Clinical Presentations in Dermatology

Question 1

generalised itchy rash and fever, crops of skin vesicles of different ages

Answer 1

chicken pox

Question 2

dermatomal distribution, tingling pain

Answer 2

shingles

Question 3

vesicles and pain in auditory canal and throat, facial palsy, irritation of 8th cranial nerve can cause deafness/tinnitus/vertigo

Answer 3

Ramsay Hunt

Question 4

Blistering rash at vermillion border

Answer 4

Primary gingivostomatitis (herpes simplex virus)

Question 5

fleshy, firm, umbilicated, pearlescent nodules with central punctum

Answer 5

warts (molluscum contagiosum)

Question 6

blistering rash at back of throat caused by enterovirus

Answer 6

herpangina

Question 7

slapped cheek

Answer 7

erythema infectiosum, parvovirus B19

Question 8

firm flesh nodules on hands of farmer

Answer 8

Orf

Question 9

target lesions with erythema

Answer 9

erythema multiforme

Question 10

pain, swelling, erythema, warmth, systemic upset, lymphadenopathy

Answer 10

cellulitis

Question 11

honey coloured crusts usually on face

Answer 11

impetigo

Question 12

sharply defined superficial infetion, often affects face unilaterally with fever

Answer 12

erysipelas

Question 13

associated with very intense itch

Answer 13

pediculosis (lice)

Question 14

symmetrical well defined red plaques with silver scale on extensor surfaces

Answer 14

psoriasis

Question 15

pain often relieved by elevation

Answer 15

venous ulcer

Question 16

pain relieved by hanging leg out of bed

Answer 16

arterial ulcer

Question 17

white scar tissue dotted with dilated, red cappilaries

Answer 17

atrophie blanche

Question 18

cafe au lait spots

Answer 18

neurofibromatosis

Question 19

shagreen patches

Answer 19

tuberose sclerosis

Question 20

flaccid blisters of trunk, sore but not itchy, positive Nikolsky’s sign

Answer 20

pemphigus vulgaris

Question 21

can be itchy, negative Nikolsky sign

Answer 21

bullous pemphigoid

Question 22

intermittent blistering of hands and feet, especially in hot weather

Answer 22

epidermolysis bullosa

Question 23

painful, slow growing lump, pearly, only invades locally

Answer 23

basal cell carcinoma

Question 24

usually on sun damaged skin, growth, may be painful

Answer 24

Squamous cell carcinoma

Question 25

most common on sun exposed sites, dark lesion

Answer 25

melanoma

Question 26

erythematous plaque on legs, precursor to carcinoma

Answer 26

Bowen’s disease

Question 27

anxiety, restlessness, insomnia, abdo pain, nausea, urine dark and red, vomiting

Answer 27

Acute Intermittent Porphyria

Question 28

Widespread symmetrical rash, mucous membranes spared, itch fever after taking drug

Answer 28

Exantematous drug eruption

Question 29

immediate prickling with delayed erythema and pigmentation after taking drug

Answer 29

photoxic cutaenous drug reaction

Question 30

well demarcated round/ovoid plaques, red and painful, on hands, genitlia, kips, oral mucosa, resolves whenn drug stopped

Answer 30

fixed drug eruption

Question 31

flush easily, made worse by spicy foods, temp change, hot drinks, sun exposure

Answer 31

rosacea