30 - Parapsoriasis and Pityriasis Lichenoides Flashcards

1
Q

Peak incidence of parapsoriasis

A

Fifth decade - disease of middle aged and older people

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2
Q

LPP lesions are typically larger than

A

5 cm

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3
Q

Poikiloderma is defined as the triad of

A

Atrophy
Mottled pigmentation
Telangiectasia

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4
Q

Rare variant of LPP than presents as an extensive eruption of scaly macules and papules in a net-like or zebra-stripe latter that eventually becomes poikilodermatous

A

Retiform parapsoriasis

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5
Q

Distinctive variant of SPP which follows the lines of cleavage of the skin and gives the appearance of a hug that left fingerprints on the trunk

A

Digitate dermatosis

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6
Q

Digitate lesions with a yellow hue

A

Xanthoerythrodermia perstans

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7
Q

Parapsoriasis and MF are associated with an increased risk of

A

Acute myocardial infarction and stroke

Subsequent hematologic and nonhematologic malignancies

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8
Q

_____ can be regarded as the clinically benign end of the MF disease spectrum, which eventuates in _____ at its malignant extreme

A

LPP

Transformed large cell lymphoma

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9
Q

Unifying feature of the parapsoriasis group of diseases (LPP, SPP, pityriasis lichenoides) is that all of them appear to be _____ disorders

A

Cutaneous T-cell lymphoproliferative

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10
Q

_____% of cases of LPP progress to overt MF

A

10-30

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11
Q

Said to progress to overt MF in most cases

A

Retiform variant

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12
Q

Pityriasis lichenoides is more common in

A

Children and young adults

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13
Q

Pityriasis lichenoides has a seasonal variation favoring

A

Fall and winter

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14
Q

Present as recurrent crops of erythematous scaly papules that spontaneously regress over several weeks to months

A

PLC

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15
Q

Manifest as recurrent crops of erythematous papules that develop crusts, vesicles, pustules, or erosions before spontaneously regressing within a matter of weeks

A

PLEVA

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16
Q

More severe ulcerative variant of PLEVA that presents as purpuric papulonodules with central ulcers

A

Pityriasis lichenoides with ulceronecrosis and hyperthermia (PLUH) or
Febrile ulceronecrotic Mucha-Habermann disease (FUHMD)

17
Q

Pityriasis lichenoides lesions tend to concentrate on

A

Trunk and proximal extremities

18
Q

Characteristic of pityriasis lichenoides

A

Presence of lesions in various stages of evolution

19
Q

Most common complication of pityriasis lichenoides

A

Secondary infection

20
Q

Presence of large CD30+ atypical lymphoid cells is the hallmark of

A

Lymphomatoid papulosis (at least types A and C)

21
Q

Histopathology: all cases of pityriasis lichenoides contain

A

Interface dermatitis

22
Q

Mainstay of traditional therapy for pityriasis lichenoides

A

Combination of topical corticosteroids and phototherapy