Australian Doctor Australian Doctor 7th September 2018 | Page 31

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australiandoctor.com.au 7 SEPTEMBER 2018
Dermatology
Dr Theone Papps is a Clinical Dermatology Research Fellow
at St George Dermatology & Skin Cancer Centre and Central Sydney
Dermatology, Sydney. This article was co-authored by Associate
Professor Stephen Shumack, staff specialist at Royal North Shore
Hospital and a Clinical Associate Professor at Sydney University, NSW.
Warts and all: a
common issue
SIMON, 45, who has been taking adalimumab (a
tumour necrosis factor inhibitor) for severe psoria-
sis, presents with hyperkeratotic lesions on his index
fi nger (pictured). These have been present for two
months. He does not take any other medication, does
not smoke and drinks minimal alcohol.
aged care should be supported by culture sen-
sitivities where possible. For an uncomplicated
UTI caused by sensitive organisms, the recom-
mended treatment is trimethoprim, cefalexin,
amoxycillin and clavulanic acid, or nitrofuran-
toin. 5 Trimethoprim is best administered at night
to maximise bladder concentration and is safe in
patients with creatinine clearance greater than
30mL/min. 5,6 The rate of trimethoprim resistance
in E. coli