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Dermatology
First Year, Week One
88
Medical
Undergraduate 1
05/06/2009

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Cards

Term
Ectoderm cells
Definition
Epidermis is fomred from
Term
Mesoderm cells
Definition
Dermis is formed from
Term
Melanocytes
Definition
Pigment producing cells
Term
The Neural Crest
Definition
Melanocytes migrate from
Term
Keratin Layer, Granular Layer, Prickle Cell Layer, Basal Layer, Dermis
Definition
5 layers of skin
Term
Blaschko's lines
Definition
Developmental growth patterns of the skin
Term
Keratinocytes
Definition
Epidermis is mainly composed of
Term
Merkel Cells
Definition
Type of cells mostly found within the basal layer
Term
Langerhans cells
Definition
Type of cells mostly found within the prickle cell layer
Term
The granular layercell
Definition
composed of 2-3 layers of Flattened cells that have lost their nuclei due to continued differentiation
Term
Keratin Layer
Definition
composed of sheets of overlapping polyhedral Corneocytes
Term
Melanosomes
Definition
Elongated, membrane bound organelles where melanin is produced
Term
Eumelanin
Definition
Brown/black common form of melanin
Term
Anagen
Definition
Growing phase of hair growth
Term
Catagen
Definition
Resting stage of Hair Growth
Term
Telogen
Definition
Shedding phase of hair growth
Term
- 80-90%
- 10-20%
- <1%
Definition
Percentage of scalp hairs in
- Anagen
- Catagen
- Telogen
Term
Lunula
Definition
White part at the base of the nail
Term
Dermo-epidermal junction
Definition
Interface between epidermis and dermis
Term
Dermo-epidermal junction
Definition
Interface between epidermis and dermis
Term
Dermo-epidermal junction
Definition
Interface between epidermis and dermis
Term
Angioma
Definition
local overgrowth of the blood vessels
Term
Eccrine Gland
Definition
Skin glands found mainly in the palms, soles and axilla. Excretory ducts opens onto skin surface
Term
Aprocine gland (larger than eccrine)
Definition
Gland develops as part of pilosebaceous unit. Found mainly axilla and perineum. Opens into hair follicle.
Term
Sebaceous Gland
Definition
Widely distributed gland. Associated with hair follicles and formed from epidermis derived cells
Term
Acne
Definition
Result of mixture of increased Sebum (from sebaceous gland), blocked ducts and bacterial activity
Term
UV-B
Definition
electromagnetic radiation that is mainly absorbed by the keratin layer
Term
Meissner's corpuscles
Definition
Touch/vibration receptors
Term
Pancinian corpuscles
Definition
Pressure receptors
Term
Macule
Definition
Localised flat area of colour change <1cm
Term
Papule
Definition
Localised elevated area <5mm
Term
Nodule (larger version of papule)
Definition
Localised elevated area >5mm
Term
Vesicle
Definition
Small fluid filled blister <5mm with/below epidermis
Term
Bulla
Definition
Large fluid filled Blister >5mm within/below epidermis
Term
Annular
Definition
Ring-shaped
Term
Erythema
Definition
Red skin due to vascular dilatation, Blanches on pressure
Term
Purpura
Definition
Red skin due to extravasatino of blood, will not Blanche on pressure
Term
Patch
Definition
Localised flat area of colour change >1cm
Term
pustule
Definition
Pus filled raised legion
Term
Wheal
Definition
compressable dermal swelling
Term
ulcer
Definition
area of skin loss extending through epidermis into dermis
Term
Innate (non specifice) immunity
Definition
Immunity = No memory, first line in defence of host, immediate maximum response
Term
NK cells, Mast Cells, Dendritic cells, Phagocytes
Definition
Innate immunity cells (name 4)
Term
Adaptive (specific) immunity
Definition
Immunity = Memory, specific, diverse
Term
T + B lymphocytes
Definition
Adaptive immunity cells
Term
Antibody
Definition
Specialised protein produced in response to an antigen
Term
Cell mediated response
Definition
Specialised cells react with antigen on host cell surface, kills infected host cell and activates macrophages
Term
T cells
Definition
Produced in bone marrow, mature in thymus. Basis of cell mediated immunity, only recognise PROTEIN Ag
Term
B cells
Definition
Basis of humoral immunity, produce antibodies
Term
Autoimmunity
Definition
Loss of tolerance leads to...
Term
- IgE
- Degranulation of mast cells and basophils
- Inflammatory mediators (histamine, prostaglandins)
- Immediate
Definition
Hypersensitivity Type 1
- Antibody mediated is
- Ag Binding caused by...
- Releases...
- Type of response
Term
- TH1 cells
- delayed
- NO
- Patch testing
Definition
Hypersensitivity Type 4
- cell mediated is
- type of response
- response to antu-histamines?
- Investigation
Term
Direct and reduced systemic toxicity
Definition
Topical treatment advantages
Term
Time consuming, messy, difficult to apply correct dosage
Definition
Topical treatment Disadvantages
Term
Lotion
Definition
Liquid vehicle, aqueous or alcohol based, Used to treat scalp and other hair bearing areas
Term
Cream
Definition
Semisolid emulsion of oil-in-water. Non greasy, cosmetically acceptable
Term
Ointment
Definition
semisolid grease/oil, best for treating dry skin conditions eg eczema. Less accepted by patients
Term
Gel
Definition
Transparent semi-solid, non greasy aq emulsion. Best for scalp and hair bearing areas aswell as face
Term
Paste
Definition
Ointment based with high proportion of powder. Stiff constistency, ideal for applying to well defined areas. Used in cooling, drying and soothing bandages.
Term
Emollients
Definition
Helps dry skin conditions - reestablishes surface ipid layer. Cosmetically acceptable. 250g-500g weekly.
Term
Topical Corticosteroids
Definition
Reduce inflammation by acting as an immune suppressant
Term
Antiseptics
Definition
Used in acute exudative eczema, eczema of hands)
Term
hydrocortizone
Definition
a weak topical steroid
Term
Fibroblasts
Definition
Function is collagen synthesis
Term
Mast cells
Definition
Function is histamine release
Term
Acne, Rosacea and Impetigo
Definition
Topical antibiotics can be used to treat
Term
A topical antiviral
Definition
Herpes Simplex (cold sore) would be treated with
Term
Herpes Zoster (shingles)
Definition
Oral Antiviral could be used to treat
Term
Candida (thrush)
Definition
Antiyeast is used to treat
Term
Ringworm
Definition
Antifungal is used to treat
Term
Viral warts, corns, calluses, Keratin plaques.
Salicylic acid.
Definition
Keratinolytics are used to treat..And give an example of a keratinolytic
Term
Cryotherapy
Definition
Liquid nitrogen treatment of viral warts
Term
Emollients, Coal tar, vitamin D analogue, topical steroid
Definition
Topical psoriasis treatment
Term
greasy ointments, tar shampoo, steroids in alcohol base
Definition
Treatment for scalp psoriasis
Term
Burning
Irritation
Contact allergic dermatitis
Local or systemic toxicity
Definition
Side effects of topical therapies
Term
Skin prick test
Definition
Allergy investigation that detects type 1.
Term
Cheap, quick, easy
More senstive than specific IgE Test
Definition
Skin prick test advantages
Term
Nickel hypersensitivity, TB, type 1 diabetes, psoriasis
Definition
Disease associated with Type 4 hypersensitivity
Term
p53
Definition
Transcription factor activated in response to DNA damage to stop cell division
Term
Carcinogenesis
Definition
The process by which a normal cell becomes a malignant cancer cell
Term
angiogenesis
Definition
The formation of new blood cells
Term
Solar Radiation
genetics
HPV
p53
age
chemicals
Definition
Risk factors for skin cancer
Term
SCC, BCC, MCC
Definition
Types of non melanoma skin cancer (most common)
Term
SCC
Definition
Malignant Tumour derived from keratinocytes, occurs mainly in sun damaged skin, white people over 55, males immunosuppressed patients
Term
Actinic Keratosis (red spots with scaly surface)
Definition
SCC Precursor
Term
BCC
Definition
typically on face, locally invasive, no precursors
Term
MCC
Definition
Rare aggressive tumour arising from neuroendocrine cells
Term
cyclobutane pyrimidine dimer (CPD)
Definition
UV signature mutation
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