case studies Flashcards

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1
Q

A 58 year old man presents in July with blisters on the dorsal aspect of his hands which have been appearing over the last few months, crust over and heal leaving scarring. He works as a joiner and is aware that his skin has also been more fragile than usual. You notice that he has a lot of hair growing on his cheeks. He is generally well and on no medication

A

porphyria cutanea tarda

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2
Q

The woman is a 20 year old waitress. She is already very conscious of her skin at work and does not want to have to put any greasy or smelly treatment on as it may show on her shirt.

A

vit D analogue cream

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3
Q

a history of itch in the months preceding the onset of blistering is a sign of which bullous disorder?

A

bullous pemphigoid

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4
Q

A 78 year man of fair skin type who has a gradually enlarging nodule of his nose with telangectasia. It has bled occasionally if knocked but is otherwise asymptomatic. He has had no previous skin disease.

A

nodular basal cell carcinoma

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5
Q

A 73 year old woman presents with a red scaly plaque of her right calf present for 4 years. It has gradually grown and now looks unsightly but is otherwise not bothering her. She has no history of skin problems.

A

Bowen’s disease (intraepidermal squamous cel carcinoma)

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6
Q

A 39 year old woman with a longstanding lesion of her neck which in the last year has become more elevated and occasionally itchy. She has atopic dermatitis and mild asthma but is otherwise well.

A

Melanocytic naevus

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7
Q

A 29 year old man presents with a firm slightly pigmented raised lesion of the right shin, present for 6 months and not changing. It is
occasionally itchy but otherwise asymptomatic. He is generally well with no previous skin problems.

A

Dermatofibroma

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8
Q

elderly women with T2DM present with painful, elevated, well demarcated rash where it is reddest at the border. she is generally unwell with a mild fever. assoc lymphadenopathy.

most likely causative organism?

A

strept pyogenes - erysipelas skin infection

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