4. Allergic Diseases ( Eczema, AD and urticaria ) Flashcards

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1
Q

In atopic dermatitis, one of the postulated pathomechanism is defect in ? “ loss of function” mutation ?

A

Filaggrin.

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2
Q

When does the Angioedema resolves in acute urticaria ?

A

with 72 hrs.

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3
Q

The most common cause that provokes acute urticaria ?

A

Food and drugs.

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4
Q

How long does the wheals last in urticaria ?

A

Less than 24 hrs.

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5
Q

Most common types of Physical urticaria?

A
  • Dermographism: (reaction when the skin scratched)
  • Cholinergic urticaria: (on exercise,overheating, hot water or stress)
  • Delayed pressure urticaria.
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6
Q

TTT for urticaria ?

A
  • Anti-histamine 1. “1st choice”

- Cyclosporine.

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7
Q

Which type of allergy is involved in urticaria ?

A

type 1

- also AD is type 1.

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8
Q

Typical locations for seborrheic dermatitis ?

A
  • Eyebrows.
  • Naso-labial folds.
  • Scalp.
  • Sternal area.
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9
Q

Pink, itchy or “burning” swellings (wheals) is characterised for ?

A

Urticaria.

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10
Q

What is the TTT for AD?

A
  • Elimination of allergen.
  • Topical treatment ( Emollients, steriods and calcineurin inhibitors )
  • Systemic (steriods ttt only for short time) Antihistamine, tacrolimus, cyclosporine and tacrolimus.
  • PUVA.
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11
Q

What are the uticaria classes ?

A
  1. Ordinary urticaria.
  2. Physical urticaria.
  3. Angioedema urticaria (without wheals)
  4. Contact urticaria.
  5. Urticarial vasculitis.
  6. Autoimmune urticaria.
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12
Q

what is the major criteria for atopic dermatitis ?

A

Hanifin&_Rajka:

  • pruritus
  • typical location ( flexural distribution )
  • characteristic morphology of skin lesions
  • coexistence with atopic diseases patient or his family
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13
Q

Angioedema may be dependent with disturbances in complement system. Which kind ?

A

C1 inhibitor deficiency.

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14
Q

What is the major effector cells in urticaria ?

A

mast cells

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15
Q

Which type of allergy is involved in allergic contact dermatitis “ACD” ?

A

type IV.

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16
Q

Ordinary urticaria subtypes ?

A
  1. Acute: less than 6 weeks.
  2. Chronic: more than 6 weeks.
  3. Episodic: intermittent.
17
Q

Immunological pathogenesis of AD?

A
  • Elevated IgE in majority of case type 1 hypersenitivity.

- Elevated number of Th2. (17 too)

18
Q

Most common contact allergens are?

A

Chromium and nickel.

19
Q

Complication of atopic dermatitis ?

A

_rarely :

  • Eczema herpeticum.
  • Secondary infection
    with S. aureus.
  • Keratoconus
  • Cataracts
  • Keratoconjunctivitis
  • With secondary herpetic infection and corneal ulcers
20
Q

which class of urticaria present without wheals ?

A

Angioedema urticaria