Acute & emergency derm presentations

Question 1

Give examples of acute & emergency derm presentations

Answer 1

SJS/TEN

DRESS

SSSS

Blistering disorders

Necrotising fascitis

Erytherma multiforme

Eyrthoderma

Erythrodermic and pustular psoriasis

Eczema herpeticum

Question 2

This rash is typical of

Answer 2

Bullous pemphigoid

(shows tense intact blisters)

Question 3

This rash is typical of

Answer 3

Pemphigus vulgaris

(shows flaccid blisters)

Question 4

This rash is typical of

Answer 4

Eczema herpeticum

(shows hows extensive crusted papules, blisters and “punched out” erosions)

Question 5

List features of DRESS

Answer 5

Eosinophilia

Sysetmic symtpoms

Fever and widespread rash

+/- organ involvement

Question 6

What does erythroderma typically present as

Answer 6

Inflammed, odemaous, scaly skin

Question 7

What is the commoest cause of eczema herepticum

Answer 7

HSV

Question 8

What does management of urticaria not involve

Answer 8

Antibiotics (CHECK THIS)

Question 9

Describe bullous pemphgoid

Answer 9

Autoimmune condition caused by antibodies directed at dermo-epidermal junction

Question 10

This rash is from

Answer 10

Urticaria

shows central swellings of variable size, surrounded by erythema typical of urticaria

Question 11

Which of the following is true:

1. Surface area of epidermal detachment in SJS is >30%
2. Surface area of epidermal detachment in SJS is <10%
3. Surface area of epidermal detachment in TEN is <10%
4. Surface area of epidermal detachment in TEN is <30%

Answer 11

2

Question 12

Which of the following is not a feature of necrotizing fasciitis:

1. fever
2. blistering skin
3. crepitus
4. painless

Answer 12

4

Question 13

What type of hypersensitivy reaction is DRESS

Answer 13

Type 4

Question 14

This is rash is from

Answer 14

Erythema multiforme

shows “target lesions” typical of erythema multiforme

Question 15

Eythema multiforme is typically caused by what type of infections

Answer 15

Viral

Question 16

What is the commonest cause of acute urticaria:

1. food allergy
2. viral infection
3. drug reaction
4. idiopathic

Answer 16

4. Idiopathic

Question 17

Which of the following are false:

1. Pemphigoid usually affects elderly people
2. Patients usually systemically well
3. Mouth is usually affected in pemphigoid
4. Pemphigoid usually heals without scarring

Answer 17

3

Question 18

This rash is from

Answer 18

Necrotising fascitis

shows extensive erythema and necrotic tissue

Question 19

Chronic urticaria is defined as lasting

Answer 19

>6 weeks

Question 20

This rash is from

Answer 20

Erythrodermic psoriasis

shows generalised erythema and psoriatic scaling

Question 21

This rash is from

Answer 21

Eythroderma

shows extensive exfoliative dermatitis