Term
| What makes a nevus “atypical”? |
|
Definition
3 of 5 of these criteria:
• Poorly defined borders
• Irregular border
• Irregular pigment
• Background erythema
• Larger than 5 mm |
|
|
Term
| Describe features of atypical nevi |
|
Definition
Variegated color with tan, brown, black and pink macules
May have “fried egg” appearance
Peripheral macular component
Central papular component |
|
|
Term
This disease is characterized by the following symptoms: > 50 nevi and may exceed 100
Usually appear around puberty
Nevi continue to develop beyond age 40 years
Significantly increased risk of developing melanoma
Melanoma can arise in an atypical mole or in normal skin (de novo) |
|
Definition
|
|
Term
| what is the characteristic size of common acquired nevi |
|
Definition
|
|
Term
| what is the characteristic size of atypical nevi |
|
Definition
|
|
Term
| which disease is characterized by the ugly duckling? |
|
Definition
|
|
Term
| what is the signature pattern associated with atypical nevi? |
|
Definition
| These patterns include solid brown, solid pink, eclipse (tan or pink with brown rim), targetoid, “fried egg” with an elevated center, as well as others |
|
|
Term
| This firm, scar-like lesion has a peripheral rim of darkening pigment; its benign and makes the "dimple sign" if you pinch it! |
|
Definition
|
|
Term
| Dermal proliferation of this cell type is responsible for Dermatofibroma: |
|
Definition
|
|
Term
| Patient presents with "ugly" brown spots on her face and dorsal hands which makes her look old; the spots are known as sun spots/age spots/liver spots. This patient has had extensive UV exposure giving her what skin lesion? |
|
Definition
|
|
Term
| How can you tell the difference between Sabeceous Hyperplasia and Basal cell Carcinoma |
|
Definition
Yellow color, umbilication, and multiple similar papules help identify sebaceous hyperplasia
BCC tends to be solitary and more friable (bleeds, scabs) – also more pearly translucent, often with telangiectasia |
|
|
Term
| what lesion is characterized by an overgrowth of scar tissue beyond the original scar site? It may itch, typically seen in African Americans, in upper trunk and earlobes |
|
Definition
|
|
Term
| The treatment for keloids is: |
|
Definition
| Intralesional steroid and refer |
|
|
Term
|
Definition
|
|
Term
| superficial bright red vascular papule |
|
Definition
|
|
Term
| Elective removal of benign lesions in darker skin types (DPN, skin tags, etc) |
|
Definition
| Electrodessication or snip (not liquid nitrogen0 |
|
|
Term
| Definitive treatment for epidermal inclusion cysts |
|
Definition
| Excision (do not aspirate or squeeze or pop) |
|
|
Term
|
Definition
False negative KOH due to prior partial treatment with antifungals
Misidentification of clothing fibers or lint as hyphae
Possibility of mistaking lipid or cell membranes for hyphae |
|
|
Term
| common complication of tinea pedis |
|
Definition
lower leg cellulitis
tinea corporis(self inoculation)
onychomycosis |
|
|
Term
|
Definition
| a chronic fungal infection of the nailbed that tends to spread to other nails. |
|
|
Term
| what is the treatment for onychomycosis? |
|
Definition
| first line trx: oral terbinafine or itraconazole |
|
|
Term
| Dermatophytosis of the skin, usually affecting the trunk and limbs; a sharply marginated, erythematous annular lesion with central clearing and raised papulovesicular border with scaling. |
|
Definition
| Tinea corporis (ring worm) |
|
|
Term
| which parts of Tinea corporis are active |
|
Definition
| the margins are active, the central is usu healed already |
|
|
Term
| This organism has characteristic “spaghetti and meatball” pattern corresponding to hyphae and spores. |
|
Definition
|
|
Term
| What is ABCDE? Used to evaluate pigmented lesions... |
|
Definition
Asymmetry
Border
Color
Diameter
Evolving(changing over time) |
|
|
Term
| How does one measure a mole's size? |
|
Definition
measure longest axis first
measure perpendicular to it |
|
|
Term
| Caused by VZV, characterized by grouped vesicles on an erythematous base in a dermatotomal distribution |
|
Definition
|
|
Term
| Caused by HSV, characterized by grouped vesicles on an erythematous base located most commonly on the lips and genitalia |
|
Definition
|
|
Term
"Tear drops on a rose petal"
Diffuse vesicles on erythematous base
VZV cuased |
|
Definition
|
|
Term
| delayed hypersensitivity reaction to agents that contact the skin |
|
Definition
| allergic contact dermatitis |
|
|
Term
| Allergic contact dermatitis treatment |
|
Definition
| treat with a 2+week steroid taper if severe, distribution helps determine etiology |
|
|
Term
| dermatophyte infection that can be bullous on feet and is often associated with other signs of fungal disease |
|
Definition
|
|
Term
| a type of eczema (dermatitis) of unknown cause that is characterized by a pruritic vesicular eruption on the fingers, palms, and soles. |
|
Definition
|
|
Term
| caused by local exotoxins produced by s. aureus |
|
Definition
|
|
Term
| caused by systemic exotoxins produced by S.areus in individuals <2 years of age or with renal disease |
|
Definition
| Staphylococcal scalded skin syndrome |
|
|
Term
| superficial blister caused by autoantibodies |
|
Definition
|
|
Term
| deep blister caused by autoantibodies |
|
Definition
|
|
Term
| a patient has a dermatomal grouping of vesicles on an erythematous base, on his trunk. What is the most likely diagnosis? |
|
Definition
| Herpes Zoster (Shingles); VZV |
|
|
Term
A 50-year-old woman presents to you with blisters on her abdomen (see photo)
Which of the following is the best description of these lesions? |
|
Definition
| Grouped vesicles on an erythematous base |
|
|
Term
| You diagnose a 17-year-old female with genital herpes simplex. She has no health insurance. Which of the following would you prescribe? |
|
Definition
|
|
Term
| caused by malassezia and treated with ketoconazole shampoo |
|
Definition
|
|
Term
| Pigmented disorder on the face of women caused by estrogen and UVR. |
|
Definition
|
|
Term
| blue-grey pigmentation that can occur on mucous membranes, scars, and lower legs |
|
Definition
| Minocycline hyperpigmentation |
|
|
Term
| acute and chronic inflammation and ulcers of the lower legs caused by increased venous pressure |
|
Definition
|
|
Term
| any inflammation in darker skin types may cause residual hyperpigmentation |
|
Definition
| Postinflammatory hyperpigmentation (PIH) |
|
|
Term
| well-circumscribed, Depigmented macules and patches, due to an autoimmune reaction to melanocytes. It may be associated with other autoimmune diseases and is treated with topical steroids and ultraviolet radiation |
|
Definition
|
|
Term
| Think malassezia, ketoconazole shampoo, KOH |
|
Definition
|
|
Term
| malassezia, seborrheic areas. HIV may make worse, treat with anti-inflammatories (topical steroids and pimecrolimus) and antifungals (azoles and ciclopirox) |
|
Definition
|
|
Term
Pityriasis alba
think of as atopic dermatitis on the face of children that leaves behind pigmentary reduction on the cheeks |
|
Definition
|
|
Term
| red-purple lesions from extravasation of blood, do not blanch on diascopy |
|
Definition
|
|
Term
|
Definition
|
|
Term
| >5mm, low coagulation factors and trauma |
|
Definition
|
|
Term
| hallmark of leukocytoclastic vasculitis, confirm diagnosis by biopsy, determine extent with labs |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| clinically presents as palpable purpura |
|
Definition
|
|
Term
| small vessel vasculitis with IgA deposition, associated with arthritis, abdominal pain, and kidney disease, can be associated with streptococcal infections |
|
Definition
| Herioch Shonlien purpura (HSP) |
|
|
Term
| clinically presents as nodules |
|
Definition
|
|
Term
| medium vessel vasculihs, painful subcutaneous nodules, livedo reticularis, treat with systemic steroids, cyclophosphamide, underlying cause (possible infection) |
|
Definition
| Polyarteritis Nodosa (PAN): |
|
|
Term
| +/- polyneuropathy and constitutional symptoms |
|
Definition
| Cutaneous Polyarteritis Nodosa |
|
|
Term
| focal neuropathies, renal disease, +/- any other organ |
|
Definition
| Systemic Polyarteritis Nodosa |
|
|
Term
| clinically presents as claudication, ulceration, gangrene |
|
Definition
|
|
Term
| A 28-year-old woman presents with scattered red macules on her legs, ankles, and feet (see photo) that are neither painful nor itchy. What is the next best step in diagnosis? |
|
Definition
| Biopsy a lesion (for routine microscopy and direct immunofluorescence) |
|
|
Term
| A 7-year-old boy presents to the urgent care clinic with abdominal pain, joint aches, and a rash on his legs and feet (see photo). He does not have a history of frequent nosebleeds, easy bruising, or other episodes of abnormal bleeding. Based on the image and the patient’s history, what is the most likely diagnosis? |
|
Definition
|
|
Term
| vascular reaction characterized by upper dermal swelling causing wheals,flares, and pruritic clinically |
|
Definition
|
|
Term
| urticaria that lasts <6 weeks, often associated with infections, drugs, and food |
|
Definition
|
|
Term
| urticarial that lasts >6 weeks, often idiopathic or caused by physical stimulation or autoimmunity |
|
Definition
|
|
Term
vascular reaction characterized by deep dermal and subcutaneous
swelling without pruritus |
|
Definition
|
|
Term
| wheal and flare secondary to scratching |
|
Definition
|
|
Term
| rapid onset systemic allergic reaction associated with respiratory symptoms, GI symptoms, and circulatory collapse |
|
Definition
|
|
Term
| urticaria caused by antigen binding IgE on mast cells |
|
Definition
|
|
Term
| urticaria that does not involve IgE receptor (physical or prostaglandin related--NSAIDs) |
|
Definition
| Non-immunologic urticaria |
|
|
Term
| If symptoms of urticaria are systemic or lesions last longer than 24 hours |
|
Definition
|
|
Term
|
Definition
| 1st and 2nd generation antihistamines; |
|
|
Term
| treatment for anaphylaxis |
|
Definition
| life support team, epinephrine, and IV fluids |
|
|
Term
| A 32-year-old woman has had hives for 8 weeks. She has not started any new medications. Her hives are not painful and do not leave behind any pigmentation or other marks when individual resolve (within 24 hours). She has not had respiratory symptoms or lip or tongue swelling. She is frustrated with the amount of pruritus, but does not want to take any medications that make her “sleepy.” Which of the following medications would you recommend? |
|
Definition
| Loratadine = 2nd generation H1 antihistamine better tolerated with fewer sedative and anticholinergic effects, may be used in pts intolerant of or inadequately controlled by 1st generation agents. |
|
|
Term
| A 27-year-old woman presents to clinic with one week of “hives” that have appeared on her neck, trunk, and proximal extremities (see photo). They are very pruritic, and each lesion resolves within about a day. What is the next best step in management? |
|
Definition
|
|
Term
| an eruption upon a mucous membrane |
|
Definition
|
|
Term
| a rash that appears abruptly and affects several areas of the skin simultaneously |
|
Definition
|
|
Term
| erythematous macules and papules, starts on face and goes to feet over days, Koplik spots |
|
Definition
|
|
Term
| high risk groups for getting viral exanthems |
|
Definition
| pregnant, immunodeficiency, malnourished, extremes of age |
|
|
Term
| erythematous macules and papules, starts on face and goes to feet over 24 hours, Forchheimer’s sign |
|
Definition
|
|
Term
| CNS, eyes, ears, heart affected |
|
Definition
| Congenital Rubella Syndrome |
|
|
Term
| red cheeks for 1-4 days then reticular eruption on trunk and extremities; not viremic or contagious |
|
Definition
| Ervthema Infectiosum (parvo B19) |
|
|
Term
| Presents as painful and pruritic papules, petechiae and purpura of hands and feet with fever and enanthem; patients are viremic and contagious; hydrops fetalis, chronic erythroderma hypoplasia, transient aplastic crisis |
|
Definition
| Papulopurpuric gloves and socks syndrome (PPGSS) |
|
|
Term
| A 3-year-old boy presents to your office with fevers, runny nose, cough, and a rash on his face. The cold symptoms started a few days ago, but his mother noticed the rash just this morning. How would you describe this eruption, based on the image? |
|
Definition
| Morbilliform = All viral exanthems are morbilliform |
|
|
Term
|
Definition
| composed of erythematous macules and papules that resemble a measles rash |
|
|
Term
Your patient is a 6-month-old boy who presents to your clinic for a follow-up
appointment. Three days ago, his mother took him to the ER. after the boy spiked a fever to 104F and had a seizure at home. His work-up was normal, and he was sent home with acetaminophen and fluids. This morning he developed a rash on his trunk, which his mother believes is spreading to his arms and legs (see image). What is the most likely cause of this patient’s symptoms and skin findings? |
|
Definition
|
|
Term
| lesions that develop as a result of some stimuli that may be caused by internal or external conditions. |
|
Definition
|
|
Term
| lesions that result from trauma, infections or other conditions that change the original lesions |
|
Definition
|
|
Term
| Poorly defined hypopigmented, scaly patches on the face; typically in dark skinned kids, during the Spring and Summer |
|
Definition
|
|
Term
| typical lesion is a sharply demarcated, depigmented, round or oval macule or patch |
|
Definition
|
|
Term
| First line therapy to treat acute inflammation due to Atopic Dermatitis |
|
Definition
| Topical corticosteroid ointment (hydrocortisone ointment) |
|
|
Term
| common cause of flair of Atopic Dermatitis requiring skin bacterial culture, weepy, pustules or extensive yellow crust |
|
Definition
| Staph aureus and Group A Strep |
|
|
Term
| Treatment for Pityriasis Alba |
|
Definition
§ Use of sunscreens will minimize tanning, thereby limiting the contrast between diseased and normal skin
§ If moisturization and sunscreen do not improve the skin lesions, consider low strength topical steroids |
|
|
Term
| Topical Treatment for Psoriasis |
|
Definition
§ Topical medications for psoriasis are more effective when used with occlusion which allows for better penetration
A bandage, saran-wrap, gloves, or socks placed over the medication can serve this purpose |
|
|
Term
| What should you never use to treat Psoriasis? |
|
Definition
|
|
Term
| Micatious is a buzz word for |
|
Definition
|
|
Term
Plaques of this lesion include the following signs:
Auspitz sign(bleeding after removing scale), Koebner phenomenon (lesion induced by trauma) |
|
Definition
| Plaque Psoriasis; Always look at umbilicus, behind ears for these signs |
|
|
Term
| Hyperproliferation of keratinocytes, thickening of stratum corneum, scales, is the pathogenesis of this lesion |
|
Definition
|
|
Term
| elements of history important to ask when considering diagnosis of psoriasis? |
|
Definition
Family history
Medications
Recent illnesses / Past medical history
Social history |
|
|
Term
| Psoriasis is more severe in these patients |
|
Definition
| HIV, immune compromised, increased BMI and associated with cardiovascular disease |
|
|
Term
| 1/3 of psoriasis pts have positive history |
|
Definition
| genetic predisposition to getting psoriasis |
|
|
Term
| Key Areas for what lesion located in these ares: scalp, ears, elbows and knees (extensor surfaces), umbilicus, gluteal cleft, nails, and sites of recent trauma |
|
Definition
|
|
Term
| Presence of nail pitting is seen in up to 90% of patients with |
|
Definition
|
|
Term
| Oil spots, nail pitting, subungual hyperkeratosis and trachyonychia, onychosis are findings of this lesion |
|
Definition
| psoriatic arthritis (PsA) |
|
|
Term
| Arthritis in the presence of psoriasis (a member of the seronegative spndyloarthropathies) |
|
Definition
|
|
Term
| Morning stiffness, any age, usu ages 30-50... may cause desquamation of overlying skin, joint swelling, arthritis mutilans, swelling of PIP and DIP joints |
|
Definition
|
|
Term
| First line agents for localized Psoriasis lesions |
|
Definition
| high potency topical steroid in combination with calcipotriene (vitamin D analog) |
|
|
Term
| First line agents for moderate to severe Psoriasis lesions |
|
Definition
| Topical steroid and UV light therapy |
|
|
Term
| Types of systemic therapy for Psoriasis? |
|
Definition
Phototherapy: nbUVB or bbUVB
Oral meds: MTX, acitretin, cyclosporine
Biologics: Alefacept, infliximab, entercept, adalumimab, ustekinumab |
|
|
Term
| Some of the quality of life issues in patients with Psoriasis |
|
Definition
l Feel socially stigmatized
l Have high stress levels
l Are physically limited by their disease
l Have higher incidences of depression and alcoholism
Struggle with their employment status |
|
|
Term
| +test for syphilis when HIV+ present with ____________ bc lesions of syphilis may mimic _____________ |
|
Definition
|
|
Term
| this lesion is a benign, asymptomatic viral infexn of the skin, caused by DNA poxvirus, commonly found on face and genitals, presents with firm, skin colored dome shaped papules with central unmbilication |
|
Definition
|
|
Term
| treatment for oropharyngeal candidiasis with candida esophagitis |
|
Definition
|
|
Term
| This lesion is an infestation of the skin that results in an eruption of pruritic papules and burrows from the mite sarcoptes scabiei. If immune suppressed or neurologically impaired individuals are at increased risk of developing the crusted form |
|
Definition
|
|
Term
| treatment crusted scabies |
|
Definition
| combo therapy (oral Ivermectin, topical permethrin) |
|
|
Term
| treatment for noncrusted scabies |
|
Definition
|
|
Term
| a vascular neoplastic condition linked to the infection with human herpesvirus 8 (HHV-8) |
|
Definition
|
|
Term
| How to diagnose Kaposi Sarcoma |
|
Definition
| § Diagnosis is confirmed with a skin biopsy (taken from the center of a firm lesion) |
|
|
Term
| This condition most commonly involves the abdomen, where the fat is visceral, and the neck, dorsocervical region (buffalo hump), breasts, and/or trunk |
|
Definition
|
|
Term
| In patients with HIV, this lesion most often affects the skin, but mucous membranes, gastrointestinal treat, lymph nodes and lungs may be involved |
|
Definition
|
|
Term
| Treatment principles for Acne Vulgaris |
|
Definition
| § Systemic and topical retinoids, systemic and topical antimicrobials, and systemic hormonal therapies are the main classes of treatment |
|
|
Term
| Common first line treatment for mild comedonal acne vulgaris |
|
Definition
| topical retinoid, +/- topical benzoyl peroxide |
|
|
Term
| what type of antibiotics are usu used in Acne |
|
Definition
| topical (erythromycin, clindamycin) |
|
|
Term
| Avoid Tetracyclines in these patients |
|
Definition
|
|
Term
| Minocycline side effects (which SE is unique?) |
|
Definition
| GI upset, vertigo(unique), hyperpigmentation |
|
|
Term
| a retinoic acid derivative, is indicated in severe, nodulocystic acne failing other therapies |
|
Definition
| Oral Isotretinoin (highly teratogenic) |
|
|
Term
| Common side effects of Isotretinoin |
|
Definition
• Xerosis (dry skin)
• Cheilitis (chapped lips)
• Elevated liver enzymes
• Hypertriglyceridemia |
|
|
Term
| an uncommon and worrisome complication of isotretinoin, causing headaches is called |
|
Definition
|
|
Term
| Spironolactone is used to treat moderate comedonal and inflammatory acne in women with irregular menses(PCOS) due to this effect |
|
Definition
|
|
Term
| define acanthosis nigricans: |
|
Definition
| a brown to black, poorly defined, velvety hyperpigmentation of the skin. It is usually found in body folds,[1] such as the posterior and lateral folds of the neck, the axilla, groin, umbilicus, forehead, and other areas. Most commonly caused by insulin resistance! |
|
|
Term
a chronic inflammatory condition located at the “flush” areas of the face (nose, cheeks > brow, chin)
§ Papules and pustules superimposed on a background of telangiectasias and general erythema |
|
Definition
|
|
Term
| What foods should pts avoid with acne rosacea? |
|
Definition
• Alcohol
• Heat/hot beverages
• Hot, spicy foods
• Sunlight |
|
|
Term
| classic presentation of acne rosacea |
|
Definition
§ Patients have erythema and telangiectasias in mid face, cheeks and nose +/- brow, chin, eyelids, eyes
§ Patients can have papules and pustules |
|
|
Term
| Treatment for erythema of rosacea |
|
Definition
§ Laser therapy may be helpful for telangiectasias and erythema
§ Photoprotection is also helpful in treating the erythema of rosacea |
|
|
Term
| Tinea corporis, tinea cruris, tinea Pedis and tinea capitis are all caused by this organism |
|
Definition
| Trichophyton and Microsporum species (Dermatophytes) |
|
|
Term
| Tinea corporis is found where |
|
Definition
|
|
Term
| tinea Pedis is found where |
|
Definition
|
|
Term
| tinea capitis is found where |
|
Definition
|
|
Term
| tinea cruris is found where |
|
Definition
|
|
Term
| follows skin tension lines, asymptomatic, +/- flu symptoms, starts with classic herald patch, annular erythematous 2-10cm patch anywhere on body with peripheral scaling, central clearing; has Christmas tree pattern of eruption on the back |
|
Definition
|
|
Term
| patient has an eruption that looks like pityriasis rosea, but his soles and palms are involved. The office KOH is negative. What is the next test you should get during his office visit? |
|
Definition
| Rapid plasma regain (this patient has secondary syphilis) |
|
|
Term
§ Primary syphilis begins with a painless chancre
• Patients often do not notice or recall the chancre
§ The secondary phase comes weeks later
• Prodrome may include malaise, fever, headache, stiff neck, myalgias, arthralgias, runny nose and eyes, and mental changes
Expect: Condyloma Lata |
|
Definition
|
|
Term
presents as multiple coin-shaped eczematous plaques on the extremities and trunk
• May be scaly but lacks the central clearing seen in tinea corporis and is KOH negative
• Very pruritic
• May exhibit weeping, cracking, vesicles, or crusts
• Pathology shows spongiotic dermatitis |
|
Definition
|
|
Term
| Treatment for Nummular dermatitis |
|
Definition
§ Treat like atopic dermatitis or any other eczema
§ Potent topical steroids are necessary to control this type of eczematous eruption
§ Apply emollients twice a day |
|
|
Term
| whats on your ddx for a papulosquamous eruption? |
|
Definition
• Tinea corporis
• Pityriasis rosea
• Secondary syphilis
• Psoriasis
• Nummular dermatitis |
|
|
Term
| you see a pt with red scaly rash, first do this test? |
|
Definition
|
|
Term
| this lesion will recur at the same site with re-exposure to a drug; often affecting mouth, genitalia, face, and acral areas; will resolve days-weeks after discontinuing the drug! |
|
Definition
|
|
Term
| As opposed to Fixed Drug Eruption that resolves after discontinuation of drug, this lesion will persist for many weeks even after cessation! |
|
Definition
| Drug Induced Hypersensitivity Syndrome (DIHS) |
|
|
Term
|
Definition
Instill(eye drops)
Inhale(steroids)
Ingest(pills)
Insert(suppositories)
Inject(IM, IV)
Incognito(Mary Jane, herbs)
Intermittent(prn meds) |
|
|
Term
| how do you determine the drug timeline? |
|
Definition
| start with the onset of the rash as Day 0, then work backwards and forwards... |
|
|
Term
| Allopurinol + HLA-B 5801 in Han Chinese gives this lesion |
|
Definition
| Steven johnson syndrome/Toxic epidermal necrolysis |
|
|
Term
| Aminopenicillin + Epstein Bar virus (EBV) gives this lesion |
|
Definition
| nonallergic (non-IgE-mediated) amoxicillin urticaria; also recall that 30% of chronic (non-IgE mediated) urticaria is exacerbated by aspirin/NSAID use |
|
|
Term
| _______ is a common cause of IgE-mediated Urticaria |
|
Definition
| Penicillin (but in the case of EBV, this will be non-IgE mediated) urticaria |
|
|
Term
| As opposed to DIHS which takes many weeks for symptoms to occur, this condition only takes 7-10 days for lesions to occur |
|
Definition
| Exanthematous drug eruption |
|
|
Term
| This condition is a spectrum characterized by extensive necrosis and detachment of the epidermis and mucosal surfaces; the two conditions represent identical processes but differ in severity based on the body surface area that is involved; The "SATAN" drugs are hi risk causes |
|
Definition
SJS: 5-12% BSA
TEN: >20% BSA |
|
|
Term
|
Definition
Sulfa Abx
Allopurinol
Tetracyclines
Thiacetazone
Anticonvulsants (AEDs)
NSAIDs
Nevirapine |
|
|
Term
this condition is characterized by:
1. chronic rash (7months+)
2. distribution (cheeks mainly)
3. Family h/o atopic disease
4. symptoms of pruritis (itching) |
|
Definition
|
|
Term
| This condition usually itches before a rash appears, giving rise to the "itch-scratch" cycle |
|
Definition
|
|
Term
| Atopic dermatitis in infants is found where? |
|
Definition
| all over the head, extensor surfaces |
|
|
Term
| Atopic dermatitis in adolescents is found where? |
|
Definition
| lichenified, skin fold areas (neck, elbows, wrists, ankles) |
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Term
| Atopic dermatitis in adults is found where? |
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Definition
| lichenified on hands, wrists, ankles, feet, forehead, eyes |
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Term
| Xerosis(dry skin) is found in which Atopic dermatitis patient? |
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Definition
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Term
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Definition
| a nonspecific term, refers to a group of inflammatory skin conditions characterized by pruritis, erythema and scale |
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Term
| first line therapy for Atopic Dermatitis |
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Definition
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Term
| Second line therapy for Atopic dermatitis |
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Definition
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Term
| Pruritis associated with atopic dermatitis is treated with |
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Definition
| 1st generation H1 antihistamines (hydroxyzine) |
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Term
| patients with Atopic Dermatitis are susceptible to secondary cutaneous infections such as |
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Definition
Staph aureus and Group A Strep infections
(Abx to treat) |
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Term
| what are the four factors of Acne Vulgaris? |
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Definition
Androgens
P acnus (bacteria)
clogged follicle
sebaceous secretions |
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Term
| this lesion presents as a poorly marginated, hypopigmented, slightly scaly patches on cheeks in kids during summer |
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Definition
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Term
| treat Pityriasis alba with |
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Definition
reassurance (it goes away by itself0
use sunscreen to expedite resolution of symptoms
use lotion, but if these don't improve the lesions, add a low strength topical corticosteroid |
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Term
| spirinolactone has ------------- effects that reduces symptoms of acne in PCOS pts; cannot use this to treat Rosacea |
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Definition
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Term
| sharply demarcated erythematous plaques with silvery scale on scalp, umbilicus, extensor elbows, knees |
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Definition
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Term
| A 22-year-old female was referred to the dermatology clinic for a presumed diagnosis of psoriasis. Rash is on the knees only. what's the treatment? |
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Definition
| Moderate potency topical steroid (e.g. fluocinonide ointment) |
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Term
| A 34-year-old female presents to the dermatology clinic with well-controlled plaque psoriasis. Which of the following conditions do you think you might find when you perform a total body exam? |
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Definition
| Swelling of the PIP and DIP joints |
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Term
| A 14-year-old male presents to his pediatrician with a 3-year history of well-controlled psoriasis primarily located on the elbows, knees and scalp. His current skin regimen includes high potency topical steroids and vitamin D analogues. Recently, the psoriasis has spread to involve more than 15% of his body surface area and the topical treatments are not working. He is embarrassed to participate in gym class because of the appearance of his skin. What is the next best step in his care? |
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Definition
| Refer him to a dermatologist for consideration of systemic treatment |
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Term
| A 30-year-old female is diagnosed with allergic contact dermatitis of the face, likely due to a nickel allergy from the frames of her glasses. What treatment would you recommend other than avoidance of nickel? |
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Definition
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Term
| ou diagnose a 25-year-old college student with contact dermatitis on the dorsum of the hands. She continues to have chronic scaly, erythematous, pruritic plaques despite use of Clobetasol ointment twice daily for 1 month. The most appropriate next step is: |
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Definition
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Term
| annular patches with peripheral scaling at the advancing edge and central clearing |
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Definition
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Term
| oral terbinafine treats extensive forms of this |
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Definition
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Term
| New onset red scaly eruption with a negative KOH, test with ________ if you suspect Secondary syphilis |
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Definition
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Term
| these lesions are described as hyperkeratotic, exophytic papules and plaques |
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Definition
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