Chronic Inflammatory Skin Conditions Flashcards

1
Q

What is this?

A

Psoriasis - Plaque psoriasis

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2
Q

What is the pathophysiology behind psoriasis?

A

Chronic inflammation the skin and hyperproliferation of the keratonocytes with the inflammation

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3
Q

What are some precipitating factors for psoriasis?

A

Trauma

Infection

Drugs/Alcohol

Stress

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4
Q

What are the types of psoriasis?

A
  1. Chronic plaque - Most common extensor surfaces
  2. Seborrhoeic - Nasal folds
  3. Flexural (Inverse)
  4. Guttate - drop shaped and salmon pink
  5. Pustular
  6. Erythrodermic
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5
Q

What are the common symptoms of psoriasis including the appearence of the rash

A

Appearence - Well demarcated erythematous plaque that is scaly

Symptoms - Itchy, burning, painful and may bleed

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6
Q

What are some systemic symptoms of psoriasis?

A

Psoriatic arthropathy

Onycholyis

Pitted nails

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7
Q

What are five treament methods for psoriasis?

A
  1. Education - not malignancy/infection, avoid triggers
  2. Topical emolients and steroids to maintain barrier and reduce inflammation
  3. Vitamin D/Retinoids - slow keratinocyte production
  4. Phototherapy - reduce inflammation in extensive disease
  5. Systemic immunosuppresants if needed eg methotrexate
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8
Q

What is this?

A

Eczema/Dermatitis

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9
Q

What is this?

A

Eczema/Dermatitis

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10
Q

What is atopic eczema?

A

This is ezcema that appears during childhood and normally clears by teenage years but can remerge.

Atopic means sensitive to things

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11
Q

What is the pathophysiology behind eczema and what can cause it?

A

It is a skin barrier dysfunction characterised by HIGH IGE where the body attempts to fight causes which leads to the symptoms.

Causes:

  1. Heat
  2. Food
  3. Allergens
  4. Stress
  5. Infection
  6. etc
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12
Q

What does an ezcema rash look like?

A

Erythemtous, dry, scaly

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13
Q

Where does eczema commonly appear?

A

Face or extensors of infants

Flexors of children adults

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14
Q

What does it have to be to be ezcema?

A

ITCHY

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15
Q

What happens from chronic itching of eczema?

A

Lichenification

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16
Q

What is the management of eczema?

A
  1. Avoid triggers
  2. Emolients and steroids (barrier and reduce inflammation)
  3. Anti histamines
  4. Antobiotics for secondary infections
  5. Phototherapy or immunosuppression
17
Q

What are some complications of eczema?

A

Infection

Ezcema herpitacum - Decreased immune response in asthma leads to widespread herpes

18
Q

Topical Steroids are commonly used to reduce inflammation. What are they and their strengths

A

Weak to high:

Hydrocortisone

Eumavate

Betruvate

Dermovate

Help Every Bad Dermatologist

19
Q

What is acne?

A

Blocking of sebaceous follicles with sebum.

More sebum is produced at puberty and this causes blockages and the formation of comedones

20
Q

What is this?

A

Comedone

open - blackhead

closed - whitehead

21
Q

What is this?

A

Facial acne

22
Q

How can acne present?

A

Non inflammatory lesions (comedones)

Inflammtory lesions which can my papular, pustular and cystic

23
Q

What is the treatment for acne?

A

Topical therapies if mine - Antimicrobials and retinoids (these are comedolytic by incouraging skin shedding)

Oral therapies

Oral retinoids if severe

24
Q

What is this?

What sets it apart from other face rashes?

A

Rosacea

It is all over the face

25
What is this?
Fibrous rosacea
26
What is rosacea?
Chronic facial dermatitis due to telengectasia. The abnormal flow causes papules, pustules and fibrosis
27
What is the cause of rosacea?
Unknown
28
What is the management of rosacea?
Doxycycline and metranidazole for anti inflammatory properties Relapsing and cant get rid of it
29
What is this?
Lichen planus
30
What is lichen planus?
Itchy papular rash of unknown cause that is non infectious. It often lasts for around two years and is self limiting. Can use steroid creams to reduce inflammation
31
What is the apperance of a lichen planus rash?
Rash, papular, erythematous border, shiny papules which become confluent