Acute skin eruptions Flashcards
What are the two common causes of a rash?
Contact and drug reactions
Which is the most common cause of a rash?
Drug reaction
Poison ivy is what kind of reaction?
Contact reaction
This reaction is due to direct skin contact with an irritant or allergen?
Contact reaction
Hand dermatitis from household or industrial irritants are what kind of reaction?
Contact reaction
What percentage of industrial diseases are contact dermatitis?
65%
Contact dermatitis reactions causing industrial diseases result in an average of _____ of _____.
10 weeks
worker’s compensation
If the reaction is more generalized what should you ask about?
Adverse drug reactions
This often causes itchy, red, maculopapular skin eruptions, but can take any form.
Adverse drug reactions
If a patient presents a rash what should you ask?
Are you taking any medications - prescription, over the counter, vitamins, herbs…?”
What else can cause a rash?
Food and allergies
What could present with a generalized, nopruritic (non-itchy) rash?
Secondary syphilis
What rash is known as the “great imitator”?
Secondary syphilis
Secondary syphilis rash is often restricted to the?
Palms, soles, mouth, or genitals
What are other companions with secondary syphilis rash are?
White mucous patches, flat-topped
Moist genital warts (condyloma latum)
Spotty alopecia of the scalp
What is condyloma latum?
Moist genital warts
What usually resolves by the time the secondary rash appears with syphilis?
chancre
If the person has a secondary syphilis rash what should you inquire about?
Previous sores that were not sore and were slow to heal, esp. In genital, rectal, or oral areas.
If the rash doesn’t itch it could be?
Secondary syphilis
Do skin eruptions occur in all 3 stages of syphilis?
yes
What percentage of people who acquire syphilis have no serious symptoms?
75%
1-13 weeks after exposure during primary syphilis what usually appears?
chancre
What is a chancre?
Painless ulcer
Tertiary syphilis may appear when?
20 years after the primary stage
Skin presentations of tertiary syphilis are?
gummas
Tertiary syphilis may involve?
Any organ, including CNS, cardiovascular system, bones, eyes, etc.
