Counteract Secondary Bacterial Skin Infections in Eczema
Patients with atopic dermatitis (AD) have an increased risk of bacterial skin infections, which cause significant morbidity and, if untreated, may become systemic. Staphylococcus aureus colonises the skin of most patients with AD and is the most common organism to cause infections.
Modern Medicine – Issue 4 2022
COVID Manifestations in the Skin
Skin changes are seen in up to 20% of patients with COVID and vary widely in presentation. The most common include maculopapular erupt ions, ‘COVID toes’, urticaria and most concerningly vaso-occlusive rashes, such as livedo reticularis and retiform purpura. Some of these skin signs are indicators of disease progression or severity.
Modern Medicine – Issue 4 2022
Finding a Solution to Inflamed, Itchy Skin Conditions
Topical corticosteroids are one of the oldest and most useful treatments for dermatologic conditions. There are many topical steroids avai l able, and they differ in potency and formulation. Hydrocortisone 17-butyrate is a non-fluorinated topical corticosteroid for use in psoriasis, eczema and other inflammatory dermatoses.
Modern Medicine – Issue 4 2022
For Psoriasis, Combination Treatment is Superior to Monotherapy
Psoriasisis a chronic inflammatory skin condition that usually affects the elbows, knees, scalp, back, face, palms and feet; but it can occur anywhere on the body. Patients typically have patches of raised, reddish skin covered by silvery-white scales. A topical medication combining calcipotriol and betamethasone dipropionate has proven more effective than monotherapy in a number of randomised controlled trials performed in patients with psoriasis.
Modern Medicine – Issue 4 2022
Clearing Molluscum Contagiosum with Potassium Hydroxide
Molluscum contagiosum (MC) is a skin infection caused by a virus of the same name. It produces benign, raised bumps or lesions, on the upper layers of the skin. MC causes mainly cosmetic concerns. Mollusca are usually asymptomatic but may be painful or itchy. Various studies have shown the efficacy of potassium hydroxide (KOH) solution in various concentrations to treat MC.
Modern Medicine – Issue 4 2022
Lifestyle and Risk Factors in Haemorrhoidal Disease
Constipation, a low fibre diet, a high Body Mass Index, pregnancy, and a sedentary lifestyle are often assumed to increase the risk of haemorrhoidal disease (HD). However, evidence regarding these factors is controversial. This mini-review aims to examine and critically analyse the association between main risk factors and the prevalence of HD, focusing both on the patient’s clinical history and on a tailored treatment. Moreover, some practical suggestions about lifestyle and conservative approaches are given to help clinicians in the management of patients with HD and to obtain the best results from therapy.
Modern Medicine – Issue 4 2022
Without Trust Even the Best Medications May Fail
Trust is a major driving force for all human relationships. It is a forward-looking covenant between the doctor and the patient where the patient believes that the doctor acts in the patient’s best interest. It is also defined as an optimistic acceptance of vulnerability by the patient in the belief that the doctor will act with moral character and competence. Trust is essential for a successful doctor–patient relationship.
Modern Medicine – Issue 4 2022
The latest edition of Modern Medicine is now available for you to read. We have some great articles featured in this edition:
Also, a reminder that, not only do we have CPD questions available within the magazine itself, we also have an online CPD portal that allows you to score even more points by simply completing your test online
GI Disruption May Underlie Irritable Bowel Syndrome
Irritable bowel syndrome (IBS) is a common disorder of gut-brain interaction which can have a considerable impact on quality of life. Following diagnosis, timely evidence-based management is vital to the care of patients with IBS, aiming to improve outcomes, and enhance patient satisfaction.
Modern Medicine – Issue 3 2022
Keratinocyte Skin Cancers: Diagnosis and current management
Keratinocyte cancers, formerly known as nonmelanoma skin cancers, are an important cause of morbidity and mortality in South Africa, which is second only after Australia for their prevalence. In 2019, Cancer Council Australia published updated guidelines on diagnosis and management of keratinocyte cancers. This summary for GPs incorporates the latest update.
Modern Medicine – Issue 3 2022
