Clinical Cases Flashcards
symmetrical plaques on extensors scalp sacrum hands feet trunk nails
sharp demarcated scaly erythematous plaques
PSORIASIS
how do you treat psoriasis?
Emollients Vit D analogues Calipotriol oinment coal tar steroid ointments
photo therapy
retinoid -reduces skin turnover
what are comedones?
black heads and white heads
morphology of acne?
comedones
pustyules
papules
cysts
what is mild acne?
scattered papules and pustules
and comedones
what is moderate acne?
numerous plaques
pustules and mild scarrring
what is severe acne?
as above but with cysts
nodules and lots of scarring
how to you treat acne?
benzoyl peroxide
topical vit A
antibiotics
isotretinoid
papules, pustules and erythema with no comedones on nose chin and cheeks and forehead
rosacea
what antibiotic can you give for rosacea?
metronidazole
tetracycline long term
localised to one area or widespread on trunk and prox limbs
large tense bullae
blisters burst to leave erosions
no scarring
itchy erythematous plaques
Nikolsky sign negative
mucosal involvement not common
bullous pemphigoid
typically affects affects scalp, face, axilliae, groins
flaccid vesicles/bullae-thin roofed
lesions rupture to leave raw areas
Nikolsky sign positive
mucosal involvement very common
pemphigus vulagris
investigations for bullous disorders?
skin biopsy with direct immunofluorescence
treatment of pemphigus and pemphigoid
systemic steroids
tetracycline antibiotics in pemphigoid
topical emollients and steroids
