7 - ERYTHEMA AND URTICARIA Flashcards
Erythema multiforme minor is usually caused by
HSV infection
Erythema multiforme major is most often caused by
Mycoplasma infection
Recurrent self limited disease Sharply marginated, erythematous macules then evolve to papules Target lesions observed in palms and soles Koebner phenomenon
EM minor
Type of EM: Frequently accompanied by a febrile prodrome Lesions on extremities and face, may include trunk Mucous membrane disease prominent
EM major
Sharply marginated rapidly extending, tender, erythematous or violaceous, painful, elevated plaque, 2-10cm diameter Face, neck, upper trunk and extremities May burn but do not itch Fever
Sweet syndrome Acute febrile neutrophilic dermatosis
Majority of cases of Sweet syndrome follow this infection
URTI
Pregnancy associated Sweet syndrome usually presents in what trimester
1st or 2nd
Treatment for Sweet syndrome
Self limited Oral prednisone 1mg/kg/day
Begins as an inflammatory pustule with a surrounding halo that enlarges and begins to ulcerate Lower extremities and trunk
Pyoderma gangrenosum
Least aggressive form of pyoderma gangrenosum
Vegetative
Disease most often associated with pyoderma gangrenosum
IBD
Most common inherited auto inflammatory syndrome
Familial Mediterranean fever
Autosomal recessive Recurrent 12-72h of fever and monoarthritis and erysipela like erythema
Familial Mediterranean fever
Treatment for familial Mediterranean fever
Colchicine
Vascular reaction of the skin characterized by appearance of wheals surrounded by red halo or flare with severe itching Caused by localized edema
Urticaria