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Dermatology: Bacterial, Fungal, Viral and STI
Bacterial, Fungal, Viral and STI Disorders of the Skin
33
Medical
Graduate
09/13/2010

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Term
Cellulitis
Definition
Acute inflammation of dermis and subcutaneous tissue. Caused by strep or staph. Unilateral, erythematous, ill-defined margins, patch/plaque.
Term
Erysipelas
Definition
Acute superficial inflammation of the dermis. Caused by strep. Unilateral, raised, peau d'orange, sharp elevated margin, face.
Term
Impetigo
Definition
Acute, contagious, superficial skin infection. Usually caused by staph, possibly strep. Initial vesicle turns to pustule then ruptures dries and leaves a honey colored crust with stuck on appearance. Often on face with surrounding erythema.
Term
Toxic Shock Syndrome
Definition
Acute toxin mediated illnes caused by staph. Rapid onset, often caused by tampon use. At least three organ systems must be involved. Rash on mouth and vagina. Fever.
Term
Candida Balanitis
Definition
Infection of glans penis caused by Candida albicans. Common in uncircumcised males. Erythematous with white exudate and edema. Inability to retract foreskin.
Term
Candida Intertrigo
Definition
Superficial infection where skin touches skin caused by Candida albicans. Erythematous macerated skin, glistening, bilateral.
Term
Oral Candidiasis
Definition
Thrush. Mucous membrane infection caused by Candida albicans in the mouth, palate, esophagus and pharynx. Creamy exudate with erythema below.
Term
Angular Cheilitis/Perleche
Definition
Superficial infection at the angles of the mouth caused by Candida albicans. Caused by lip licking, dentures or mouth breathing. Macerated angles of mouth, erythema and fissures.
Term
Pityriasis (Tinea) Versicolor
Definition
Superficial fungal infection. Chronic, asymptomatic, usually of torso. Caused by M. furfur (P. ovale). Common in oily, moisture, sweaty areas. Macule with fine scale on advancing edge. Patches with vitiligo appearance.
Term
Tinea Capitis
Definition
Scalp infection caused by Trichophyton or Microsporum (if new cat).
Term
Seborrheic Tinea Capitis
Definition
Form of Tinea capitis that is most common. Diffuse/patchy white, fine adherent scale.
Term
Non-inflammatory Tinea Capitis
Definition
Form of Tinea capitis that resembles black dots. Alopecia due to hair breaks. Uncommon.
Term
Pustular Tinea capitis
Definition
Form of Tinea capitis with filled vesicles or scabbed areas. No scaling or alopecia.
Term
Kerion
Definition
Inflammatory version of Tinea capitis. Tender, boggy area with alopecia. Systemic symptoms. Difficult to treat.
Term
Tinea corporis
Definition
Commonly called "ringworm". Trunk/body infection caused by Trichophyton or Microsporum (new cat). Close contact, warm climates. Papules/macules with scaly edge. Raised sharply marginated, advancing border and central clearing. Pruritis.
Term
Tinea cruris
Definition
Infection of the groin caused by Trichophyton. Common with swimmming, sweating, obesity, males. Itchy, bilateral, plaques with scale. Erythema or brown. Spares penis/scrotum. Advancing edge.
Term
Tinea manus
Definition
Fungal hand infection caused by Trichophyton. Scaling, itching, papules or bullae. Unilateral. If on palms: thick dry skin. If on back of hand: ring worm appearance.
Term
Tinea Pedis
Definition
Fungal infection of the foot caused by Trichophyton or Epidermophyton. Spread through locker rooms, bathrooms, pools. Scaling and maceration between toes. Thickening and yellowing of the toenails.
Term
Erythema infectiosum
Definition
Childhood exanthem/5ths disease/slapped-cheek disease. Caused by Parvovirus 19. Winter/Spring. URI prodrome (contagious) followed by slapped-cheek (not contagious). Then a generalized rash. Should not be around pregnant people.
Term
Hand, foot and mouth Disease
Definition
Short lived contagious viral infection caused by Coxsackie A 16 virus (possibly enterovirus 71). Summer/Fall. Children under 5. Initially vesicles form in mouth then square yellow vesicles appear on hands, feet and buttocks. Gingiva are spared. Usually lasts less than 7 days without complications.
Term
Herpes Simplex
Definition
Acute viral infectiomn involving skin and mucous membranes. Primary infection is painful vesicles eroding to crusts. Numerous and more widespread. Then it lies dormant. The secondary infection is more localized with fewer vesicles. Primarily facial/oral or genital.
Term
Varicella
Definition
Highly contagious viral infection. Crops of pruritic macules, becoming teardrop vesicles. Contents crust over in 6-8 hrs. Drop off within one week. Varied stages.
Term
Herpes Zoster/Shingles
Definition
Unilateral, single dermatome. Common with immunosuppression or increased age. Red macules/papules/vesicles surrounded by erythema that are very painful. Become scabbed over in 2-3 weeks often leaving white scar. Persisten pain in area after rash disappears possible.
Term
Molluscum Contagiosum
Definition
Caused by Poxvirus. Spread through children, close contact and swimming pools. Asymptomatic flesh-toned papule. Dome-shaped with central punctum.
Term
Measles (Rubeola)
Definition
Highly contagious childhood viral infection caused by Paramyxovirus. Prodrome of 3 C's (cough, coryza, conjuctivitis). Koplik spots (blue-white) on buccal mucosa during prodrome. Red macules on face/neck/behind ears. Become papules and spread to trunk and limbs. May leave behind brown stain.
Term
Rubella (German measles)
Definition
Common viral infection affecting skin, lymph nodes and joints caused by Togavirus. Very, small, pink macules that begin on face/scalp and spread downward. Red petechiae may occur on soft palate.
Term
Roseola
Definition
Childhood exanthem. Exanthem subitum. Caused by HHV 6 or 7. High fever each night (102-105) that breaks each morning. Followed by rash 3-4 days later. Febrile seizures.
Term
Warts
Definition
Caused by HPV. Interrupted skin lines. Common on hands, face, and feet.
Term
Common, Plane, Plantar, Mosaic
Definition
4 types of warts are _____________
Term
Syphilis
Definition
Caused by Treponema pallidum. Primary lesion is hard indurated chancre at site of innoculation. Secondary is copper tinted lesions on palms and soles. Irregular alopecia. Flu-like symptoms. Tertiary affects organs.
Term
Chancroid
Definition
Caused by Haemophilus ducreyi. Painful, red papule. Becomes pustule then erupts to ulcer. Ulcer bleeds easily and may have purulent exudate. Uncommon.
Term
Condyloma Acuminata
Definition
Caused by HPV. Spread quickly over mucous membranes, often symmetric. May be hidden in rectum, vaginal canal. Numerous, discrete fleshy lumps with velvety surface. May be cauliflower-like.
Term
Herpes Simplex
Definition
Single most prevalent STI in US. Small, painful grouped vesicles at site of contact that lead to pustules and erosions/ulcers. Flu-like symptoms. Secondary outbreaks have fewer lesions and are less severe.
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