Medical Treatments by First Letter
A B C D E F G H I J K L M N O P R S T U V W X Z
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Abscess/Furuncle/Carbuncle | Inflamed, tender, fluctuant mass. | Treatment may involve some combination of drainage, prescription therapies and/or injection. |
| Acanthosis Nigricans | Hyperpigmented patches and macules; some of which are palpable. | Unfortunately no definitive treatment is available. Occasionally keratolytic agents and topical corticosteroids will be suggested. |
| Accessory Nipple (Supernumerary Nipple) | Dome-shaped papule on chest. | Treatment may involve surgical excision. |
| Acne | Scattered small papules; predominantly open and closed comedones. | Treatment options may include some combination of topical or prescription therapies and/or in-office treatments such as Blu-U®therapy, Blu-U® with Levulan, and ExcelV/Genesis laser. |
| Acne Cyst | Inflamed, cystic nodule that is slightly erythematous and tender. | Treatment may involve topical/systemic therapy. |
| Acne Keloidalis Nuchae | Follicular based papules or pustules on nap of neck with small hypertrophic scar and keloid development. | Treatment may consist of the use of topical corticosteroids and antibiotics as well as the use of intralesional corticosteroids. Laser hair removal has been used in the past with some success. |
| Acne Necrotica Miliaris | Scattered erythematous, perifollicular papules, pustules and excoriations. | Treatment may involve antibacterial soaps and shampoos and oral therapy. We also use topicals to help improve the condition. |
| Acne Scarring | Ice pick scars, box car scars and rolling hill and valley scars | Treatment may include lasabrasion, dermabrasion, Fraxel® and Profractional™laser, radiofrequency. Fillers such asJuvéderm®, Voluma®, Perlane® and Sculptra®. |
| Acne Vulgaris | Mild comedonal acne scattered small papules predominantly open and closed comedones. | Treatment options may include some combination of topical or prescription therapies and/or in-office treatments such as Blu-U®therapy, Blu-U® with Levulan, and ExcelV/Genesis laser. |
| Acral Acanthotic Anomaly (Acral Acanthosis Nigricans) | Velvety, hyperpigmented plaques on elbows, knees, knuckles and dorsal surfaces of feet. | Treatment may involve screening and observation. |
| Acral Lentiginous Melanoma | Pigmented papule with severe irregular colour and border. | Treatment options may include include excision, sentinel node biopsy depending on the depth of melanoma and newer systemic agents that are available for metastatic melanoma. |
| Actinic Cheilitis | Scaly erythema with partial loss of vermillion border. | Treatment options may include topical therapy, destructive therapy with liquid nitrogen or carbon dioxide laser. In some cases Plastic surgery with lip shave and advancement or vermilionectomy will be required. |
| Actinic Damage | Blotchy hyperpigmentation with telangiectasia involving sun exposed surfaces. Also scattered keratotic papules typical of actinic keratosis. | Treatment options may inculde topical therapy,liquid nitrogen, photodynamic therapy withLevulan and Blu-U®, surgery, curettage or excision. |
| Actinic Keratosis | Dry, scaly erythematous macules and patches. | Options may include topical therapy. In addition I discussed the use of photodynamic therapy (Blu-U®/Levulan). Most patients are usually treated with liquid nitrogen. |
| Acute Urticaria | Urticated, scattered papules and plaques. | Treatment may involve systetmic therapy. |
| Alopecia Areata | Localized patches of non-scarring alopecia areata with normal hair shafts. | Treatment options may include no treatment, topical and intralesional corticosteroids |
| Angiofibroma | Small, erythematous, papules; slightly telangiectatic. | No treatment is necessary but we may discusselectrocautery or pulsed dye laser. |
| Angiokeratoma | Small erythematous keratotic papules. | Treatment options may include careful monitoring, cautery or definitive treatment withpulsed dye laser. |
| Angioma | Small, erythematous papules. | Treatment options may include observation,electrocautery or definitive treatment withpulsed dye laser. |
| Apocrine hidrocystoma | Small, benign, cystic papule. | Treatment options may include electrosurgical destruction or excision by a Plastic Surgeon. Trichloroacetic acid has also been used in the past. |
| Appendageal Tumor | Smooth, dome-shaped papule. | Treatment may include a biopsy to help confirm the diagnosis. This is usually followed by topical chemotherapy or surgical excision. |
| Asteatotic Eczema | Dry, scaly, fissured erythema. | Treatment may include general skin caremeasures such as using a gentle cleanser and moisturizers; the use of topical corticosteroids is often very helpful. |
| Ashy Dermatosis (Erythema Dyschromium Perstans) | Oval polycyclic or irregulary shaped, grey-blue hyperpigmented macules and patches with a slightly erythematous border. | Treatment often involves various topical/systemic therapy with varied responses. |
| Atopic Dermatitis | Ill-defined scaly patches. | Treatment options may include general skin care measures, Narrowband UVB and topical/systemic therapy. |
| Atrophie Blanche | Polyangular ivory-white depressed atrophic scars with prominent red spots with surrounding pigmentation. | Treatment is usually systemic medication. |
| Atrophoderma of Pasini and Pierini | Slight depression of skin with an abrupt cliff-like edge. | Treatment involves careful observation. |
| Atypical Mycobacterial Infection | Crusted erythematous papules and nodules. | Treatment may involve biopsy or referral to an Infectous Diease specialist. |
| Axillary Hyperhidrosis | Moistness involving the axillae. | Treatment may consist of topical Xerac-AC lotion, the use of iontophoresis with a Drionic device, the use of oral glycopyrrolate, surgical excision: both sympathectomy and debridement of the axilla, the use of BOTOX®and the role of radiofrequency ablation. The most common option is BOTOX®. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Balanitis | Erythema, scaling and swelling involving the glands penis and prepuce. | Treatment may consist of general skin care measures, the use of topical antibiotics, corticosteroids, antifungals as well as oral agents. |
| Basal Cell Carcinoma | Cystic, pearly papule. | Treatment options may consist of local therapy with topical Imiquimod, topical photodynamic therapy with Metvix™, shave and curettage, excision by a Plastic Surgeon, Moh’s surgery and also the role of radiation at a Cancer Clinic. Sunscreen and Repair Serum was advised on a daily basis. |
| Becker’s Nevus | Well-demarcated, pigmented patch with hypertricosis. | Treatment may involve no treatment or an attempt with laser eradication with both either Q-Switched YAG or Q-Switched Ruby laser. |
| Benign Compound Nevus | Well-demarcated, pigmented papule. | Treatment may involve laser, cautery, laser andexcision. |
| Benign Dermal Nevus | Benign, well-demarcated, flesh colored papule. | Treatment may involve laser, cautery, laser andexcision. |
| Benign Junctional Nevus | Well-demarcated, pigmented macule with an even colour and even border. | Treatment may involve laser, cautery, laser andexcision. |
| Benign Nevus | Well-demarcated, pigmented lesion with an even colour and even border. | Treatment may involve laser, shave excision or excision by a Plastic Surgeon as well as laser treatment. |
| Benign Scattered Nevi | Numerous scattered lesions; all of which appear benign with an even colour and even border. | Treatment may involve laser as well as cosmetic treatment including cautery, laser and excision. |
| Benign Seborrehic Keratosis | Well-demarcated, keratotic papule with typical keratin whirls. | Treatment may involve monitoring, liquid nitrogen, curettage or laser destruction. |
| Berloque Dermatitis | Hyperpigmented patch with streaking. | Treatment may require observation only. |
| Black Hairy Tongue | Prominent, elongated black or brown filiform papillae involving the tongue. | Treatment may involve new mouth care options. |
| Blepharitis | Erythema with flaky scale and crusting involving the eyelid margins. | Treatment may involve a swab for bacterial culture, topical/oral antibiotics. Referral to Ophthalmologist is often recommended. |
| Blistering Tinea Pedis | Small, dry, scaly erythema with small vesicles involving the in-step of feet. | Treatment may involve topical/systemic therapy. |
| Blue Nevus | Smooth, dome-shaped blue papule. | Treatment involves observation only. |
| Blur Rubber Bleb Nevus Syndrome | Scattered, angiomatous papules and nodules; slightly compressible and some painful. | Treatment may involve biopsy. |
| Bowen’s Disease | Red, scaly patch. | Treatment may involve topical therapy, photodynamic therapy, shave and curettage as well as excision by a Plastic Surgeon. |
| Brachial Cleft Cyst | Smooth, cleft cyst. | No treatment is typically required. |
| Bullous Fixed Drug Eruption | Well-demarcated, violaceous, annular patch with bulla. | No treatment is typically required. |
| Bullous Pemphigoid | Uritcated, erythematous excoriated plaque with tense bullae. | Treatment may involve topical therapy with corticosteroids or anti-inflammatory agents. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Café au lait Macule | Hyperpigmented lesions; well-demarcated, light brown to dark brown in colour. | Treatment may involve Q-Switched laser, Q-Switched Ruby laser or YAG laser. For children possible referral to Sick Kid’s Dermatology Clinic. |
| Calcinosis Cutis | Firm, erythematous, white-yellow papule/plaque. | Treatment may involve monitoring and blood work wth Family Physician. |
| Callus | Thickening of the skin with accentuation of skin line. | Treatment may involve removal of pressure and OTC therapy. |
| Candidiasis | Bright red erythema with white discharge and satellite lesions. | Treatment may involve topical antifungals or systemic therapy. |
| Cellulitis | Tender, erythematous, indurated warm patch. | Treatment may involve oral antibiotics. Also referral to Specialist with the options and intravenous antibiotics. |
| Chemical Traumatic Nail Dystrophy | Dystrophy of the nail plate with ridges and onycholysis. | Treatment usually involves topical therapy withVeralac and general skin care. |
| Chiliblains/Perinosis | Tender purpuric papules. | Treatments discussed are keeping area warm as well as possible systemic therapy. |
| Chondrodermatitis Nodularis Helicis | Painful, red nodule involving helix of ear. | Treatment usually consists of a CNH pillow to relieve pressure or surgery. |
| Chronic Hand Dermatitis | Ill-defined, scaly, erythema involving hands. | Treatment may involve topical/systemic as well as general skin care measures. |
| Chronic Urticaria | Urticated plaques and papules. | Treatment may involve referral to an Allergist. |
| Circumvallate Papillae | Dome – shaped papillae involving the dorsum of the tongue. | Treatment may involve observation. |
| Clavus | Hyperkeratosis with accentuation of skin lines with single keratotic core. | Treatment may involve removing the pressure and OTC therapy. |
| Clear-Cell Acanthoma | Slightly elevated, dome-shaped plaque or nodule; slightly pink-brown in colour with thin wafer-like crust. | Treatment may involve biopsy or possibly excision. |
| Common Warts | Large keratotic papule with interuption of skin lines. | Treatment may involve OTC topical therapy, Canthrone, liquid nitrogen, immunotherapy with pulsed dye laser or surgical destruction with curettage and cautery or CO2 laser. |
| Condyloma Acuminata | Small, keratotic papules; some of which are pedunculated. | Treatment options may consist of topical therapy, liquid nitrogen, electrocauterization as well as excision. |
| Confluent Reticulated Papillomatosis (Gougerot and Carteaud Syndrome) | Reticulated and pigmented macules, patches and plaques. | Treatment options may include topical keratolytic agents and systemic therapy with oral antibiotics. |
| Congenital Nevus | Well-demarcated, pigmented patch with slight irregularity of border and colour. | Treatment options may involve careful observation or excision. |
| Constitutional Hypertricosis | Increased hair growth in affected areas. | Treatment may consist of laser hair removal or topical eflornithine. |
| Cosmetic Contact Dermatitis | Dry, scaly erythema. | Treatment may involve topical therapy and patch testing. |
| Cutaneous Horn | Conical keratotic papule. | Treatment for this may involve biopsy. |
| Cutaneous Larva Migrans | Erythematous, serpiginous, papular vesicular plaque. | Treatment may involve either liquid nitrogen or topicals. |
| Cylindroma | Smooth, dome-shaped nodule. | Treatment may involve surgical excision by a Plastic Surgeon. |
| Cystic Basal Cell Carcinoma | Cystic, pearly papule. | Treatment options may include local therapy with topicals, topical photodynamic therapy with Metvix™, shave and curettage, excision by a Plastic Surgeon, Moh’s surgery and also the possible role of radiation at a Cancer Clinic. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Darier’s Disease | Warty, keratotic, yellow papules coalescing into large, crusted, slight greasy plaques. | Treatment may involve topical corticosteroids and oral therapy. Surgical treatment may consist of dermabrasion and CO2 laser therapy. |
| Deep Fungal Infection | Erythematous, crusted papules and nodules. | Treatment options may include biopsy/culture and referral to an Infectous Specialist. |
| Delusions Of Parasitosis | Scattered, excoriated papules and hypo and hyperpigmented macules. | Treatment may involve further investigation and referral to a Psychiatrist. |
| Dental Sinus | Friable papule with hypergranulation. | Treatment may involve biopsy or an x-ray with a Dentist. |
| Dermatofibrosarcoma Protuberans | Firm, slightly pigmented, dermal nodule. | Treatment options may involve biopsy, surgical excision, Moh’s surgery and possible referral to a Cancer Centre. |
| Dermatosis Papulosa Nigra | Discreet, small, keratotic, pigmented papules; some pedunculated. | Treatment options may include electrocautery, curettage and excision as well as bleaching agents containing hydroquinone (SkinTX) |
| Dermatitis Artefacta derm-arte | Dermatitis artefacta is defined as the deliberate and conscious production of self-inflicted skin lesions to satisfy an unconscious psychological/emotional need. These skin lesions serve as a powerful self-expressive non-verbal message. Patients will often deny responsibility for their creation. Psychiatric conditions, in particular depression, anxiety, personality disorder, delusional disorder are often co-existent in about 30% of patients with dermatitis artefacta. Dermatitis artefacta may occur in persons of any age and commonly manifest within the context of chronic medical and/or dermatological conditions. | Patients with dermatitis artefacta usually require dermatological assessment, psychosocial support and may be referred to Psychiatry. Investigation usually consists of biopsy as well. |
| Dermatitis Herpetiformis | Scattered, excoriated papules on an erythematous base. | Treatment options may involve a change in diet and oral therapy. |
| Dermatofibroma | Firm, slightly pigmented, dermal nodule. | Treatment options may involve observation, destruction with liquid nitrogen, excision and the role of intralesional Kenalog. |
| Dermatomyosis | Bright, violaceous erythema involving periocular area with some involvement over the joints on the dorsum of hands, elbows and knees. | Treatment options may involve systemic therapy with possible referral to a Rheumatologist. |
| Dermatophytosis | Well-demarcated, scaly patches with a trailing scale. | Treatment options may involve scrapings and the use of topical/systemic antifungals. |
| Dermatographic Urticaria | Urticated wheals developing of stroking of skin. | Treatment may involve topical/systemic therapy as well as referral to an Allergist. |
| Dermatitis Artefacta | Treatment may involve referral to a Psychiatrist. | |
| Digital mucous cyst | Smooth cystic nodule. | Treatment options may involve no treatment, shave excision with curettage, shave excision with curettage and cautery, liquid nitrogen, CO2 laser or excision by a Plastic Surgeon. |
| Dilated Pore of Winer | Small enlarged pore. | Treatment options may involve excision or observation. |
| Discoid Lupus Erythematosus (DLE) | Well-demarcated, erythematous, scaly patch with follicular accentuation. | Treatment options may involve blood work, topical therapy as well referral to a Rheumatologist. |
| Disseminated Superficial Actinic Porokeratosis | Erythematous papules on the extensor aspects of the arms and legs with a central palpable collate scale. | Treatment options may involve liquid nitrogen, curettage, Blu-U® light therapy and topical therapy. |
| Drug Eruption | Wide-spread, symmetrical, erythematous, and macular papular, eruption with some edematous plaques. | Treatment options may involve topical medications and discontinuation of some medications. |
| Dyshidrotic Eczema | Small tiny vesicles along the lateral aspects of the fingers and palms. | Treatment options may involve general skin care measures, topical/oral medications as well as Narrowband UVB therapy. |
| DysPlastic Nevus | Pigmented lesion with irregular colour and border; Dermatoscopy is unremarkable. | Treatment options may involve monitoring laser, shave excision or excision by a Plastic Surgeon. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Ecchymosis | Pigmented, purpuric patches. | Treatment options may involve blood work with referral to an Internist for 2nd opinion. |
| Eccrine Poroma | Diffused, smooth, firm, mobile, dome-shaped papule. | Treatment options may involve observation and/or excision. |
| Eczema Herpeticum | Grouped vesicles and excoriations on an eczematous base. | Treatment options may involve systemic therapy. |
| Eczematous Process | Ill-defined, erythematous, scaly patches; some excoriated. | Treatment options may involve general skin care measures, topical/systemic therapy and Narrowband UVB. |
| Embolic Phenomena | Discreet, purpuric papules; painful. | Treatment options may involve biopsy with referral to an Internist. |
| Ephelides | Scattered, tan, macules with even colour and border. | Treatment options may involve chemical peels, cryotherapy and Q-Switched YAG laser. |
| Epidermal Cyst | Smooth, dome-shaped papule. | Treatment options may involve observation, excision or excision by a Plastic Surgeon. |
| Epidermal Nevus | Linear, verrucous plaque, whorled following Blaschko’s Line. | Treatment options may involve observation,excision or excision by a Plastic Surgeon as well as CO2 laser. |
| Eruptive Vellus Hair Cyst | Smooth, dome-shaped papules involving predominantly chest; some slightly erythematous. | Treatment options may involve topical/systemic therapy, excision and laser therapy. |
| Erysipelas | Tender, red, indurated plaque. | Treatment options may involve systemic antibiotics and referral to Infectious Disease specialist. |
| Erythema ab Igne | Reticulated erythema and hyperpigmentation. | Treatment options may involve general skin care measures. |
| Erythema Dyschromium Perstans(Ashy Dermatosis) | Oval polycyclic or irregularly shaped, grey-blue hyperpigmented macules and patches with a slightly erythematous border. | Treatment options may involve observation and general skin care measures. |
| Erythema Multiforme | Scattered erythematous patches and plaques; some targetoid. | Treatment options may involve general skin care measures as well as topical/systemic antibiotics. |
| Erythema Nodosum | Tender erythematous papules and nodules. | Treatment options may involve systemic/topical medications as well as possible biopsy. |
| Erythrasma | Hyperpigmented patches; slightly erythematous with typical coral pink fluorescence with Wood’s light examination. | Treatment options may involve general skin care measures as well as systemic/topical medications. |
| Erythematous Striae | The patient was advised that this is a benign process. | Treatment options may involve ExcelV/Genesis laser. |
| Eythroplasia of Queyrat | Glistening, red, erythematous patch involving glans penis. | Treatment options may involve topical therapy, photodynamic therapy, liquid nitrogen or excision by a Urologist. |
| Erythromelanosis | Well-demarcated, red, erythematous patches. | Treatment options may involve general skin care measures and Intense Pulsed Light (IPL)and Fraxel® laser. |
| Female Pattern Alopecia | Diffused, non-scarring hair loss involving predominantly the vertex of the scalp. | Treatment may involve topical and/or systemic therapy. |
| Filiform Wart | Pedunculated, keratotic papule. | Treatment may consist of topical therapy, liquid nitrogen or shave and curettage. |
| Flat Warts or Verruca Planna | Small, keratotic papule; some in a linear distribution. | Treatment may consist of careful follow-up, topical therapy and aggressive therapy withliquid nitrogen or curettage. |
| Folliculitis | Excoriated, perifollicular papules and pustules. | Treatment options may involve a swab for bacterial cultrure and/or topical therapy. |
| Foreign Body Granuloma | Tender, fluctuant nodule. | Treatment may involve surgery or systemic therapy. |
| Fox Fordyce Spots | Small, slightly elevated, yellow or white papules. | Treatment may consist of observation, cauteryor an innovative treatment developed in this office with the use of Pulsed Dye Laser. |
| Frictional Lichenoid Dermatitis | Erythematous, papular eruption involving elbows and knees. | Treatment may consist of topical steroids. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Generalized Xerosis | Diffused, exfoliative scale scattered on trunk and extremities. | Treatment may consist the use of topical emollients and products that contain alpha hydroxy acid and urea. |
| Genital Warts | Scattered small papules that are raised. | Treatment may consist of topical Aldara cream,liquid nitrogen or surgical debridement. |
| Geographic Tongue | Scattered areas of erythema with atrophy of the filiform papillae of the tongue surrounded by surpiginous, white, hyperkeratotic border. | Treatment may involve topical and/or systemic therapy. |
| Glossodynia | Oral examination indicates no abnormality. | Treatment options may involve further investigation or observation. |
| Gnaw Wart | Smooth, well-circumscribed, firm, skin colored papules, nodules and plaques. | Treatment may involve observation and relief of pressure. |
| Gouty Tophus | Smooth, yellowish-white, chalky papule/nodule. | Treatment options may involve further investigation with Family Physician or observation. |
| Granuloma Annulare | Discreet, pinkish, annular, slightly raised, non-scaly plaque. | Treatment may involve topical and/or systemic therapy as well as Narrowband UVB. |
| Granuloma Faciale | Multiple cutaneous papules; slightly angiomatous in colour involving face. | Treatment options may consist of topical/systemic therapy, surgical excision, dermabrasion, carbon dioxide laser, electro surgery, cryotherapy and pulsed dye laser. |
| Granulomatous Rosacea (Lupus Miliaris Disseminates Faciei) | Telangiectatic erythema with small papules involving both cheeks | Treatment may involve topical/systemic therapy as well as ExcelV/Genesis laser. Accutane may be discussed as well. |
| Grover’s Disease or Transient Acantholytic Dermatosis | Small erythematous, crusted, excoriated papules. | Treatment may involve general skin caremeasures, topical/systemic therapy as well as the use of Narrowband UVB. |
| Guttate Psoriasis | Wide-spread, discreet, erythematous, keratotic papules measuring from a few millimeters to over one centimeter in diameter. | Treatment options may involve topical/systemic therapy as well as the use of Narrowband UVB. |
| Hailey-Hailey Disease | Erythematous, erosive, exfoliative dermatosis confined to skin folds. | Treatment options may involve topical/systemic therapy as well as the use of Narrowband UVB, BOTOX®, phototherapy, photodynamic therapy and CO2 laser. |
| Halo Nevus | Well-demarcated, hyperpigmented lesion with regular border, regular colour surrounding by de-pigmented patch. | Treatment may consist of observation and biopsy. |
| Hand Dermatitis | Dry, scaly, ill-defined erythema involving palms. | Treatment options may include topical/systemic therapy as well as Narrowband UVB and PUVA therapy. |
| Head Lice | Excoriated papules with nits attached to hair follicles. | Treatment may involve topical therapy. |
| Hematoma | Ecchymotic, indurated plaque/nodule. | Treatment involve may be observation or screening blood work. |
| Henoch-Schonlein Purpura | Scattered, palpable, purpuric papules. | Treatment may involve observation, topical therapy as well as careful follow-up with Family Physician. |
| Herpes Simpex | Grouped small vesicles on an erythematous base. | Treatment may involve systemic/topical therapy. |
| Herpes Zoster | Tense, grouped vesicles on an erythematous base in a dermatomal distribution. | Treatment may involve systemic/topical therapy. |
| Hidradenitis Suppurativa | Inflammatory papules and pustules with scarring confined to skin folds. | Treatment may involve systemic/topical therapy and excision. |
| Hot Tub Folliculitis | Scattered, inflammatory papules and pustules; some of which are excoriated in a perifollicular distribution. | Treatment may involve oral antibiotics as well as observation. |
| Hypertricosis | Increased hair growth in affected area. | Treatment may involve topical therapy with Vaniqa or laser hair removal. |
| Hypertrophic Lichen Planus | Well-demarcated, erythematous, flat topped, violaceous papules and plaques with wickhem striate. | Treatment may involve topical therapy as well as Narrowband UVB. |
| Hypertrophic Scars/Keloids | Raised erythematous papule/nodule. | Treatment may involve Dermatix topical silicone gel, systemic therapy, debridement, ExcelV/Genesis laser and surgery. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Ichthyosis Vulgaris | Well-demarcated, fish-like scale scattered on the trunk and extremities. | Treatment may involve topical therapy. |
| Idiopathic Guttate Hypermelanosis | Hypopigmented guttate lesions scattered on predominantly sun exposed areas . | Treatment may involve sunscreen and observation. |
| Idiopathic/Primary Dermatographism | Idiopathic dermatographic with urticarial wheals developing of stroking of skin. | Treatment may involve systemic therapy and referral to an Allergist may be suggested. |
| Impetigo | Erythematous, crusted patches with pustules and superficial honey-colored scale. | Treatment may involve topical/systemic therapy. |
| Infectous Eczematoid | Ill-defined, erythematous, scaly patches which are impetiginized. | Treatment may involve systemic/topical therapy. |
| Inflamed Cyst | Smooth, dome-shaped papule. | Treatment may involve topical/systemic therapy. |
| Insect Bite | Discreet, erythematous, papules; some with a punctum and some in a linear distribution. | Treatment may involve systemic/topical therapy. |
| Intertiginous Tinea Pedis | Dry, scaly, erythema with odor and fissuring involving the intertriginous web spaces. | Treatment may involve systemic/topical therapy and scrapings for fungal culture. |
| Intertrigo | Erythema with maceration and scale involving the skin fold. | Treatment may involve systemic/topical therapy. |
| Inverse Pityriasis Rosea | Diffused, scaly erythema involving predominately the flexural surfaces. | Treatment may involve systemic/topical therapy. |
| Irritant Contact Dermatitis | Well-demarcated, erythematous, scaly patches some likely vesicular. | Treatment may involve patch testing and systemic/topical therapy. |
| Irritated Seborrheic Keratosis/Irritated Nevus | Erythematous, pigmented papule with mild erythema. | Treatment may involve laser or excision. |
| Isolated DysPlastic Nevus Syndrome | Scattered nevi; some with an irregular and border. | Treatment may involve laser, Fotofinder orsunscreen. |
| Junctional Nevi | Well-demarcated, pigmented macule with an even color and even border. | Treatment may involve cautery, shave or elliptical excision. |
| Juvenile Plantar Dermatosis | Well-demarcated, scaly, fissured erythema involving the pressure bearing surfaces. | Treatment may involve topical therapy and removal of aggravating factors. |
| Juvnile Xanthogranuloma | Smooth, dome-shaped, slightly tan-orange papule. | Treatment may involve excision and referral to Ophthalmologist. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Keratocanthoma | Smooth dome-shaped nodule with central core and pearly border. | Treatment may involve shave and curettage or excision. |
| Keratolysis Exfoliative | Erythematous expanding collates of scale; circular and oval. | Treatment may involve topical and general skin care measures. |
| Keratosis Pilaris | Discreet perifollicular keratotic plugs. | Treatment may involve observation or topical therapy. |
| Knuckle Pad | Smooth, well-circumscribed, firm, skin colored papules, nodules and plaques. | Treatment may involve observation and eliminating the source of trauma. |
| Large Pores | Dilated pores; scattered mainly in the butterfly distribution. | Treatment may involve Clarisonic brush, fractional radiofrequency such as E-Matrix™ and topical therapy. |
| Lentigo | Well-demarcated, pigmented macule/patch. | Treatment may consist of careful observation,liquid nitrogen or treatment with YAG laser or excision by a Plastic Surgeon. |
| Lentiogo Maligna | Well-demarcated, pigmented macule/patch with irregular border and colour. | Treatment options may include excision, sentinel node biopsy depending on the depth of melanoma and newer systemic agents that are available for metastatic melanoma. |
| Leukocytoclast-cellic Vasculitis | Scattered, palpable, purpuric papules. | Treatment may involve observation, topical therapy as well as careful follow-up with Family Physician. |
| Leukoplakia | White patches/plaque. | Treatment may involve further investigation with a biopsy. |
| Lichen/Macular Amyloidosis | White, hypopigmented, sclerotic patches with epidermal atrophy and mild scarring. | Treatment may involve systemic therapy and Narrowband UVB. |
| Lichen Nitidus | Small, flat topped, skin colored micropapules. | Treatment may involve systemic therapy and Narrowband UVB. |
| Lichen Planopilaris | Scarring alopecia with follicular hyperkeratosis, perifollicular erythema and loss of follicular orifices. | Treatment may involve topical/systemic therapy. |
| Lichen Planus | Well-demarcated, violaceous papules with possible Wickham Striate. | Treatment may involve topical/systemic therapy and Narrowband UVB. |
| Lichen Planus Like Keratosis | Erythematous, pinkish plaque/papules. | Treatment may involve curettage or excision. |
| Lichen Sclerosus et Atrophicus | White, hypopigmented, sclerotic patches with epidermal atrophy and mild scarring. | Treatment may involve topical/systemic therapy, Narrowband UVB, cryotherapy and laser therapy. |
| Lichen Simplex chronicus/Neurodermatitis | Well-demarcated, erythematous, lichenified scaly patch. | Treatment may involve topical/systemic therapy. |
| Lichen Spinulosus | Erythematous patches consisting of small, follicular, keratotic papules with a distinct spine. | Treatment may involve topical/systemic therapy. |
| Lichen Striatus | Linear eruption of small papules; slightly hypopigmented. | Treatment may not be offered but we may discuss topical therapy. |
| Linear Whorled Hyermelanosis | Reticular hyperpigmentation following Blaschko’s Lines. | Treatment may involve careful observation. |
| Lip Licker&Rsquo;S Dermatitis | Dry, scaly, slightly impetiginized erythema in the perioral area close to the lips. | Treatment may involve topical therapy and a swab may be taken for bacterial culture. Also behavioural change options. |
| Lipoma | Smooth, subcutaneous nodule, soft and mobile. | Treatment may consist of excision and electrodesication. Treatment of these lesions is not covered by OHIP until they reach 5cm in size. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Male Pattern Alopecia | Thinning of hair involving the frontal and vertex regions of the scalp. | Treatment may involve topical/systemic therapy. We do not recommend laser therapy at the present time. |
| Malignant Melanoma | Pigmented papule with severe irregularity in colour and border. | Treatment may involve excision, sentinel node biopsy depending on the depth of melanoma and newer systemic agents that are available for metastatic melanoma. |
| Melanotic Macule | Well-defined, oval, brown to black, flat patch. | Treatment may involve observation, YAG laser or excision: Both shave excision or excision by a Plastic Surgeon. |
| Melasma | Well-demarcated, hyperpigmentation involving sun exposed areas. | Treatment may involve topical Tretinoin and/or topical hydroquinone and cosmetic masks such as DermEclat™. Photofacials or IPL™ will often worsen Melasma. There may be a role in the treatment of Melasma with the use of fractional radiofrequency or Fraxel® laser. |
| Mild Aging | Demonstration of rhytides in dynamic areas such as the glabella and crow’s feet with slight accentuation of the nasolabial fold. | Treatment may involve topical therapy,microdermabrasion, chemical peels, Fraxel®resurfacing, IPL™, the use of BOTOX® and fillersubstances. The role of tightening treatments such as Thermage® and Ulthera® was also discussed. In severe aging, usually a Facelift is recommended. |
| Milia | Smooth, dome-shaped papules. | Treatment may consist of observation, topical therapy, extraction or electrocautery. |
| Moderate Aging | Well-demarcated, rhytides involving the glabella, forehead and crow’s feet. Accentuation of the nasolabial and melolabial folds with descent of the cheeks | Treatment may involve topical therapy,microdermabrasion, chemical peels, Fraxel®resurfacing, IPL™, the use of BOTOX® and fillersubstances. The role of tightening treatments such as Thermage® and Ulthera® was also discussed. In severe aging, usually a Facelift is recommended. |
| Moderately Inflammatory Acne | Scattered inflammatory papules and pustules with open and closed comedones. | Treatment may involve topical/systemic therapy, laser therapy with Blu-U®, Blu-U® and Levulan, and ExcelV/Genesis laser. |
| Molluscum Contagiosum | Well-demarcated, scattered, small, yellow, umbilicated papules. | Treatment may involve topical therapy, liquid nitrogen, curettage or electrodesication. |
| Morphea | Well-demarcated, indurated patch. | Treatment may involve topical/systemic therapy as well as Narrowband UVB. |
| Mosaic Warts | Superficial, keratotic papules with interruption in skin lines. | Treatment may involve OTC preparations, liquid nitrogen, Canthrone Plus or Immunotherapyand Pulsed Dye Laser. Vaporization with carbon dioxide laser usually results in recurrence and is often not recommended for larger mosaic warts. |
| Mycosis Fungoides/Cutaneous T-Cell Lymphoma | Well-demarcated, erythematous, scaly patches and macules and the occasional plaques. | Treatment may involve topical therapy, Narrowband UVB, PUVA therapy and electron beam therapy. Blood work may be ordered as well. |
| Nail Psoriasis | The patient presents with pity of the nails, sub onycholysis and oil-drop staining with mild subunguinal dystrophy. | Treatment may involve topical/corticosteroids including Verlac lotion. |
| Necrobiosis Lipoidica | Shiny, red-brown, yellow, depressed, atrophic plaques with prominent telangiectasia. | Treatment may involve topical/systemic topical therapy. |
| Neovascularization | Superficial telangiectatic vessels. | Treatment may involve long-pulsed YAG laser. |
| Nevus Depigmentosus | Well-demarcated, hypopigmented patch. | Treatment may involve careful observation. |
| Nevus Lipomatosus Superficialis | Well-demarcated, hypopigmented patch. | Treatment may involve surgical excision. |
| Nevus Spilus | Hyperpigmented patch with a variable number of darkly pigmented macules and papules. | Treatment may involve biopsy. |
| Neurofibroma | Pedunculated, soft papule. | Treatment may involve surgical excision. |
| Neurotic Excoriations | Numerous excoriations and excoriated papules with no primary lesion identified. | Treatment may involve biopsy, topical therapy and Narrowband UVB. |
| Nevoid Hypermelanosis | Hyperpigmented patch with even colour. | Treatment may involve careful observation. |
| Nodular Melanoma | Rapidly growing pigmented papule with irregular color and border. | Treatment may involve excision, sentinel node biopsy depending on the depth of melanoma and newer systemic agents that are available for metastatic melanoma. |
| Nostalgia Paresthetica | Well-demarcated, hyperpigmentation with lichenification involving the infrascapular region. | Treatment may involve careful observation. |
| Nummular Eczema | Scattered scaly excoriated patches. | Treatment may involve biopsy, topical therapy and Narrowband UVB. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Onychomycosis or Nail Fungas | Subungual onychomycosis with superficial debris and hypertrophic nail. | Oral therapy is typically suggested. |
| Palmar/Plantar Hyperhidrosis | Moistness involving the palms and the feet . | Treatment may involve the use of topicals, intradermal BOTOX® or sympathectomy. |
| Papilloma | Large, pedunculated papule. | Treatment may involve excision. |
| Parapsoriasis | Well-demarcated, erythematous, scaly patches. | Treatment may involve observation, systemic/topical therapy, Narrowband UVB or PLEVA. |
| Paronychia | Erythema and inflammation in the periungual region. | Treatment may involve topical/systemic therapy. |
| Pearly Penile Papules | Small, white papules. | Treatment may involve either cautery or more definitive treatment with pulsed dye laser. |
| Pemphigoid Gestationis | Discreet, tense, bullae scattered on erythematous base. | Treatment may involve systemic/topical therapy and general skin care. |
| Pemphigoid Foliaceus | Superficial flaccid bullae with excoriation. | Treatment may involve topical/systemic therapy. |
| Pemphigus Vulgaris | Flaccid bullae on an erythematous base; some with excoriations. | Treatment may involve topical/systemic therapy. |
| Perianal Streptococcal Cellulitis | Bright red, tender erythema in the perianal area. | Treatment may involve topical/systemic therapy as well as a swab for bacterial culture. |
| Perinasal/Periorificial Dermatitis | Discreet anceiform erythematous papules. | Treatment may involve topical/oral therapy. |
| Periocular Dermatitis | Discreet, anceiform, erythematous papules. | Treatment may involve topical/systemic therapy. |
| Perioral Dermatitis | Discreet, anceiform, erythematous papules. | Treatment may involve systemic/topical therapy and general skin care. |
| Perlesche | Erythema with friction and scale involving the angles of the mouth. | Treatment may involve systemic/topical therapy and general skin care. |
| Persistent Light Reaction | Eczematous, well to ill-defined lichenified, scaly patches in sun exposed areas. | Treatment may involve systemic/topical therapy, biopsy and possible referral to Toronto Western Hospital. |
| Phimosis | Sclerotic matter involving the foreskin; difficulty in retracting the foreskin. | Treatment may involve topical therapy or possibly surgical intervention. |
| Photo Drug Eruption | Erythematous macules and papules; some urticated in sun exposed areas. | Treatment may involve systemic/topical therapy, biopsy and possible referral to Toronto Western Hospital. |
| Photoaging | Diffused, hyperpigmentation and telangiectasia involving the face, sides of neck as well as chest associated with superficial rhytides. | Treatment may involve the use sunscreen dailyand Repair Serum. Also discussed was the use of Clarisonic brush, IPL™, fractional radiofrequency such as E2 and Fraxel® laser. |
| Photosensitive Eczema | Ill-defined, eczematous patches; some lichenified but mainly in sun exposed areas. | Treatment may involve systemic/topical therapy, biopsy and possible referral to Toronto Western Hospital. |
| Phytophotodermatitis | Streaky, hypopigmented patches. | Treatment may involve observation and avoidance of sun. |
| Pilar Cyst | Smooth, dome-shaped papule involving scalp. | Treatment may consist of mini-excision or excision by a Plastic Surgeon. |
| Pilomatrixima | Very firm, yellowish nodule. | Treatment may involve careful observation or excision by a Plastic Surgeon. |
| Pilondial Cyst | Tender, cystic nodule adjacent to natal cleft. | Treatment may involve systemic therapy and in some cases excision. |
| Pityriasis Alba | Ill-defined, slightly scaly, hypopigmented erythematous patches. | Treatment may involve topical therapy andsunscreen. |
| Pityriasis Lichenoides Cronica | Scattered erythematous, scaly papules; some of which are indurated. | Treatment may involve topical/oral therapy as well as Narrowband UVB. |
| Pityriasis Lichenoides et Varioliformis Acuta (PLEVA) | Small erythematous slightly scaly excoriated papules; some of which are almost vesicular. | Treatment may involve topical/oral therapy as well as Narrowband UVB. |
| Ptiyriasis Rosea | Diffused hypo or hyperpigmented scaly patches. | Treatment may involve topical/oral therapy as well as Narrowband UVB. |
| Pityriasis Rubra Pilaris | Well-demarcated, erythematous, slightly reddish-orange scaly plaques with keratotic follicular papules in areas of sparing. | Treatment may involve topical/oral therapy as well as Narrowband UVB. |
| Pityrosporon Folliculitis | Erythematous papular, pustule eruption that is follicular. | Treatment may consist of topical therapy/oral therapy. |
| Plantar Warts | Small, discreet, erythematous flesh-colored keratotic papule with interruption of skin lines. | Treatment may involve topical agents, Canthrone Plus, liquid nitrogen, immunotherapy with pulsed dye laser or CO2 laser. |
| Poikiloderma of Civatte | Erythematous pigmentation. | Treatment may involve the use of intense pulse light therapy and Fraxel® laser. |
| Polymorphus Light Eruption | Erythematous eruption confined to mainly sun exposed areas consisting of erythematous patches, macules and some edematous urticated plaques. | Treatment may involve topical/oral therapy as well as Narrowband UVB. |
| Porokeratosis | Erythematous, scaly patches with peripheral collate scale. | Treatment may involve topical/oral therapy. |
| Port Wine Hemangioma | Flat, erythematous, scaly patch. | Treatment may involve pulsed dye laser. |
| Possible Allergic Contact Dermatitis | The patient’s skin is clear; no eruption is seen. | Treatment may involve patch testing. |
| Post-Inflammatory Hyperpigmentation | Diffused, hyperpigmented patches. | Treatment may involve Q-Switch YAG laser. |
| Post-Inflammatory Hypopigmentation | Hypopigmented patches. | Treatment may involve Narrowband UVB. |
| Post-Inflammatory Erythema | Erythematous patch. | Treatment may involve topical therapy andExcelV/Genesis laser. |
| Predominantly Comedonal Acne | Scattered, open and closed comedones. | Treatment may involve Clarisonic brush and topical/oral therapy. |
| Pruritus Ani | Perianal erythema with excoriation lichenification. | Treatment may involve topical therapy. |
| Pseudo Barbae Folliculitis | Inflammatory, perifollicular papules, pustules with excoriation. | Treatment may involve topical therapy, swab for bacterial culture and hair removal options. |
| Psoriatic Nails | Subunguinal onycholysis with oil-drop staining and pitting of the nail. | Treatment may involve topical/systemic therapy. |
| Psoriasiform Dermatitis | Ill to well-defined erythematous scaly patches. | Treatment may involve topical therapy and scrapings for further investigation. |
| Progressive Pigmentary Purpur/Pigmented Purpuric Dermatosis | Hyperpigmented patches with non-palpable purpura. | Treatment may involve topical/systemic therapy. |
| Prurigo nodularis | Indurated, lichenified, excoriated papules. | Treatment may involve topical/systemic therapy and Narrowband UVB. |
| Pruritus | No obvious skin eruption is seen. | Treatment may involve topical/system therapy and Narrowband UVB. |
| Psoriasis | Perianal erythema with excoriation lichenification. | Treatment may involve topical/system therapy and Narrowband UVB. |
| Punctate Palmoplantar Keratoderma | Small, keratotic papules on palms and/or soles. | Treatment may involve topical/systemic therapy. |
| Pyoderma Faciale (Rosacea Fulminans) | Scattered, acne-like cysts, nodules and pustules. | Treatment may involvetopical/systemic therapy. |
| Pyogenic Granuloma | Friable hemorrhagic papule with a central collate scale. | Treatment may involve observation, pulsed dye laser, shave and curettage followed by cauteryor excision by a Plastic Surgeon. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Red Striae | Erythematous, distended plaques following parallel to the lines of skin tension. | Treatment may involve observation, topical therapy and Fraxel®. |
| Relics of a Dermatosis | No obvious eruption is seen. | Treatment may involve observation & returning to office on urgent basis if eruption re-occurs. |
| Relics of a Lesion | No obvious lesion is seen. | Treatment may involve observation & returning to office on urgent basis if eruption re-occurs. |
| Resolved Warts | No obvious wart or verrucous lesion is seen. | Treatment may involve observation & returning to office on urgent basis if eruption re-occurs. |
| Rosacea | Telangiectatic erythema with large telangiectasia. | Treatment may involve topical/systemic therapy and ExcelV/Genesis laser. |
| Ruptured Cyst | Large, edematous, erosive fluctuant nodule. | Treatment may involve systemic therapy, debridement of the cyst with shave and curettage or excision by a Plastic Surgeon. |
| Sarcoidosis | Erythematous, macular papule nodular plaques; some appearing angiomatous. | Treatment may involve topical/systemic therapy or possible referral to a Respirologist. |
| Scabies | Scattered, excoriated, papules with linear excoriation; possible burrows involving the hands. | Treatment may involve topical therapy. |
| Scarring Alopecia | Patchy alopecia with scarring of the skin. | Treatment may involve topical/systemic therapy. |
| Scattered Benign Nevi | Scattered, benign papules and macules with regular colour and border. | Treatment may involve role of mole mapping. |
| Sebaceous/Epidermal Cyst | Smooth, dome-shaped papule. | Treatment may involve mini-excision technique or excision by a Plastic Surgeon. |
| Sebacous Gland Hyperplasia | Convoluted, yellow papules with central umbilication. | Treatment may involve electrocautery. |
| Sebaceous Nevus | Solitary, hairless, slightly yellow patch involving the scalp. | Treatment may involve excision. |
| Seborrheic Dermatitis | Diffused, scaly, erythema involving forehead, cheeks and chin. | Treatment may involve topical/systemic therapy. |
| Seborrheic Keratoses | Well-demarcated, keratotic ‘stuck-on’ plaque with typical keratin whorls. | Treatment may involve observation, liquid nitrogen, electrocautery and curettage. |
| Senescent Alopecia | Diffused, non-scarring, alopecia involving predominantly the vertex of the scalp. | Treatment may involve topical/systemic therapy. |
| Severe Aging | Dramatic rhytides in the periocular, glabella, forehead, jowl formation, deep nasolabial and melolabial folds with hollowing in cheeks. | Treatment may involve topical therapy,microdermabrasion, chemical peels, Fraxel®resurfacing, IPL™, the use of BOTOX® and fillersubstances. The role of tightening treatments such as Thermage® and Ulthera® was also discussed. In severe aging, usually a Facelift is recommended. |
| Severely Inflammatory Nodular Cystic Acne | Large, inflamed papules pustules with nodular and cysts. | Treatment may involve topical/systemic therapy and ExcelV/Genesis laser. |
| Sezary Syndrome | Wide-spread, exfoliative, erythroderma. | Treatment may involve referral to a specialist for treatmetnt. |
| Skin Tag | Benign peduncultated papules. | Treatmentmay involve liquid nitrogen,electrocautery, curettage or excision. |
| Solar Urticaria | Urticated plaques and papules mainly in sun exposed areas. | Treatment may involve topical/systemic therapy, referral to an Allergist or photoallergy testing at Toronto Western Hospital. |
| Solar Purpura(Actinic Purpura, Senile Purpura, Bateman’s Purpura) | Sharply outlined, 1-5cm dark purplish-red ecchymosis appearing on the dorsum of forearm and hands. | Treatment may involve topical therapy and sun avoidance. |
| Sporotrichosis | Erythematous, crusted papules and nodules some presenting in a linear fashion. | Treatment may involve biopsy or referral to an Infectous Disease specialist. |
| Spider Nevi | Well-demarcated, telangiectatic papule with a central vessel. | Treatment may involve pulsed dye laser. |
| Spider Veins | Large telangiectatic vessels involving lower legs. | Treatment may involve laser therapy orsclerotherapy. |
| Spitz Nevus | Smooth dome-shaped papule; slightly red-yellow in colour. | Treatment may involve excision. |
| Squamous Cell Carcinoma | Well-demarcated, keratotic plaque with ulceration. | Treatment may involve topical/systemic therapy, photodynamic theapy, shave and curettage, laser oblation or excision. |
| Squamous Cell Carcinoma in Situ | Well-demarcated, erythematous, scaly patch. | Treatment may involve topical/systemic therapy, photodynamic therapy, shave and curettage, laser oblation or excision. |
| Staphylococcal Scaled Skin Syndrome | Bright red, scaly, fissured, erythematous patches. | Treatment may involve topical/systemic therapy. |
| Steatocystoma Multiplex | Smooth, dome-shaped, slightly fluctuant papule. | Treatment may involve mini-excision or complete excision. |
| Strawberry Hemangioma | Edematous, pedunculated, vascular plaque. | Treatment may involve systemic therapy or laser therapy. |
| Stucco Keratosis | Discreet, keratotic flesh-colored papules involving predominantly the dorsum of hands and feet spreading up the arms. | Treatment may involve liquid nitrogen andelectrocautery as well as curettage. |
| Subcutaneous Granuloma Annulare | Edematous, subcutaneous, smooth mobile nodule. | Treatment may involve observation, topical/systemic therapy and Narrowband UVB. |
| Subunguinal Hematoma | Purplish discoloration underneath nail plate. | Treatment may involve observation as well as removal of nail plate. |
| Sun Damage | Hyper and hypopigmentation with lentigo and telangiectasia in sun exposed areas. | Treatment may involve topical therapy withsunscreen and Repair Serum as well as pulsed dye laser or Fraxel® laser. |
| Superficial Spreading Basal Cell Carcinoma | Slightly scaly patch with pearly border. | Treatment may involve topical photodynamic therapy with Metvix™, shave and curettage, excision by a Plastic Surgeon, Moh’s surgery and treatment at Cancer Centre. |
| Superficial Spreading Melanoma | Pigmented patch with irregular colour and border in different hues. | Treatment may involve excision, sentinel node biopsy depending on the depth of melanoma and systemic agents. |
| Syringoma | Discreet, flesh-colored, smooth dome-shaped papules. | Treatment may involve electrocautery, topical therapy and excision. |
| CONCERN | DESCRIPTION | POTENTIAL TREATMENT OPTIONS |
| Telangiectasia | Diffused scattered linear vessels. | Treatment may involve topical/systemic therapy as well as ExcelV/Genesis laser. |
| Telogen Effluvium | Diffused hair loss. Scalp normal; hair pull test positive with many hairs in telogen. | Treatment may involve topical/systemic therapy and removal of emotional/physical stressors. |
| Tinea Barbae | Diffused, scaly erythema with pustules involving hair-bearing surfaces on the skin. | Treatment may involve topical/systemic therapy. |
| Tinea Capitis | Diffused, well-demarcated, erythematous, scaly patches with the occasional pustule involving scalp. | Treatment may involve topical/systemic therapy. |
| Tinea Corporis | Well-demarcated, scaly patches with peripheral scale. | Treatment may involve topical/systemic therapy. |
| Tinea Cruris | Well-demarcated, scaly erythema involving the folds. | Treatment may involve topical/systemic therapy. |
| Tinea Manus | Dry scaly erythema involving palmar surface of hands. | Treatment may involve topical/systemic therapy. |
| Tinea Pedis | Dry scaly erythema involving plantar aspect of feet. | Treatment may involve topical/systemic therapy. |
| Tinea Unguium | Hypertrophy of the nail with subunguinal debris and onycholysis. | Treatment may involve topical/systemic therapy. |
| Tinea Versicolor | Diffused hypo or hyperpigmented scaly patches. | Treatment may involve topical/systemic therapy. |
| Trachyonychia (Twenty Nail Dystrophy) | Dystrophy of the nail plate with pitting, rippling and some subunguinal debris. | Treatment may involve topical/systemic therapy and scrapings for fungal culture. |
| Tractional Alopecia | Mild, non-scarring alopecia. | Treatment may involve observation and hair style technique. |
| Traumatic Nail Dystrophy | Dystrophy of the nail plate. | Treatment may involve observation. |
| Triangular Alopecia | Non-scarring alopecia in temple region in triangular shape. | Treatment may involve hair restoration. |
| Trichotillomania | Non-scarring alopecia with broken hairs; many with different lengths with excoriation involving the scalp. | Treatment may involve behaviour modification. |
| Uremic Pruritus | Skin has a yellowish hue with numerous excoriations and linear erosions. | Treatment may involve topical/systemic therapy and Narrowband UVB. |
| Urticaria Pigmentosa/Mastocytosis | Smooth, dome-shaped pigmented papules with positive Darier’s sign. | Treatment may involve topical/systemic therapy and Narrowband UVB. |
| Venous Lake | Smooth, dome-shaped, angiomatous, papule involving lip. | Treatment may involve shave excision followed by electrocautery, excision by a Plastic Surgeon or treatment with pulsed dye laser. |
| Venous Stasis Dermatitis | Dry, scaly, erythematous eruption involving lower legs associated with edema, pigmentation change and varicosities involving the lower legs. | Treatment may involve topical therapy as well as the use of compression stockings. |
| Venous stasis Edema with Swelling | Hyperpigmentation and eczematous eruption involving lower legs. | Treatment may involve the use of compression stockings and referral to a Vascular Surgeon. |
| Venous Stasis Dermatitis | Edema of the lower legs with swelling, varicosities and hyperpigmentation. | Treatment may involve the use of compression stockings and referral to a Vascular Surgeon. |
| Verruca Vulgaris | Large, keratotic papule with interruption of skin lines. | Treatment may involve of OTC topical therapy, Canthrone, liquid nitrogen, immunotherapy with pulsed dye laser or surgical destruction with curettage and cautery or CO2 laser. |
| Vitiligo | Depigmented patches; depigmentation confirmed with Wood’s light examination. | Treatment may involve topical therapy and Narrowband UVB. |
| Viral Exanthem | Wide-spread, symmetric macular papular eruption. | Treatment may involve topical/systemic therapy. |
| Vulvodynia | No obvious pathology is seen in the vulva/vaginal region. | Treatment may involve referral to a specialist in this field. |
| White Superficial Onychomycosis | White, powdery onycholysis involving nail plate. | Treatment may involve topical/systemic therapy. |
| White Striae/Distensae | Flattened, atrophic, depressed, irregularly shaped bands with long axis parallel to the lines of skin tension. | Treatment may involve observation, topical therapy and Fraxel® laser therapy. |
| Xanthogranuloma | Small, firm, slightly raised papule/nodule tan-orange in colour. | Treatment may involve observation, surgical excision and referral to an Ophthalmologist. |
| Xanthoma | Yellow-white papules in variable size. | Treatment may consist of observation, excision by a Plastic Surgeon, electrocautery, CO2 laser or trichloroacetic acid peels. |
| Zoon’s Balinitis | Slightly erythematous brown glistening patch involving glands penis. | Treatment may involve topical therapy. |
