Term
| hair follicles enter the resting stage early, due to stress, malnutrition, childbirth |
|
Definition
|
|
Term
detachment of nail from nail bed
mcc = psoriasis |
|
Definition
|
|
Term
| black or brown pigmentation of the normal nail plate, and may be present as a normal finding on many digits in black patients, as a result of trauma, systemic disease, or medications, or as a postinflammatory event from such localized events as lichen planus or fixed drug eruption |
|
Definition
|
|
Term
| Acrochordon is another name for? |
|
Definition
|
|
Term
| re blemishes on the skin associated with aging and exposure to ultraviolet radiation from the sun. They range in color from light brown to red or black and are located in areas most often exposed to the sun, particularly the hands, face, shoulders, arms and forehead, and the head if bald |
|
Definition
| solar lengito (liver spot) |
|
|
Term
|
Definition
| cryotherapy, laser therapy |
|
|
Term
| brownish tan papules, usually on the legs and in women |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
ecthyma
begins as pustule that later erodes into an ulcer |
|
|
Term
|
Definition
eryisepelas
red plaque with raised borders
infection spreads to lymph system |
|
|
Term
|
Definition
|
|
Term
|
Definition
| angiokeratoma circumscriptum |
|
|
Term
| solitary, soft, dome-shaped, translucent papules or nodules and most frequently are located on the eyelids, especially the inner canthus |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| speckled lentiginous nevus |
|
|
Term
| patch of hyperpigmentation that can be seen on any area of the body. This patch contains a variable number of darkly pigmented macules and papule |
|
Definition
| speckled lentiginous nevus |
|
|
Term
|
Definition
|
|
Term
| Single, dome-shaped, red or pigmented papules or nodules are typical. Most lesions occur on the face or legs. The color may vary from nonpigmented through pink to orange-red. Some lesions are pigmented, especially those found on lower extremities. |
|
Definition
|
|
Term
| Flesh-colored–to–erythematous excoriated papules or plaques with herpetiform (ie, small, clustered) vesicles are symmetrically distributed over extensor surfaces, including the elbows, knees, buttocks, and shoulders. |
|
Definition
| dermatitis herpetiformis - associated with gluten sensitivity |
|
|
Term
|
Definition
| heliotrope rash with dermatomyositis |
|
|
Term
hair loss
muscle weakness
heliotrope rash (eyelids)
Gottron papules (papules/plaques over joints) |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| uncommon and unusually severe form of acne characterized by burrowing and interconnecting abscesses and irregular scars (both keloidal and atrophic), often producing pronounced disfigurement. The comedones often occur in a group of 2 or 3, and cysts contain foul-smelling seropurulent material that returns after drainage. The nodules are usually found on the chest, the shoulders, the back, the buttocks, the upper arms, the thighs, and the face |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
systemic steroids if systemic sx
tetracycline
intralesional triamcinolone
ACCUTANE! |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| labs to do with vitiligo pt? |
|
Definition
TSH/T4 - to chech hashimotos/graves
Blood glucose - to check DM
CBC - to check for anemia |
|
|
Term
|
Definition
| epidermolytic hyperkeratosis |
|
|
Term
red blistered crusting/scaling lesions @
axilla, neck, scrotum, nail folds |
|
Definition
| familial benign pemphigus (Hailey-Hailey) |
|
|
Term
|
Definition
| familial benign pemphigus (hailey-hailey dx) |
|
|
Term
| Onset for pemphigus vulgaris? |
|
Definition
|
|
Term
| Generally starts in oral mucosa then months later = generalized bullae - flaccid, easily ruptured vesicles on normal skin, then rupture and turn to erosions that crust |
|
Definition
|
|
Term
| Tx for pemphigus vulgaris? |
|
Definition
| glucocorticoids, immunosupression |
|
|
Term
| sites for bullous pemphigoid? |
|
Definition
axilla
abdomen
groin
lower legs |
|
|
Term
| pregnant woman in 5th month presents with extreme pruitis and vesicular eruption on abdomen and other areas, sparing the mucous membrane |
|
Definition
|
|
Term
| sites of dermatitis herpetiformis? |
|
Definition
extensors - elbow/knee
butt/sacral area
scalp/face/hairline |
|
|
Term
| in a patient with generalized granuloma annulare, you should rule out what condition? |
|
Definition
|
|
Term
| superficial hemorrhagic pustule surrounded by erythametous halo - ulcer borders are dusky red/purple, drain pus |
|
Definition
|
|
Term
| pyoderma gangrenosum is commonly seen with? |
|
Definition
|
|
Term
| common drugs that cause exfoliative dermatitis? |
|
Definition
allopurinol
CCBs
carbamazepine
cimetidine
gold salts
lithium
phenytoin
quinidine |
|
|
Term
| tetracycline + accutane causes what? |
|
Definition
|
|
Term
| tx for hidradenitis supprativa? |
|
Definition
intralesional triamcinolone (3-5 mg/mL)
oral abx - emycin, tetracycline, minocycline
prednisone
accutane in early dx
excision and drainge |
|
|
Term
| characterized by macules, papules, vesicles, and bullae. It occurs secondary to a toxic influence. There may or may not be a prodromal period with a sore throat, diarrhea, and fever. The lesions are red and are seen on the sides of the neck, face, legs, genitalia, and mucosa membranes. A typical lesion is a "target" or "iris" lesion. The course is generally 3-4 weeks |
|
Definition
|
|
Term
| molloscum contagiosum is caused by? |
|
Definition
|
|
Term
| cutaneous photosensitivity that begins in childhood. Sun exposure leads to painful erythemia and swelling with the absence of blistering. Protoporphyrin is not excreted in the urine, but diagnosis can be made with the detection of increased levels of protoporphyrin in the plasma and red blood cells |
|
Definition
| erythropoietic protoporphyria |
|
|
Term
| . The disorder is characterized by photosensitivity that results in blistering skin lesions on exposed areas. The vesicles are fluid-filled, rupture easily, become crusted, and heal slowly. They result in scarring. Symptoms generally do not appear until adulthood. Diagnosis is made by testing blood plasma, urine, and stool for the presence of porphyrin |
|
Definition
|
|
Term
A 9-year-old girl develops erythema of the cheeks and subsequently an erythematous maculopapular rash starts spreading from her arms to her trunk and legs. The results of physical examination are otherwise unremarkable. What is the appropriate therapy?
|
|
Definition
| supportive antiprutitics - dx is erythema infectiosum |
|
|
Term
| The illness begins with high temperatures (averaging 103 F) for 3 to 5 days; the fever typically resolves rather abruptly. The rash appears within 12 to 24 hours of the fever resolution. The rash of roseola is rose-colored and begins as discrete, small, slightly raised pink lesions on the trunk and spreads to the neck, face and proximal extremities. The rash is not pruritic and no vesicles or pustules develop. |
|
Definition
|
|
Term
| distinct prodromal period, with prominent occipital and postauricular lymphadenopathy, and the low-grade fever is coincident with the rash |
|
Definition
|
|
Term
| The term used for ingrown nail is |
|
Definition
|
|
Term
| term for thickened overgrown toenail |
|
Definition
|
|
Term
| the loosening or separation of all or part of the nail from the nail bed. |
|
Definition
|
|
Term
| how to confirm dx of scabies? |
|
Definition
| examination of skin scrapings |
|
|
Term
| exacerbating factors for atopic dermatitis? |
|
Definition
| change in temp/humidity, exercise, stress |
|
|
Term
| usually occurs in elderly men of Mediterranean origin without AIDS, Typically it presents as purple plaques or nodules on the lower limbs. Treatment is by cryotherapy, electrocoagulation, or radiotherapy. |
|
Definition
|
|
Term
| Can present as hypo/hyperpigmentation usually on the back in healthy teens |
|
Definition
|
|
Term
| side effect of ampicllin? |
|
Definition
|
|
Term
| A 28-year-old woman attended the outpatient clinic complaining of dark spots on her nose. She stated that she was diagnosed with acne vulgaris, but the treatment was not successful. On examination, small black papules less than 1mm were found on her nose but were not surrounded by inflammation. On removal with forceps, the patient didn't feel any discomfort. Examination of the lesion with hand lens showed vellus hairs in keratinous plug. |
|
Definition
|
|
Term
| what bug causes impetigo? |
|
Definition
| strep pyogenes (group A b-hemolytic) |
|
|
Term
| acanthosis nigricans is associated with tumor of what? |
|
Definition
|
|
Term
| Tx for localized fungal infections (not on scalp)? |
|
Definition
|
|
Term
| An 8-month-old infant was brought to your office due to rashes over the scalp and eyebrows. Physical examination showed a dry, scaly, and crusting lesion over the scalp, eyebrows, and nape area. Diagnosis? |
|
Definition
|
|
Term
| organism that causes tinea infections? |
|
Definition
- Trichophyton: infects skin, hair and nails
- Microsporum: infects skin and hair but not nails.
- Epidermophyton: infects skin and nails but not hair
|
|
|
Term
33-year-old female patient presents to the office with multiple vesicles with associated intense itching on her hands and feet. Her past medical history is negative. The patient is a waitress who takes no medication, and does not work with chemicals. The vesicles are tense with some scales. There is no erythema or initial incidence of itching. The vesicles have responded well to a limited treatment with a high steroid cream. What is this patient's diagnosis?
|
|
Definition
|
|
Term
It is characterized by chronic coin-shaped, crusted lesions, which are usually pruritic. They commonly appear on the trunk and extensor surfaces of the extremities, especially the pretibial areas.
|
|
Definition
|
|
Term
| skin lesions appearing on lines of trauma due to certain causative agents or by existing skin diseases, like psoriasis. |
|
Definition
|
|
Term
| nails - this condition is typically seen in patients with a history of severe, systemic illness such as the example given. |
|
Definition
|
|
Term
| characterized by sudden onset of severe and often ulcerating acne with fever and polyarthritis with failure to respond to antibacterial therapy. It is common in young males |
|
Definition
|
|
Term
appear abruptly
mostly in <40y
papular, dome shaped
can be any color |
|
Definition
|
|
Term
|
Definition
|
|
Term
| light brown pigmented macule that is filled with lots of small dark brown macules and papules inside of the larger macule? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| spider angiomas commonly arise with what? |
|
Definition
| hyperestrogenic states - pregnancy, oral contraceptives, hepatocellular dx |
|
|
Term
|
Definition
|
|
Term
Change in pigmentation, hair growth and elevated smooth verrucous surface
Occurs in males before 15y
Benign |
|
Definition
|
|
Term
| Looks like BCC but feels softer, presents in older pts with telengiectasia and central umbilication |
|
Definition
|
|
Term
|
Definition
| chondrodermatitis nodularis helicis |
|
|
Term
Tender nodule on free border of helix, more in male
Dome shaped, white/waxy and covered with scale |
|
Definition
| chondrodermatitis nodularis helicis |
|
|
Term
| Idiopathic rxn to light - red macules/papules/vesicles |
|
Definition
| Polymorphus light eruption |
|
|
Term
| Tx for porphyria cutanea tarda |
|
Definition
avoid ETOH/estrogens
phlebotomy
low dose chloroquine |
|
|
Term
| Adherent (painful to remove) hyperkeratotic scale - skin colored/yellow brown, rough like sandpaper in sun exposed areas |
|
Definition
|
|
Term
| 90% of SCC on lips are on which lip? |
|
Definition
|
|
Term
| SCCs on lips develop from what? |
|
Definition
leukoplakia
actinic chelitis |
|
|
Term
| SCC has metastatic rate of? |
|
Definition
|
|
Term
| how to differentiate SCC/BCC |
|
Definition
|
|
Term
|
Definition
|
|
Term
melanoma that occurs in palms/soles, nailbeds
men >60y
|
|
Definition
| acral lentiginous melanoma |
|
|
Term
| ocular feature always present in melanoma patients? |
|
Definition
| nystagmus - from hypoplasia of the fovea |
|
|
Term
|
Definition
hydroquinone 3% solution or 4% cream
azelaic acid 20% |
|
|
Term
| hyperpigmentation can ensue after - ? |
|
Definition
acne, psoriasis, lichen planis, atopic derm, contact derm, trauma
responds to hydroquinone |
|
|
Term
| reticular confluent black/brown pigmentation of face and neck as result of contact sensitivity to chemicals |
|
Definition
|
|
Term
|
Definition
| subacute cutaneous lipus erythematosus |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
greyish blue brown wart like bumps, scaly
1st lesions btwn breasts/midline of back/shoulders
|
|
Definition
| confluent reticulopapulomatosis |
|
|
Term
| what causes confluent reticulopapulomatosis? |
|
Definition
| hormonal disturbance, yeast infection, bacterial infection, hereditary |
|
|
Term
| tx for confluent reticulopapulomatosis? |
|
Definition
minocycline
antifungals
topical trentinoin |
|
|
Term
|
Definition
| confluent reticulopapulomatosis |
|
|
Term
| Scaling and erythema of one hand and both feet with later onychomycosis |
|
Definition
|
|
Term
| Tinea manuum must be treated with? |
|
Definition
systemic tx
terbinafine, itraconazole, fluconazole |
|
|
Term
| anytime there is red scaling annular areas, always think of |
|
Definition
|
|
Term
| chronic topical application of glucocorticoids can lead to ? |
|
Definition
|
|
Term
| epidermal dermatophytosis that occurs after topical glucocorticoids are applied to site colonized with dermatophyte - often mistaken for psoriasis or dermatitis |
|
Definition
|
|
Term
| red plaque on child's face? may have some scaling |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| is Candida considered to be normal skin flora? |
|
Definition
No, however -
20% healthy individuals are colonized in mouth
60% colonized feces
13% women colonized vaginally (increased w OC, prego, abx) |
|
|
Term
| Nystatin is effective for what? |
|
Definition
|
|
Term
| what bug causes tinea versicolor? |
|
Definition
| Malasezia furfur - part of normal skin flora |
|
|
Term
| is tinea versicolor contagious? |
|
Definition
| no - just an overgrowth of resident flora under favorable conditions |
|
|
Term
| how does tinea versicolor look on untanned skin? |
|
Definition
|
|
Term
| what are the levels of the skin, from inward out? |
|
Definition
stratum basalis
stratum spinosum
stratum granulosum
*luteum in palms/soles
stratum corneum |
|
|
Term
Area with increased/decreased pigmentation
No elevation/depression
<1 cm
NOT palpable |
|
Definition
|
|
Term
| area of increased/decreased pigmentation, not palpable >1cm |
|
Definition
|
|
Term
Solid lesion <1 cm, palpable
not in subQ |
|
Definition
|
|
Term
solid lesion 1-2 cm, elevated and palpable
usually in epidermis, lower dermis |
|
Definition
|
|
Term
solid lesion with elevation and depth
>2cm
may go into subQ |
|
Definition
|
|
Term
| elevation that has surface area greater than it's height - can be a bunch of papules together |
|
Definition
|
|
Term
| surface of skin is rough, looks liek tree bark |
|
Definition
|
|
Term
| rounded, flat topped edematous plaque - called a welt |
|
Definition
|
|
Term
| skin cavity with purulent exudate |
|
Definition
|
|
Term
skin cavity with non purulent exudate
<.5cm |
|
Definition
|
|
Term
|
Definition
|
|
Term
encapsulated lesion filled with fluid/semisolid
elevated, palpable |
|
Definition
|
|
Term
| dried exudate on surface - brown, honey crust, eschar, ettc |
|
Definition
|
|
Term
| cyst of a hair follicle or sebacous gland |
|
Definition
|
|
Term
| skin defect wehre there is aloss of epidermis - heals without a scar |
|
Definition
|
|
Term
| loss of epidermis and upper dermis, leaves a scar |
|
Definition
|
|
Term
|
Definition
molloscum contagiosum
smallpox |
|
|
Term
| 90% of Herpes labialis cases are caused by what virus? |
|
Definition
|
|
Term
| 90% urogenital herpes caused by? |
|
Definition
|
|
Term
| HERPETIC WHITLOW CAUSED BY WHAT VIRUS? |
|
Definition
|
|
Term
pruitis and dermatitis in a coin shaped arrangment
common in older men in fall/winter
pink/dull red |
|
Definition
|
|
Term
cutaneous sclerosis w ivory plaques
smooth and shiny
sweat glands and hair disappear
purpleish mauve |
|
Definition
|
|
Term
iris shaped papules/vesicles in the extremities, mucus membranes
|
|
Definition
|
|
Term
skin dx that occurs with ulcerative colitis -
irregular boggy blue/red ulcers |
|
Definition
|
|
Term
| vesicular eruption of fingers/palmar aspects of hands secondary to inflammatory tinea pedis |
|
Definition
|
|
Term
| sneddon syndrome consists of? |
|
Definition
cerebrovascular dx
livedo reticularis
HTN |
|
|
Term
| causes of erythema nodosum? |
|
Definition
strep
sarcoid
IBD
pregnancy/OCs
syphillis
tuberculosis
sulfa/amiodarone |
|
|
Term
| purple, polygonal, pruritic, papules? |
|
Definition
|
|
Term
| autoimmune condition with loss of normal adhesion btwn cells |
|
Definition
|
|
Term
| How does herpes ZOSTER happen? |
|
Definition
| Must have previously had chicken pox - the virus is latent and gets reactivated with stress/infection/illness |
|
|
Term
|
Definition
| rubbing a lesion causes urticarial flare |
|
|
Term
| bleeding after scale is removed |
|
Definition
|
|
Term
| pushing a blister causes further seperation of the dermis |
|
Definition
|
|
Term
| Sign were minor trauma leads to more lesions (seen in psoriasis, etc) |
|
Definition
|
|
Term
| blanching indicates what? |
|
Definition
| intact capillaries - extravasated blood doesn't blanch |
|
|
Term
| what does acute contact derm look like? chronic? |
|
Definition
acute = erythema, plaques, vesicles, erosions, crust
chronic = scaling, plaque, lichenification, satelite papules/excoriations |
|
|
Term
| Small grouped vesicles coalese to form cooin shaped plaques with red base; crusting and excoriations |
|
Definition
| nummular dermatitis - usually occurs in winter |
|
|
Term
| Yellowish scaly macules with greasy look - usually in body folds, face, genetalia |
|
Definition
|
|
Term
| lichen simplex chronicus is a long term manifestation of what? |
|
Definition
|
|
Term
| solid, firm, plaques with strong desire to itch when touched |
|
Definition
|
|
Term
|
Definition
| topical steroids, intralesional steroids, systemic therapy if severe |
|
|
Term
tapioca vesicles in clusters
happens with stress/hot weather
|
|
Definition
|
|
Term
| where are lesions found in psoriasis? symptoms? |
|
Definition
elbows, knees, scalp, nails
+ itching
|
|
|
Term
autoimmune dx = loss of cell to cell adhesion
lesions begin in oral mucosa
round vesicles/bullae that have clear liquid
secondary infection |
|
Definition
|
|
Term
| tx for pemphigus vulgaris? |
|
Definition
| prednisone, immunosuppressives, dapsone, gold, etc |
|
|
Term
pts usually 60y
prodrome of urticarial/papular lesions
large tense bullae, oval/round
axilla, thigh, groin, abdomen commonly affected |
|
Definition
|
|
Term
|
Definition
|
|
Term
| predisposing factors for hidradenitis supprativa? |
|
Definition
obesity, acne hx, female gender, obstruction, infection, geentic
women = axillary
men = anogenital |
|
|
Term
| infection of single hair follicle? |
|
Definition
|
|
Term
| red, hard mass in hair bearing area of body, progresses to become fluctuant, drains pus |
|
Definition
|
|
Term
|
Definition
itching
stinging
burning
maceration/peeling btwn digits |
|
|
Term
| tinea versicolor is caused by what? |
|
Definition
| malassezia furfur - yeast on skin |
|
|
Term
| deep punched out lesions over malleoli, plantar foot, toes |
|
Definition
|
|
Term
| painful, diminished pulse in legs, no preceeding dermatitis |
|
Definition
|
|
Term
| 4 stages of decubitus ulcers? |
|
Definition
1 = nonblanching erythema
2 = necrosis, superficial/partial thickness of epidermis, dermis
3 = deep necrosis, skin loss, extends to fascia
4 = full thickness with extensive damage to muscle/bone |
|
|
Term
| vitiligo is associated with? |
|
Definition
thyroid dx
pernicious anemia
DM
addison's dx
idiopathic |
|
|
Term
|
Definition
| allergy to food/drugs - PCN, sulfa, shellfish, peanuts, preservatives |
|
|
Term
| tx for chronic urticaria that doesn't respond to H1 ahtihistamies ? |
|
Definition
| try an H2 antistamine- pepcid, zantac, steroids |
|
|
