Chronic Inflammatory Dermatoses - Westra

Question 1

Main clinical features of psoriasis! What are they?

Answer 1

Sharply demarcated erythema with scales
Auspitz Sign (bleed after removing scales)
Koebner Phenomenon (lesions induced by trauma)

Question 2

What is the asupitz sign again?

Answer 2

Bleed easily after removing scales

Question 3

Koebner Phenomenon, referes to what?

Answer 3

psoriasis lesions can be induced by trauma

Question 4

What are a few agents that are linked to psoriasis breakout?

Answer 4

Infection
Trauma
Stress
ETOH
Systemic steroids-especially upon withdrawal
Beta blockers
Lithium
Antimalarials
Indomethacin

(Just be very slightly familiar)

Question 5

What is a main difference between the chronic plaque type, inverse type, guttate type, and pustular type of psoriasis

Answer 5

Chronic plaque type - scalp, elbows, knees, palms and soles

inverse type - find it in all the fold areas

Guttate type - post strep infection often in kids, on trunk region

Pustular Type - real serious, hands and feet

Question 6

How does lichen planus present?

Answer 6

• autoimmune
• wrist and shins
• wickham’s striae (White lines) on mucous membranes

** 6 P’s ** That is VERY testbale

Question 7

How do you treat lichen planus

Answer 7

usually steroids

sometimes resolves itself

Question 8

Acute Systemic Lupus Erythematosus

What should you know?

Answer 8

It’s autoimmune

BUTTERFLY RASH - You can about guarantee this as a question on the quiz or final

Question 9

How do you treat systemic lupus erythematosus?

Answer 9

NSAIDS, steroids, immunosuppressants

Question 10

What are the 6 P’s of Lichen Planus?

Answer 10

Planar (flat topped)
Purple
Polygonal
Pruritic
Papules
Plaques