Family Medicine

HIV pre-exposure prophylaxis (PrEP) for individuals at risk for HIV infection

HIV pre-exposure prophylaxis (PrEP) for individuals at risk for HIV infection

Over the last five years, on an ongoing basis, we have seen new HIV infections occurring in young gay, bisexual and other men who have sex with men (MSM). The majority of these individuals had had a prior negative HIV test within the last year, or were presenting with signs or symptoms supportive of an acute HIV infection, suggesting recent exposure and transmission of HIV infection, highlighting the need for novel HIV prevention strategies.

Whether or not to use systemic corticosteroids to treat a skin disease

Whether or not to use systemic corticosteroids to treat a skin disease

When I started out in dermatology, corticosteroids were the only systemic drug available to treat patients with severe allergic contact dermatitis (ACD), atopic dermatitis (AD), drug reactions and those with bullous diseases. Corticosteroids are potent and excellent immunosuppressive agents. The main problem with systemic use is the high risk of drug interactions, as well as multiple serious acute and long-term side effects.