Choosing a Topical Steroid

The prescribing physician should know about the classification of Topical steroids. GRADE CLASS EXAMPLES 1 Very high potency          Clobetasol propionate, Halobetasol prop 2 High potency             Betamethasone dipropionate, Diflorasone   3 Medium potency ointment Mometasone / Fluticasone ointments  4 Medium  potency creams Mometasone / Fluticasone creams   5 Lower medium         Hydrocortisone butyrate 0.1% 6 Low potency             Desonide cream 0.05%, Clobetasone 7Continue reading “Choosing a Topical Steroid”

Hemophagocytic Lymphohistiocytosis (HLH)

Hemophagocytic lymphohistiocytosis is a terminology that is being encountered frequently in the past few years. It is a pathological entity where uncontrolled inflammation results in activation of lymphocytes. Activated T lymphocytes and natural killer cells release cytokines which result in both biochemical (raised ferritin, raised triglycerides, transaminitis, hyponatremia) and pathological (pancytopenia, coagulopathy) consequences.  HLH isContinue reading “Hemophagocytic Lymphohistiocytosis (HLH)”

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