Ch 13 Regional Dermatology Flashcards
Hair Growth
From placode mesenchymal cells in development
-Matrix is where melanocytes enter to cause color
Hair Cycle
-Anagen: Growth
-Catagen: Stop growth and clubbing of nail
Telogen: Shedding
Localized alopecia
Nonscarring: Areata, Traction, Human ringworm, Trichitlomania
Scarring: burns, LE, Ringworm non human, Aplasia Cutis, Cicatrical BC, Lichen planus, Sarcoid, pseudopalade
Areata
T cell infilatrate around hair bulbs
- HLA D and DOwns are associated
- Exclemation mark short hairs that taper towards scalp
- Syphilis may cause moth eaten hair, Margin is bad prognosis
Androgenetic
- Turn to velus
- Genetic
Traction
-May cause folliculitits and maybe scarring
RIngowowm
Scarring when non human strains
Scarring
Discoid LE
-Lichen Planus, morphea
Telogen Efflucivum
-Stress causes hairs to synchronize in catagen and then shed diffusely
Can be seen accompanying beaus lines
Hypohidriotic Ectodermal Dysplasia
- Teeth, Nails, Hair
- Can’t sweat
- XLR
Netherton
- Ca metabolism
- Also causes icthyosis
Hirsuitism
- Most is familial and idiopathic
- PCOS common cause
- If Virilization look for cause
Beckers Nevus
-Hypertrichosis
Cosmetics
PPD can cause contact allergy
Hypertrichosis
Anorexia Drugs: Cyclosporin Cutaneous Porphyrias FAS/Phenytoin Malignancy leads to lanugo
Nail Structure
Nail Fold which houses the matrix which makes that plate that sits on the bed
Onychogryphosis
-Thickening of the nail due to long term repeated trauama
CT diseases
Can cause telangectasia
Lichen Planus
Longitudinal Grooves with thinning
Acute Paronychia
- Pussy infection beneath nail, commonly near the matrix and initial plate
- Commonly caused by staph