Benign Skin Lesions - PR Flashcards

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1
Q

What are the two types of nevi, and which one has malignant potential?

A

Congenital & dysplastic

Dysplastic = malignant potential

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2
Q

What is a Leser-Trelat sign, and what is it indicative of?

A

-a sudden increase in Seborrheic keratosis numbers → suggestive of internal malignancy

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3
Q

A new nevus at the age of 50 should raise suspicion of what?

A

melanoma (nevi typically appear in the first 3 decades of life)

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4
Q

What is the treatment for SK?

A

-Curette, cryotherapy, or electrodessication

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5
Q

What is the name for tiny SKs, arising in darker skin types, usually on the cheeks and temples which cannot be frozen off (due to scarring)?

A

Dermatosis papulosa nigra

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6
Q

What is the name for small white-gray SKs appearing on dorsal feet and ankles of older, fair skinned individuals?

A

Stucco keratoses

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7
Q

What is the Tx for actinic keratosis?

A

cryotherapy or keratolytic creams or biopsy

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8
Q

What are acrochordons?

A

-Fleshy papules arising in axillae, neck, groin, and eyelids, often pedunculated

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9
Q

Skin tags (acrochordons) can be a marker for?

A

insulin resistance and atherosclerosis

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10
Q

What are cherry angiomas caused by?

A

abnormal proliferation of blood vessels coming to the surface of the skin

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11
Q

What is the name of a vascular lesion of the skin secondary to minimal skin trauma?

A

pyogenic granuloma

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12
Q

A positive Fitzpatrick Dimple test is indicative of a…?

A

Dermatofibroma

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13
Q

What is the treatment of choice of keloids?

A

intralesional steroids (excision alone is a bad idea)

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14
Q

What are lipomas and what is the Tx?

A
  • collection of fat under the skin

- Tx: surgical and completely elective

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15
Q

What is the name for a mobile, subcutaneous, nodule, often with an overlying punctum, arising from hair follicles?

A

Epidermal Inclusion Cyst (EIC)

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16
Q

What is the name for tiny epidermoid cysts, often found on the face?

A

milia

17
Q

What is the name for firm, mobile, subcutaneous nodules, lacking punctum, filled with keratin, nearly always found on the scalp?

A

Pilar (trichilemmal) cysts

18
Q

What is the hallmark of Sebaceous adenomas?

A

telangiectatic vessels in the “valleys” between the hyperplastic sebaceous cells