Term
| What is lentigo maligna commonly called? |
|
Definition
|
|
Term
| What does 'in situ' mean? |
|
Definition
| localized to it's original area |
|
|
Term
| What is the minimum and mean age for lentigo maligna? |
|
Definition
|
|
Term
| What is a risk factor for lentigo maligna? |
|
Definition
|
|
Term
| Where is lentigo maligna commonly seen? |
|
Definition
|
|
Term
| What is the malignancy risk for lentigo maligna? |
|
Definition
|
|
Term
| What does serpiginous mean? |
|
Definition
|
|
Term
| What can have serpiginous borders? |
|
Definition
|
|
Term
| What is the tx for lentigo maligna? |
|
Definition
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Term
|
Definition
|
|
Term
| What is the incidence of acrochordon? |
|
Definition
|
|
Term
| What causes acrochordons? |
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Definition
|
|
Term
| What does pedunculated mean? |
|
Definition
| It is shaped like a stalk |
|
|
Term
| What type of tissue growth is acrochordon? |
|
Definition
|
|
Term
| What is a common comorbity for acrochordon? |
|
Definition
|
|
Term
| How do you treat acrochordon? |
|
Definition
| snip it, freeze it, zap it or apply meds |
|
|
Term
| What medicine treats acrochordon? |
|
Definition
| chromium picolinate 200 mcg BID |
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Term
|
Definition
|
|
Term
| What is the cause of papillomas? |
|
Definition
|
|
Term
| What shape are papillomas? |
|
Definition
|
|
Term
| What is the treatment for papilloma? |
|
Definition
| Dermatologist consult, removal RTC q. 3-6 mo; RTC q. 1yr. |
|
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Term
|
Definition
|
|
Term
| What are the two shapes that papillomae can take onm? |
|
Definition
| flattened or pedunculated |
|
|
Term
| What commonly looks like cauliflower? |
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Definition
|
|
Term
| Can papilloma be pigmened or non-pigmented? |
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Definition
|
|
Term
| What is seborrheic keratosis? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What kind of plaque are seborrheic keratosis? |
|
Definition
|
|
Term
| What are the most common benign epidermal tumors in the elderly? |
|
Definition
|
|
Term
| How elevated are seborrheic keratosis spots? |
|
Definition
|
|
Term
| What kind of lesions are waxy, greasy, or scaly |
|
Definition
|
|
Term
| What is the tx for seborrheic keratosis |
|
Definition
| Derm. Consultation; cyro, excision, curettage; RTC g. 6-12 mo |
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|
Term
|
Definition
| A common pruitic eruption |
|
|
Term
| What is the typical age of onset for lichen planus? |
|
Definition
|
|
Term
| What is the prevalence of lichen planus in dermatology clinics? |
|
Definition
|
|
Term
| What disease present flat topped violacous papules? |
|
Definition
|
|
Term
| What is the typical size of lichen planus papules? |
|
Definition
|
|
Term
| What is the cause of lichen planus? |
|
Definition
| cell mediated immune response of unknown origin |
|
|
Term
| What is the four pronged management plan for lichen planus? |
|
Definition
| biopsy, steroids, vit A, retinoids |
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|
Term
|
Definition
|
|
Term
| What is a common viral cause of verrucae? |
|
Definition
|
|
Term
| What are verruca plantaris? |
|
Definition
| wart on the sole or toes of foot |
|
|
Term
| Are verrucae benign or malignant? |
|
Definition
|
|
Term
| What are the three shapes of verrucae? |
|
Definition
| 1. verruca plana 2. verruca vulgaris 3. verruca digitata |
|
|
Term
| What grows faster, papilloma or verrucae? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is molluscum contagiosum? |
|
Definition
|
|
Term
| What is the cause of molluscum contagiosum? |
|
Definition
| virus (pox); associated with HIV |
|
|
Term
| Are molluscum contagiosum contagious? |
|
Definition
| yes; skin on skin or swimming pools |
|
|
Term
| What does umbilicated mean? |
|
Definition
|
|
Term
| What are commonly described as umbilicated? |
|
Definition
|
|
Term
| What is the description of molluscum contagiosum? |
|
Definition
| elevated, round, waxy, pearly |
|
|
Term
| What is the tx for molluscum contagiosum? |
|
Definition
| excision, cryo, topical salicylic acid |
|
|
Term
| Can molluscum contagiosum have central discharge? |
|
Definition
|
|
Term
| What are the two main herpes eye infections? |
|
Definition
|
|
Term
|
Definition
| Auto immune attack of eyelash melanocytes --> white lashes |
|
|
Term
|
Definition
| staph bleph; albinism; Vog-Koyanagi-Harada syndrome |
|
|
Term
|
Definition
| Vogt-Koyanagi-Harada syndrom |
|
|
Term
|
Definition
| treat the bleph; refer if albinism/VKH present |
|
|
Term
|
Definition
|
|
Term
| What are s/sx of vitiligo? |
|
Definition
| usually bilateral eyelid presentation, frequently positive FHx |
|
|
Term
| What age does vitiligo present? |
|
Definition
|
|
Term
| What is the cause of vitiligo? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the occurrence of vitilgo? |
|
Definition
| 1-2% worldwide, more often in dark skinned people |
|
|
Term
|
Definition
determine of FHx;
rule out associated syndromes,
use cosmetic camouflage,
sunscreen,
melanocyte stimulation and skin color blending w/ amino acids |
|
|
Term
| What is the long term tx for vitiligo? |
|
Definition
|
|
Term
| What must be done with vitiligo pts? |
|
Definition
| Referred to dermatologist |
|
|
Term
| What is Vogt Koyanagi Harada Syndrome? |
|
Definition
rare, multisystem disorder.
Common age 20-50 |
|
|
Term
|
Definition
Prodromal phase
Lasts a few days with meningitis, encephalopathy, auditory disturbances |
|
|
Term
|
Definition
| Acute uveitic phase: anterior and posterior uveitis |
|
|
Term
|
Definition
Convalescent phase; first three of the sx below most common
Alopecia, poliosis, vitiligo, fundus lesions, depigmented limbal lesions |
|
|
Term
|
Definition
Chronic-Recurrent phase
smoldering anterior uveitis w/ exacerbations |
|
|
Term
| Three of what four signs must be present to diagnose VKH? |
|
Definition
bilateral chronic anterior uveitis
posterior uveitis
cutaneous lesions
neurological features |
|
|
Term
| What is a severe hallmark sign of VKH? |
|
Definition
| acute serous retinal detachment |
|
|
Term
| Where is sunset glow fundus found? |
|
Definition
|
|
Term
| What is the tx plan for VKH? |
|
Definition
oral steroids
periocular injected steroids
topical steriods for anterior uveitis
If steroids are not sufficient, use immunosuppressive agents cyclosporine or chlorambucil |
|
|
Term
|
Definition
| Ocular Cicatricial Pemphigoid |
|
|
Term
|
Definition
systemic autoimmune inflammatory disease
mucous membrane disorder involving the conjunctiva, often asymmetric |
|
|
Term
| What type of hypersensitivity is OCP? |
|
Definition
|
|
Term
| What is the prevalence of OCP? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is a significant side effect of OCP? |
|
Definition
| bilaterally blindness/visual loss |
|
|
Term
|
Definition
| Blisters form, swell, and burst repeatedly until scars are formed |
|
|
Term
|
Definition
| skin and mucous membranes |
|
|
Term
| What can be asymmetric in OCP? |
|
Definition
time of onset
severity
rate of progression |
|
|
Term
| When is conjunctival dx seen in OCP? |
|
Definition
| 75% w/oral involvement; 25% w/ skin lesions |
|
|
Term
| Name some characteristics of OCP |
|
Definition
idiopathic
chronic
progressive
female > male |
|
|
Term
| What is the age of onset for OCP? |
|
Definition
| 6th or 7th decade, often subtle and hard to detect, though early detection crucial for preventing vision loss |
|
|
Term
|
Definition
|
|
Term
|
Definition
Conjunctival scarring and shrinkage
worsens over 3-4 years
continued scarring and shrinkage |
|
|
Term
|
Definition
|
|
Term
|
Definition
| end stage with corneal scarring and anklyblepharon |
|
|
Term
|
Definition
| fibrous tissue adhering bulbar to palpebral conj |
|
|
Term
|
Definition
| Severe overgrowth of tissue over the cornea? |
|
|
Term
| What is the endstage of OCP? |
|
Definition
|
|
Term
| What are other DDx related to OCP? |
|
Definition
Chemical trauma
radiation injury
other mucous membrane disorders |
|
|
Term
| What % of OCP cases are confirmed with a conjunctival biopsy? |
|
Definition
|
|
Term
| How can OCP cause dry eye? |
|
Definition
| destroys goblet cells and meibomian glands |
|
|
Term
| What is Dapsone used for? |
|
Definition
| Treating the acute inflammatory stage of OCP |
|
|
Term
| What are ocular therapies for OCP? |
|
Definition
treat w/ surgery:
trichiasis, entropion and symblepharon |
|
|
Term
| What is Stevens-Johnson Syndrome? |
|
Definition
| acute but self limiting (non-progressive) inflammation with minor and major variants |
|
|
Term
|
Definition
| skin and maybe a single mucosal membrane affected |
|
|
Term
|
Definition
| Involves skin and two or more mucosal membranes |
|
|
Term
|
Definition
|
|
Term
| What is usually seen with SJS? |
|
Definition
| Systemic toxicity causing malaise, fever, sore throat, HA |
|
|
Term
| What is the mortality rate of SJS? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| What % of SJS is seen in children? |
|
Definition
|
|
Term
| Who are more likely to get SJS? |
|
Definition
| men, though no racial predilection |
|
|
Term
| What is the etiology of SJS? |
|
Definition
| Thought to be delayred hypersensitivity response to drugs and epithelial cell antigens |
|
|
Term
| What is common pharmacological cause of SJS reaction? |
|
Definition
sulfonamides***
penicillin, nsaids, etc |
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