes  Treatment: Amphotericin B oral and topical A Free sample background from www.awesomebackgrounds.com

Slide 36 © 2003 By Default! Scabies  Parasitic involvement extremely itchy  Mites Cause severe pruritus, most incapacitating at night  Treatment: Lindane (Kwell) or Permethrin A Free sample background from www.awesomebackgrounds.com

Slide 39 © 2003 By Default! Klippel–Trenaunay syndrome  Congential dysplastic angiopathy  Independently described in 1900  Vascular nevi, hypertrophy of lower limb  Arteriosclerotic aneurysyns A Free sample background from www.awesomebackgrounds.com

Slide 41 © 2003 By Default! RULE OUT DEEP FUNGAL INFECTIONS Beware of…  Coccidioidomyosis  Histoplasmosis  Actinomycosis  Chromoblastomycosis  Blastomycosis  Sporotrichosis  Leishmaniasis A Free sample background from www.awesomebackgrounds.com

Slide 49 © 2003 By Default! Verrucosa Cutis Pedis (Tuberculosis)  Rare, seen is Asian population  Due to exogenous reactivation with tubercle bacilli  Drastic improvement with antituberculous agents A Free sample background from www.awesomebackgrounds.com

Slide 51 © 2003 By Default! Ehlers-Danlos Syndrome  Flexible joints, very elastic skin and fragile tissue  Rare hereditary connective tissue disorder  Best management: protective devices  90% develop pes valgo planus A Free sample background from www.awesomebackgrounds.com

Slide 54 © 2003 By Default! Epidermolysis Bullosa  The Term Given to a Number of Genetically Determined Diseases That Share the Tendency to Develop Blisters and Erosions After Mild Trauma A Free sample background from www.awesomebackgrounds.com

Slide 59 © 2003 By Default! Nature, Time, and Patience are names of three great physicians However, in diabetic limb ischemia we frequently need accurate diagnosis, skilled caring hands, and immediate revascularization A Free sample background from www.awesomebackgrounds.com

Treatment of Exotic Cutaneous Lesions in the Lower Limb; Marc Brenner, DPM

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