Ch. 8- Eczematous Rashes Flashcards
What are the hallmarks of dermatitis?
- marked pruritus
- indistinct borders
- epidermal changes characterized by vesicles, juicy papules, or lichenification
What is a chronic, relapsing intensely pruritic, eczematous condition of the skin that is associated with a personal hx. or family hx. of dz?
atopic dermatitis
What is the clinical hallmark of chronic atopic dermatitis?
lichenification
What is the most distressing and prominent symptom of atopic dermatitis?
pruritus (itching)
Which eczematous rash presents as flexural lichenification in adults and older children?
atopic dermatitis
Which eczematous rash presents as facial and extensor papulovesicles in infancy?
atopic dermatitis
To be sucessful, what must treatment eliminate in atopic dermatitis?
pruritis
T/F: Bacterial and viral skin infections are common in atopic dermatitis.
TRUE
a syndrome of atopic dermatitis characterized by recurrent pyoderma, raised serum IgE levels, and decreased chemotaxis of mononuclear cells.
hyper-IgE syndrome
What is the etiology of atopic dermatitis?
- a disrupted skin barrier
- disturbed immunologic response
What is an inflammatory reaction of the skin precipitated by an exogenous chemical?
contact dermatitis
What is produced by a substance that has a direct toxic effect on the skin?
irritant contact dermatitis
What triggers an immunologic reaction that causes tissue inflammation?
allergic contact dermatitis
What are the most common causes of allergic contact dermatitis?
- poison ivy or oak
- cosmetics/personal care pdts.
- nickel
- rubber compounds
- topical meds
Linear streaks of vesicles are characteristic of contact dermatitis to ____.
poison ivy or oak
T/F: The location of the contact dermatitis is insignificant.
FALSE (location often provides a clue to the nature of the contact)
What laboratory test helps in identifying the responsible allergen or allergens involved with contact dermatitis?
Patch tests
Which contact dermatitis is a nonspecific inflammatory reaction resulting from toxic injury of the skin?
irritant contact dermatitis
Which contact dermatitis is a cell-mediated, delayed type IV immunologic reaction?
allergic contact dermatitis
Which rare eczematous appearing disease presents with ivory white papules and atrophic patches?
lichen sclerosis
Which rare eczematous appearing disease affects the superficial epidermis, causing erythematous scaling with some crusting, and a few flaccid bullae and erosions?
pemphigus foliaceus
What is a rare x-linked recessive disorder that may appear like atopic dermatitis?
Wiskott-Aldrich syndrome
Which rare eczematous appearing disease is characterized by increased IgA & IgE levels, decreased IgM concentration, and impaired cell-mediated immunity?
Wiskott-Aldrich syndrome
Which rare eczematous appearing disease is an inherited or acquired malady characterized by perioral, genital, and acral dermatitis plus diarrhea.
zinc deficiency