Clinical signs Flashcards
Causes of Nail Pitting
PATE
Psoriasis
Alopecia Areata
Trauma
Eczema
Calcium deficiency
Sarcoidosis
Causes of Erythroderma
PEDLI
GOLFPINS
Common - PEDLI
* Psoriasis
* Eczema
* Drugs
* Lymphoma
* Idiopathic
Uncommon - GOLF PINS
* GvHD
* Ofuis
* LP / Lupus
* Fungus
* PRP / Pemphigus foleaceous
* BP
* Infection (scabies)
* Nethertons
* Sarcoid / SJS / TEN
Erythroderma, Complications
THE INET
-
Thermoregulatory - need twice daily temps with a low reading thermometer
* Haemodynamic changes eg CCF / fluid shift / renal failure - Electrolyte disturbances
- Infections (skin, resp, other)
- **Nutritional **- lose albumin, need high protein diet and dietician review
(decreased B12, folate, iron, albumin, Hb, Na, Ca) - Nails: beaus lines, onychomadesis (shedding)
- Ectropion
- Thrombophilia - DVTs, need heparin, TEDS
Facial Papules, Causes
BASKET IN CASE
BASKET IN CASE
Syndromic
* BCC – Gorlin’s
* Angiofibromas - TS
* Sebaceous neoplasms – Muir Torre
* KAs – Ferguson-Smith, Gryzbowski
* Epidemoid cysts – Gardner’s,
* Gorlin’s Trichoepitheliomas - BSS
* Tricholemmomas – Cowden’s
* Trichodiscomas - BHD
Other:
* Lipoid proteinosis (along eyelid margin), Infections (warts)
* Neurofibromas
Non-syndromic
* Cysts, Colloid milium
* Acne, acne agminata, rosacea, POD, demodex folliculitis
* Sarcoid, syringomas
* Eruptive milia
Facial Plaques, Causes –
GIRLS FAT V
GIRLS FAT V
- Granuloma annulare / faciale
- Infective (tinea, TB, leprosy, lupus vulgaris)
- Rosacea
- Lupus (discoid, tumid -smooth), Lymphocytoma cutis (smooth), CTCL (scaly), CBCL (smooth), Jessner’s
- Sarcoid, Sweet’s
- Follicular mucinosis
- Amyloid
- Tumours (BCC, Bowen’s, Kaposi’s sarcoma etc)
- Vasculitis / Vascular – EED, angiolymphoid hyperplasia, Kaposi’s sarcoma
Folliculitis Causes
IMP DIODE
IMP DIODE
- Infection (bacterial - staph, strep, pseudomonas, gram neg, fungal - pityrosporum, candida, dermatophyte, viral - HSV)
- Mechanical (pseudofolliculitis barbae)
- Perforating folliculitis
- Drug induced (CS, BRAF inhibitors)
- Irritant (tar)
- Occlusive
- Demodex
- Eosinophilic
Genital Ulcers
BLINDE COB
BLINDE COB
- Behcet’s, PG, Benign aphthosis
- LP (erosive)
- Infective - HSV, chancre, donovanosis, chancroid, lymphogranuloma venereum
- Neoplasia
- Fixed Drug Eruption, Dermatitis - ACD
- Erythema Multiforme
- Crohn’s
- Other - trauma, artefact
- Bullous - MMP, pemphigus
Hep C Cutaneous Features
CUP PLEASE + features liver failure + interferon effects (psoriasis)
** CUP PLEASE + features liver failure + interferon effects (psoriasis)
**
- Cryoglobulinaemic vasculitis Urticarial vasculitis, urticaria Polyarteritis nodosa
- PCT, pruritis, psoriasis from interferon
- Lichen planus, LCV
- Erythema nodosum
- Acral erythema,
- necrolytic Sjogren’s-like syndrome
- Erythema multiforme
- *Hep B = PAN, Gianotti Crosti
HIV Cutaneous Features
Sprinkle GVHD
**Sprinkle GVHD
**
- Seb derm
- PRP, papular pruritic eruption Reiter’s
- Infections
- Neoplasms
- Kaposi sarcoma
- Lipoatrophy / Lipodystrophy Eosinophilic folliculitis
- GA
- Vasculitis
- Hair loss (telogen effluvium),
- Hairy Leukoplakia (Oral)
- Drug side effects,
- Drug eruptions (SJS, TEN)
Psoriasiform eruptions – drug causes
PLAN BIT
PLAN BIT
- Prednisolone withdrawal
- Lithium
- Antimalarials & ACEIs
- NSAIDs
- Beta blockers, Ca++ blockers
- Iodide & IFNa
- Terbinafine
Red Face Causes
RED FACE
RED FACE
Rosacea
Eczema
Dermatitis - seb derm, perioral, allergic
Foto (CAD, drug, fungal)
Acne and variants, ACD
CTD - LE and DM
Extra - erysipelas, pemphigus, solar keratoses
Red Scaly Plaques, small - causes
GPS
** GPS**
Guttate psoriasis (Gianotti Crosti in child), small plaque psoriasis
Pityriasis rosea, PLC / PLEVA
Secondary syphilis
Scalp plaque
FIN MASS
FIN MASS
- Follicular mucinosis
- Infective - kerion, deep fungal, atypical mycobacteria
- Neoplasm
- Metastasis
- Aplasia cutis
- Sebaceous nevus
- Sarcoid
Shin Plaques – causes
PLANK
PLANK
Pretibial myxoedema, Panniculitis (EN, EI)
LSC / LP / LDS, Lymphoma (B Cell) Amyloidosis
NLD
Kaposi sarcoma
IBD Cutaneous Features Classification -
DR AND
Directly related
- genital ulcers
- metastatic crohns
- scrotal tongue,
- angular cheilitis,
- aphthae,
- fissures,
- orofacial granulomatosis
Reactive
- EN,
- PG,
- Behcet’s
- Sweet’s
- BADAS
- LCV
- pyostomatitis/pyodermatitis vegetans,
- PAN (Crohn’s)
Associations
- EBA,
- Linear IgA,
- HS,
- subcorneal pustular dermatosis,
- psoraisis
Nutritional Deficiency
- iron deficiency
- pellagra
- Zn deficiency
Drugs
- corticosteroids (atrophy)
- PPP from TNFs
Photosensitivity
CLAW DRIPS
CLAW DRIPS
Callosities
Lichen planus, LE
Arsenic
Warts
Drug,
Reiter’s
Infection (tinea, yaws, syphilis)
Psoriasis, porokeratosis
Sarcoid, Sezary
Photo-aggravated Dermatoses
ABCDE LIMP
ABCDE LIMP
Acantholytic (HH, Dariers, GD)
(Immuno)bullous
CTD (SLE, SCLE, DM, REM)
DSAP
EM, Eczema (AD, Seb Derm)
Lymphocytic (LC, JLI, MF), Lichen Planus
Infection (LGV, VZV)
Metabolic (Pellagra, Carcinoid), MF
Psoriasis, PRP
Genital Ulcers
Blind COB
Blind COB
Benign apthosis, Behcets
Lichen planus
Infection: (CHISEL) chlamydia, HSV, granuloma Inguinale(donovanosis), syphlis, EBV, LGV
Neoplastic - SCC
Drug - Fixed drug eruption, ACD
Crohn’s
Other - trauma, artefact
Bullous - MMP, BP, PV
Painful Tumours
BLEND AN EGG
BLEND AN EGG
Blue rubber bleb
Leiomyoma
Eccrine spiradenoma
Neuroma
Dermatofibroma
Angiolipoma, angioleiomyoma
Neurilemmoma
Endometrioma
Glomus tumour
Granular Cell Tumour
Alopecia
AAATTENDSSSS
ATTENDS
Androgenetic alopecia / FPHL
Alopecia Areata
Anagen effluvium
Telogen effluvium
Tinea, trichotillomania
Endocrine
Nutritional
Drug
Syndromes
Syphillis
SLE
Scarring alopecia
Scarring Alopecias
5 L’s, 4 F’s, 3 S’s
5 L’s, 4 F’s, 3 S’s
Lichen Planopilaris
Lupus vulgaris
Lupus erythematosus
Leprosy
Linear scleroderma
Frontal fibrosing alopecia
Folliculitis decalvans
Follicular degeneration syndrome
Favus
Sarcoid
Syphilus
Secondaries
Causes of Acquired Ichthyosis
DRINESS
DRINESS
Drugs- CRACKL
Renal failure
Refsums (late onset congenital)
Infections- leprosy, HIV
Neoplasms- lymphomas, KS
Nutritional- EFA deficiency, haemachromatosis, wasting disease
Endocrine- hypo: thyroid, PTH, pituatory
Sarcoidosis, SLE, Dermatomyosistis
Solar damage
Red plaques on penis
RED PENIS
RED PENIS
Reiter’s
Erythroplasia of Querat
Drugs, fixed
Psoriasis, Plasma cell balanitis, lichen Planus
Eczema
Neoplasm- SCC, KS
Infection- Candida, warts (Bowenoid papulosis)
Syphilis
Very Itchy Papules
SIGNALLED
Scabies and other Infestations
IBR, Infiltrates
Grover’s
Neurodermatitis (prurigo)
Allergy (urticaria)
LP
Lichenoid drug
Eczema (papular)
DH, Drug eruption
Causes of SCALY RASHES
DRES PIN
Drugs
Rare - Ichthyoses, Darier’s, Acrokeratosis verruciformis, Keratodermas, Ectodermal dysplasias, Perforating, Bazex
Eczematous -Atopic, Discoid, Seborrhoeic, Contact, Asteatotic, Chronic superficial dermatitis
Scabies
P+MLR
Psoriasiform
Psoriasis, Pityriasis (rosea, lichenoides), PRP, PMLE, Porokeratosis (actinic, Mibelli, etc) MF, LE, LP, LSC, Lues, Leprosy, Reiter’s synd
Infection -Tinea, Pityriasis versicolor, Erythrasma, Candidial, Impetigo, Atypical mycobac, Lues, Leishmaniasis, Leprosy, Murray Williams warts
Neoplasm: BCC (superficial), Bowen’s, SCC, MF
Causes of pustular eruptions in the neonate
SICK PAED TEAM
- Scabies, Syphilis
- Impetigo (& other bac – strep, staph, listeriosis, sepsis)
- Candidiasis (neonatal, congenital)
- Kaposiform- (herpetic) HSV, Varicella
- Psoriasis (pustular)
- Acropustulosis, infantile
- Eosinophilic folliculitis, (& Hyper IgE synd)
- Drugs
- Transient neonatal pustulosis
- Erythema neonatorum, Erythema toxicum
- Acne
- Miliaria (probably is pityrosporum folliculitis ie Malasezzia furfur)
Causes of Palmar Pits
BAD PACK
-BCC naevus syndrome
-Arsenic
-Darier’s
-Porokeratosis
-Acrokeratosis verruciformis
-Cowden’s
-Kitamura, acropigmentation of
Multiple Keratotic Papules back of Hands
SMELL CAB
- SK s
-Multiple warts
-Epidermodysplasia verruciformis, EPP (chronic cases)
-Lipoid proteinosis
-LSC (papular), LP
-Colloid milium
-Acrokeratosis verruciormis (-like lesions in Darier’s)
-Bushke Ollendorf
Causes of acquired lymphoedma
DRIVING
DRIVING
- Disuse
- Rx- surgical, XRT
- Inflammatory disease- dermatitis, rosacea
- Venous disease
- Infections- cellulitis, filariasis
- Neoplasm (direct infiltration)
- Granulomatous cheilitis
Causes of facial oedema
SALAD ACT
-SVC obstruction
-Angioedema
-Lymphoedema
-Amyloid
-DM
-Acne & rosacea, post
-Contact dermatitis
-Thyroid, hypo
