Table 4 Summary of Skin Disorders and First-Line Treatment Options

Erythematous, scaling papules involving flexural areas

• Moisturizer

• Low- to moderate-potency topical corticosteroid

• Oral antihistamine

Erythematous, scaly, circular plaques on head and neck; may leave areas of hypopigmentation

• Moisturizer and emollient

• Low-potency topical corticosteroid

Pruritic, erythematous, papulovesicular rash with scaling and dry skin

• Identify/avoid trigger

• Low- to moderate-potency topical corticosteroid

Erythematous papules in areas with abundant sebaceous glands

• Topical antifungal

Erythema, flushing, papules, telangiectasias, pustules, and edema on face

• Topical metronidazole

• Topical azelaic acid

"Herald" patch followed by crops of smaller lesions along Langer's lines on torso and extremities

• Topical antipruritic

• Low- to moderate-potency topical corticosteroid

• Oral antihistamine

Open or closed comedones, inflammatory papules, pustules, and nodules

• Topical antibiotic

• Topical retinoid

• Topical benzoyl peroxide

Erythematous, pruritic, scaling plaques on scalp, groin, toes, or body

• Topical antifungal for tinea cruris and corporis

• Oral antifungal for tinea capitis, barbae, unguium

Violaceous and pruritic papules with Wickham's striae on skin or mucous membranes

• Moderate- to high-potency topical corticosteroids

Erythematous, indurated, pruritic hives or vesicles following insect bite

• Avoidance measures

• Low- to moderate-potency topical corticosteroids

Multicolored patches, papules, and macules with a fine scale and surrounding erytema

• Topical antifungal

Thick plaques and erythematous, hyperpigmented, scaly nodules

• Moisturizer

• Low-to moderate-potency topical corticosteroid

• Oral antihistamine