Monthly Archives: December 2013

Hyperhidrosis

I don’t usually pay attention to stuff from drug companies, but have just had a letter alerting me to the existence of Propantheline, a licenced treatment for hyperhidrosis which, unlike most of the stuff drug companies write to me about, … Continue reading

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Treatment of male pattern baldness

Licenced treatments Minoxidil – 2% or 5% (5% is more effective). Takes approximately 6/12. 30 – 40% of patients with crown pattern baldness will experience some improvement. Available OTC. Finasteride 1 mg od – 3 – 6 months. Can cause … Continue reading

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Itching in the elderly

Causes: Medication SE (even if longstanding meds) Dry skin (asteatotic eczema) Scabies Nummular eczema Malignancy Renal, liver, or endocrine dysfunction If localised – can be sensory neuropathy Treatments: Conservative measures (including keeping nails short & keeping skin cool – tepid … Continue reading

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Alopecia

Treatment is not very successful, but evidence-based ones include: Localised areas: Dermovate or equivalent under occlusive dressing (frequently causes folliculitis)Intralesional steroid injection. Extensive hair loss: Contact sensitisation/immunotherapy (offered by specialist centres only). Also, make sure to offer wig on NHS … Continue reading

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