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| Hidradenitis Suppurativa |
| Only after puberty |
| Sinus tracts |
| 1) Women 2) AA 3) h/o acne 4) Tight, curly hair (ingrown) 5) Obesity 6) Tight clothing |
|
1) I&D 2) PO or topical abx 3) Bleach baths 4) Laser 5) Accutane |
| Bullous Pemphigoid |
| IgG autoantibodies bind to the basement membrane leading to separation of dermis from epidermis |
| Unknown |
| Rare. Onset usu. >65yo, men = women |
| Tense bullae that heal /s scarring |
| Fleural surfaces |
| 1) Topical steroids 2) Long-term oral prednisone 3) Tertacycline 4) Methotextrate 5) Immunosuppressants |
| Vitiligo |
| 20yo |
| Sharply circumscribed white patches that become confluent. MC face, neck, scalp. |
| Unknown. Autoimmune, some genetic inheritance. |
| 1) Topical steroids 2) Topical immunomodulators (protopic, Elidel) 3) UV 4) Laser 5) Oral steroids 6) Depigmentation 7) Surgery |
| Dermatitis herpetiformis |
| 30's |
| Very pruritic, burning sensation, erythematous excoriated papules or plaques and herpetiform lesions |
| Elbows, knees, and buttock. Palms and soles are spared. |
| Biopsy |
| 1) Gluten free diet 2) Dapsone |
| Hemolysis, methemoglobinemia, peripheral neuropathy, cross rxn w/ sulfa allergy |
| lymphoma and intestinal CA |
| Psoriasis |
| Autoimmune. Fast turnover of dermal cells - 3 to 5 days (normal 23days) |
| Elbows and knees. Plaque psoriasis. |
| 1) Plaque 2) Guttate 3) Inverse 4) Pustular 5) Erythrodermic |
| <1cm "dew drop" plaques all over the body. |
| Young, healthy people. Typicalll /p strep infection. |
| Moist, "beefy red", not scaly. Occurs in skin folds, axillae, groin. |
| palms and soles |
| Generalized erythema and scale. |
| No |
| Koebner phenomenon |
| NSAIDS, Lithium, Inderal, Indomethacin, anti-malarials, beta blockers |
| psoriatic arthritis |
| Topical and intranasal steroids |
| 1) UV 2) Biologics (Enbrel, Humira, Amevive, Remicade, Raptiva) 3) Methotextrate 4) Cyclosporin |
| Vitamin D analogue (Dovonex, Vectical) |
| Pityriasis Rosea |
| 15-40yo. Trunk. |
| Collarette of fine scale OR Christmas tree pattern that is symmetric and gen. on trunks and extremities |
| Viral. Spring and Fall. |
| None - self limiting 8-12wks. UV can help, mild topical steroids PRN. |
| Asthma and allergies |
| The itch that rashes |
| Red papules or plaques with scale, lichenification |
| Flexural surfaces |
| Annular, coin-shaped lesions |
|
1) Harsh chemicals/soaps 2) Excessive nathing/dry skin 3) Foods that worsen 4) Pet dander 5) Excessive heat |
| 1)Topical steroids 2) Topical immunosuppressants (Elidel and Protopic) 3) UV light 4) Antihistamines |
| Affects >90% of the population, MC in adolescents |
| Non-inflammatory and inflammatory |
| Comedones - blackheads (open) and whiteheads (closed) |
| Papules/pustules (superficial) and cysts/nodules (deep) |
| 1) Skin cells plug hair follicle 2) Excess sebum 3) Bacteria (P. Acnes) 4) Inflammation |
| Topical abx (clindamycin, erythromycin), high resistance - need to use benzoyl peroxide to prevent resistance |
| Oral isotretinoin (accutane, sotret, claravis, amnesteem) |
| Acne Fulminans. High levels of testosterone and P. acnes |
| Erythema, rosacea |
| 1) Vascular 2) Acne 3) Phymatous 4) Occular |
| Vascular, facial redness that spares the periorbital area |
| Papules and pustules w/ central facial redness and telangiectasias |
| Skin thickening and irregular surface |
| MC the nose (rhinophyma), also chin, forehead, eyelids |
| Only tx is surgery |
| Usu. chronic blepharitis and conjunctivitis, dryness, sting/burning of eyes |
| Sun, alcohol, heat, exercise, spicy foods, alcohol |