Bulls Disease and Neoplasm

Question 1

What has oral lesions? Pemphigous burglarous or bulls pemphigoid?

Answer 1

Pemph Vulg

Question 2

Macula adherens are desmosomes in epidermis of pemphigous valgaris

Answer 2

oh ok

Question 3

Nikolski sign is easily ruptured loose bullae in what?

Answer 3

Pemph vulgaris

Question 4

Pemphigus vulgaris tx?

Answer 4

HIGH DOSE STEROIDS

Azathioprine or mycophenalate reduce around

Question 5

Bullos pemphigoid tx?

Answer 5

TOPICAL STERIODS

Question 6

What is going on when patient has blitstering lesions, hyper pigmented skin, facial hypertrichosifs?

Answer 6

Porphyria

Question 7

Risk factor of porphyria cuteness tarda?

Answer 7

HEPATITIS C

Question 8

Chronic blisters in sun exposed areas?

Answer 8

Porphyria cutanea tarda

Question 9

tx or porphyria?

Answer 9

Phlebotomy to remove porphyrins

Hydroxychloroquine (hey, like lupus, and this one is a sun exposure issue too!)

Avoidance of sun, alcohol, iron supplements

Question 10

Actinic keratosis is what?

Answer 10

Presquamous cell cancer

5-FU or cryotherapy

Question 11

What is Mohs exision?

Answer 11

Serial shallow excision with histologic analysis to minimize damage if they are on face.

Used for basal cell or squamous

Question 12

Skin lesion (meaning neoplasm) that has telangiectasia?

Answer 12

Basal cell

Can do Mohs again

Question 13

Bumpy lesions are what?

Answer 13

Basal cell is bumpy (pearly)

Question 14

Is nodular melanoma bad??

Answer 14

Yes: grows only vertical (like a nodule), hard to find and spreads fast

Question 15

Superficial spreading
Nodular
Acral lentiginous
Lentigo maligna?

Answer 15

They are the 4 types of melanoma

Nodular only vertical growth
Acral in palms, soles and nailbeds

Question 16

Margin for melanoma?

if in situ?
2 mm thick?

Answer 16

RULE OF 2!

in situ is 0.5 cm
1 cm margin if