Term 1

A chronic disease of apocrine sweat glands found in the axilla, groin, under breasts, etc. that heal w/ scarring?

Definition 1

Hidradenitis Suppurativa

Term 2

When does hidradenitis suppurativa occur?

Definition 2

Only after puberty

Term 3

What can Hidradenitis Suppurativa form?

Definition 3

Sinus tracts
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Term 4

Name 6 risk factors of Hidradenitis Suppurativa.

Definition 4

1) Women 2) AA 3) h/o acne 4) Tight, curly hair (ingrown) 5) Obesity 6) Tight clothing

Term 5

Name 5 tx for Hidradenitis Suppurativa.

Definition 5

1) I&D 2) PO or topical abx 3) Bleach baths 4) Laser 5) Accutane

Term 6

A chronic, autoimmune blistering dz that causes subepidermal blisters.

Definition 6

Bullous Pemphigoid
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Term 7

Describe the pathophysiology of bullous pemphigoid.

Definition 7

IgG autoantibodies bind to the basement membrane leading to separation of dermis from epidermis

Term 8

What is the cause of bullous pemphigoid?

Definition 8

Unknown

Term 9

How common is bullous pemphigoid? Who does it more commonly occur in?

Definition 9

Rare. Onset usu. >65yo, men = women
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Term 10

Describe the lesions caused by bullous pemphigoid.

Definition 10

Tense bullae that heal /s scarring

Term 11

Where is the most common location of bullous pemphigoid?

Definition 11

Fleural surfaces

Term 12

Name 5 tx for bullous pemohighoid.

Definition 12

1) Topical steroids 2) Long-term oral prednisone 3) Tertacycline 4) Methotextrate 5) Immunosuppressants
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Term 13

Condition that causes areas of complete depigmentation because melanocytes are destroyed.

Definition 13

Vitiligo

Term 14

What is the avg. age of onset of vitiligo?

Definition 14

20yo

Term 15

Describe the visual appearance of areas affected by vitiligo. What are the most common locations on the body?

Definition 15

Sharply circumscribed white patches that become confluent. MC face, neck, scalp.
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Term 16

What is the cause of vitiligo?

Definition 16

Unknown. Autoimmune, some genetic inheritance.

Term 17

Name 7 tx for vitiligo.

Definition 17

1) Topical steroids 2) Topical immunomodulators (protopic, Elidel) 3) UV 4) Laser 5) Oral steroids 6) Depigmentation 7) Surgery

Term 18

An autoimmune blostering d/o associated w/ Celiac's dz.

Definition 18

Dermatitis herpetiformis
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Term 19

Most common age of dermatitis herpetiformis?

Definition 19

30's

Term 20

Describe the rash of dermatitis herpetiformis.

Definition 20

Very pruritic, burning sensation, erythematous excoriated papules or plaques and herpetiform lesions

Term 21

What is the most common location on the body affected by dermatitis herpetiformis?

Definition 21

Elbows, knees, and buttock. Palms and soles are spared.
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Term 22

How is dermatitis herpetiformis dx?

Definition 22

Biopsy

Term 23

What is the tx for dermatitis herpitiformis?

Definition 23

1) Gluten free diet 2) Dapsone

Term 24

What are side effects of dapsone? (4)

Definition 24

Hemolysis, methemoglobinemia, peripheral neuropathy, cross rxn w/ sulfa allergy
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Term 25

What are complications of dermatitis herpetiformis?

Definition 25

lymphoma and intestinal CA

Term 26

Skin condition described as having salmon colored plaques with a thick, silvery scale?

Definition 26

Psoriasis

Term 27

What is the etiology of psoriasis? What causes the sx?

Definition 27

Autoimmune. Fast turnover of dermal cells - 3 to 5 days (normal 23days)
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Term 28

What is the most common location of psoriasis? What is the most common type?

Definition 28

Elbows and knees. Plaque psoriasis.

Term 29

Name the 5 types of psoriasis.

Definition 29

1) Plaque 2) Guttate 3) Inverse 4) Pustular 5) Erythrodermic

Term 30

Describe appearance of guttate psoriasis.

Definition 30

<1cm "dew drop" plaques all over the body.
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Term 31

Who is guttate psoriasis most common in?

Definition 31

Young, healthy people. Typicalll /p strep infection.

Term 32

Describe appearance of inverse psoriasis. Where does it typically occur?

Definition 32

Moist, "beefy red", not scaly. Occurs in skin folds, axillae, groin.

Term 33

Where does pustular psoriasis typically occur?

Definition 33

palms and soles
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Term 34

Describe appearance of erythrodermic psoriasis.

Definition 34

Generalized erythema and scale.

Term 35

Is psoriasis contagious?

Definition 35

No

Term 36

What is the name for psoriasis being triggered after trauma, such as surgery or tattoo?

Definition 36

Koebner phenomenon
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Term 37

What meds can trigger psoriasis?

Definition 37

NSAIDS, Lithium, Inderal, Indomethacin, anti-malarials, beta blockers

Term 38

What complication of psoriasis occurs in 10-30% of sufferers?

Definition 38

psoriatic arthritis

Term 39

What are anti-inflammatory tx for psoriasis?

Definition 39

Topical and intranasal steroids
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Term 40

Name 4 immunosuppresant tx for psoriasis.

Definition 40

1) UV 2) Biologics (Enbrel, Humira, Amevive, Remicade, Raptiva) 3) Methotextrate 4) Cyclosporin

Term 41

What tx for psoriasis helps decrease scale?

Definition 41

Vitamin D analogue (Dovonex, Vectical)

Term 42

A skin conditions whose hallmark prodome is a herald patch, a salmon colored 1-2cm round patch.

Definition 42

Pityriasis Rosea
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Term 43

Who does pityriasis rosea typically affect? Where is the most common location?

Definition 43

15-40yo. Trunk.

Term 44

Describe the secondary eruption of pityriasis rosea.

Definition 44

Collarette of fine scale OR Christmas tree pattern that is symmetric and gen. on trunks and extremities

Term 45

What is the cause of pityriasis rosea? When does it most commonly occur?

Definition 45

Viral. Spring and Fall.
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Term 46

What is the tx for pityriasis rosea?

Definition 46

None - self limiting 8-12wks. UV can help, mild topical steroids PRN.

Term 47

What other two conditions that are typically seen together w/ eczema as part of the classic triad?

Definition 47

Asthma and allergies

Term 48

With eczema, which typically comes first, the rash or the itch?

Definition 48

The itch that rashes
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Term 49

Describe the physical appearance of skin affected by eczema.

Definition 49

Red papules or plaques with scale, lichenification

Term 50

What part of the body does eczema typically affect in children?

Definition 50

Flexural surfaces

Term 51

Describe the appearance of nummular eczema.

Definition 51

Annular, coin-shaped lesions
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Term 52

What are potential triggers of eczema?

Definition 52

1) Harsh chemicals/soaps 2) Excessive nathing/dry skin 3) Foods that worsen 4) Pet dander 5) Excessive heat

Term 53

Name 4 meds to tx eczema.

Definition 53

1)Topical steroids 2) Topical immunosuppressants (Elidel and Protopic) 3) UV light 4) Antihistamines

Term 54

How common is acne vulgaris? Who is it moct common in?

Definition 54

Affects >90% of the population, MC in adolescents
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Term 55

What are the 2 mian types of acne lesions?

Definition 55

Non-inflammatory and inflammatory

Term 56

What are the 2 types of non-inflammatory acne lesions?

Definition 56

Comedones - blackheads (open) and whiteheads (closed)

Term 57

What are the 2 types of inflammatory acne lesions?

Definition 57

Papules/pustules (superficial) and cysts/nodules (deep)
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Term 58

Name 4 causes of acne vulgaris.

Definition 58

1) Skin cells plug hair follicle 2) Excess sebum 3) Bacteria (P. Acnes) 4) Inflammation

Term 59

What can be used to tx P. Acnes? What is a difficulty with tx it?

Definition 59

Topical abx (clindamycin, erythromycin), high resistance - need to use benzoyl peroxide to prevent resistance

Term 60

What acne med. is very teratogenic and prescription requires signing the Ipledge system?

Definition 60

Oral isotretinoin (accutane, sotret, claravis, amnesteem)
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Term 61

What complication of acne can lead to hospitalization? What causes it?

Definition 61

Acne Fulminans. High levels of testosterone and P. acnes

Term 62

Rosacea is a common skin condition that involves __________ and ___________.

Definition 62

Erythema, rosacea

Term 63

Name the 4 types of rosacea.

Definition 63

1) Vascular 2) Acne 3) Phymatous 4) Occular
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Term 64

What is the most common type of rosacea? Describe its presentation.

Definition 64

Vascular, facial redness that spares the periorbital area

Term 65

Describe acne rosacea.

Definition 65

Papules and pustules w/ central facial redness and telangiectasias

Term 66

Describe the presentation in phymatous rosacea.

Definition 66

Skin thickening and irregular surface
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Term 67

Where does phymatous rosacea affect?

Definition 67

MC the nose (rhinophyma), also chin, forehead, eyelids

Term 68

What is the tx for phymatous rosacea?

Definition 68

Only tx is surgery

Term 69

Describe ocular rosacea.

Definition 69

Usu. chronic blepharitis and conjunctivitis, dryness, sting/burning of eyes
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Term 70

What triggers rosacea?

Definition 70

Sun, alcohol, heat, exercise, spicy foods, alcohol