9 - Derm - Viral infections - Pox viruses, Hand foot and mouth disease, Pityriasis rosea

Question 1

2 pox viruses

Answer 1

molluscum contagiosum

ORF (parapox virus)

Question 2

molluscum contagiosum - pox virus type? spread by? common in who?

Answer 2

type 1 or 2
direct contact
young infants/kids, esp if atopic

Question 3

molluscum contagiosum - appearance? mgmt?

Answer 3

small umbilicated papules on trunk
suppuration, crusting and redness

contagious but usually self limiting and not treated

Question 4

ORF (parapox virus) - transmitted from? appearance? mgmt?

Answer 4

from animals
small red purple papules on finger which may enlarge and blister
self limiting, ABx if secondary infection

Question 5

Hand foot and mouth disease - caused by ?? usually in who?

Answer 5

by coxsackie viruses

in small kids

Question 6

hand foot and mouth - appearance + mgmt features

Answer 6

red vesicles affecting mouth, palms, and soles but usually well

self limiting but contagious

Question 7

Pityriasis rosea - possible cause? mgmt?

Answer 7

poss by another herpes virus

can be pruritic, but self limiting - steroid or UVB if Sx require relief

Question 8

Pityriasis rosea - usually who? presentation?

Answer 8

young pts
HERALD patch - red plaque with scaling - 5-15d > smaller well defined red macules on trunk surrounded by collarette scale