Clinical Cases Flashcards
What are some causes of psoriasis
Genetic Environmental Stress Drugs (B blockers and lithium) Infection
What is the commonest form of psoriasis
Chronic plaque psoriasis (psoriasis vulgaris)
What sites of the body are commonly affected by psoriasis
Extensors scalp sacrum hands feet trunk nails
Describe the appearance of psoriasis
Sharply demarcated, scaly, erythematous plaques
What type of psoriasis can be life threatening
Erythrodermic
What 4 things can happen to nails in psoriasis (psoriatic nail disease)
Oncholysis (lifting of nail from nailed)
Nail pitting
Dystrophy
Subungal hyperkeratosis
What are the main treatments of psoriasis
TOPICAL vitamin D ointments Coal tar Steroid ointments OTHERS phototherapy (UVB and PUVA) Immunosuppresion
Psoriasis has an association with some other medical problems. What are these
Obesity - losing weight may help to revers the condition
Joints - rheumatology
Describe what acne vulgarise is
chronic inflammatory disease of the pilosebaceous unit
What are the gradings of acne
Mild
Moderate
Severe
What is the treatment for acne
To control/ prevent scarring Topical treatments (antibacterial, topical vitamin A derivatives, topical antibiotics systemic treatment (antibiotics, isotretinoin)
What is a disadvantage of isotretinoin
You need to have contraceptive cover if female and of child bearing age
What can be used to treat an isotretinoin flare
Oral steroids
What areas of the body are affected by rosacea
Nose, chin, cheeks and forehead
What are some of the features of rosacea
Papules
Pustules and erythema with no comedones
What is the management of rosacea
Reduce aggravating factors Antibiotics Isotretinoin low dose if severe Telangiectasia Rhinophyma
What are some aggravating factors of rosacea
Dietary triggers
Sun exposure
Avoid topical steroids
What is the difference between Bullous disorders
Bullous pemphogoiD - split is Deeper, through DEJ
PemphiguS split more Superficial, intra-epidermal
What age group of patients get Bullous pemphigoid
Elderly patients
What is often the presenting feature of Bullous Pemphigoid
Itchy erythematous plaques and papillose
What is a negative nikolsky sign
When a blister will not rupture if gently pressed.
Where is affected in pemphigus vulgaris
scalp
face
axillae
groins
What happens when the lesions burst
they leave raw areas which cause an increased infection
Where else might be affected in pemphigus vulgaris
eyes
genitals
