Acne vulgaris : Acne vulgaris (or simply acne) is a common human skin disease, characterized by areas of skin with seborrhea (scaly red skin), comedones (blackheads and whiteheads), papules (pinheads), nodules (large papules), pimples, and possibly scarring. Acne affects mostly skin with the densest population of sebaceous follicles; these areas include the face, the upper part of the chest, and the back. Treatment - Treatment of acne should be commenced early to prevent scarring. Patients should be counselled that an improvement may not be seen for at least a couple of months. The choice of treatment depends on whether the acne is predominantly inflammatory or comedonal and its severity. (1) Mild to moderate acne is generally treated with topical preparations such as topical retinoids ( Tretinoin and Isotretinoin),Adapalene, Benzoyl peroxide, Azelaic acid,Salicylic acid, Erythromycin and Clindamycin (2) Severe acne is generally treated with Oral antibiotics such as oxytetracycline or tetracycline,Erythromycin,Trimethoprim, Doxycycline and minocycline (3) Hormone treatment - Cyproterone acetate with ethinylestradiol (4) Oral retinoid for acne -Iisotretinoin


Eczema : Eczema is also known as atopic dermatitis, or atopic eczema (the most common form of eczema). Atopic eczema mainly affects children, but it can continue into adulthood or start later in life. Eczema symptoms include itchy, red, and dry skin caused by inflammation. It’s most commonly found in children, although adults can get it. It is also called atopic dermatitis and is treated with oral medications, steroid creams and light therapy . Drugs used Tacrolimus, Hydrocortisone, Dexamethasone, Prednisone


Psoriasis : Psoriasis a complex, chronic, multifactorial, inflammatory disease that involves hyperproliferation of the keratinocytes in the epidermis, with an increase in the epidermal cell turnover rate. Environmental, genetic, and immunologic factors appear to play a role. The disease most commonly manifests on the skin of the elbows, knees, scalp, lumbosacral areas, intergluteal clefts, and glans penis. In up to 30% of patients, the joints are also affected. Medications used in the management of psoriasis include Topical corticosteroids (eg, triamcinolone acetonide 0.025-0.1% cream, betamethasone 0.025-0.1% cream), Ophthalmic corticosteroids (eg, prednisolone acetate 1% ophthalmic, dexamethasone ophthalmic), Intramuscular corticosteroids (eg, triamcinolone). Coal tar ,Keratolytic agents (eg, anthralin), Vitamin D analogs (eg, calcitriol ointment, calcipotriene, calcipotriene and betamethasone topical ointment) and Topical retinoids (eg, tazarotene aqueous gel and cream 0.05% and 0.1%) are frequently used in the management of Psoriasis. Other choices include Antimetabolites (eg, methotrexate), Immunomodulators (eg, tacrolimus topical 0.1%, cyclosporine, alefacept, ustekinumab), TNF inhibitors (eg, infliximab, etanercept, adalimumab) and Systemic antipsoriatic agents. (eg, ustekinumab)


Seborrheic Dermatitis : Symptoms Seborrheic dermatitis can occur on different body areas. Usually it forms where the skin is oily or greasy. Common areas include the scalp, eyebrows, eyelids, creases of the nose, lips, behind the ears, in the outer ear, and middle of the chest. In general, symptoms of seborrheic dermatitis include: • Skin lesions • Plaques over large area • Greasy, oily areas of skin • Skin scales -- white and flaking, or yellowish, oily, and sticky dandruff • Itching -- may become more itchy if infected • Mild redness • Hair loss Treatment • • Flaking and dryness can be treated with over-the-counter dandruff or medicated shampoos. You can buy these at the drugstore without a prescription. Look for a product that says on the label it treats seborrheic dermatitis. Such products contain ingredients such as salicylic acid, coal tar, zinc, resorcin, ketoconazole, or selenium sulfide. Use the shampoo according to label instructions. • Shampoos or lotions containing selenium, ketoconazole, or corticosteroids may be prescribed for severe cases. To apply shampoos, part the hair into small sections, apply to a small area at a time, and massage into the skin. If on face or chest, apply medicated lotion twice per day. Recently, creams classified as topical immune modulators are being used. • For severe cases, your health care provider will likely prescribe a shampoo or lotion containing a stronger dose of selenium sulfide, ketoconazole, or corticosteroid. A cream that contains an immunomodulator may be prescribed. This medicine suppresses the immune system to treat inflammation.