التفاصيل البيبلوغرافية
| العنوان: |
Pigmentation Disorders: Diagnosis and Management. |
| المؤلفون: |
PLENSDORF, SCOTT, LIVIERATOS, MARIA, DADA, NABIL |
| المصدر: |
American Family Physician; 12/15/2017, Vol. 96 Issue 12, p797-804, 8p, 9 Color Photographs, 2 Charts |
| مصطلحات موضوعية: |
PIGMENTATION disorders, SKIN diseases, HYPERPIGMENTATION, PRIMARY care, MELANOSIS, VITILIGO, SKIN biopsy, DERMATOMYCOSES, ADRENOCORTICAL hormones, MEDICAL lasers, NEVUS, TREATMENT effectiveness, CAFE-au-Lait spots (Disease), DIAGNOSIS, THERAPEUTICS |
| مستخلص: |
Pigmentation disorders are commonly diagnosed, evaluated, and treated in primary care practices. Typical hyperpigmentation disorders include postinflammatory hyperpigmentation, melasma, solar lentigines, ephelides (freckles), and café au lait macules. These conditions are generally benign but can be distressing to patients. Appropriate dermatologic history, skin examination, and skin biopsy, when appropriate, can help exclude melanoma and its precursors. In addition to addressing the underlying condition, hyperpigmentation is treated with topical agents, chemical peels, cryotherapy, light or laser therapy, or a combination of these methods. Café au lait macules are treated with surgical excision or laser therapy if treatment is desired. Hypopigmentation disorders include vitiligo, pityriasis alba, tinea versicolor, and postinflammatory hypopigmentation. Treatment of vitiligo depends on the distribution and extent of skin involvement, and includes topical corticosteroids and calcineurin inhibitors, ultraviolet A therapy (with or without psoralens), narrowband ultraviolet B therapy, and cosmetic coverage. Patients with stable, self-limited vitiligo may be candidates for surgical grafting techniques, whereas those with extensive disease may be candidates for depigmentation therapy to make skin tone appear more even. Other hypopigmentation disorders may improve or resolve with treatment of the underlying condition. [ABSTRACT FROM AUTHOR] |
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Copyright © 2017 by the American Academy of Family Physicians. This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
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