Common Cutaneous Problems Flashcards
Bullous lesion Expands laterally when pushed
Pemphigus vulgaris
Characterized by nocturnal pruritis with curved or linear burrows
DX?
Tx?
Permethrin - treat patient, intimate contacts, family members same household
Apply permethrin 5% below neck repeat one week
DX? Scabies
Razor bumps, shave bumps,secondary infection,keloid formation are committed complications
DX?
Tx?
DX? Pseudofolliculitis barbae
Prevention electric shaver set to leave hair long, single blade razor, circular washing beard daily
Medical therapy- topical retinoids, alpha hydroxyl acids
Oval erythematous plaque like lesions that often develop on extensor surfaces (elbows, knees,scalp), asymmetric polyarthritis
DX?
Treatment?
DX? Psoriasis
Tx? Phototherapy >20% body
RECALITRANT disabling MTX, DMARDS, INfliximab, eternacept
Most common skin condition associated with celiac disease
Dermatitis herpetiformis
Most common cutaneous malignancy associated with immunosuppressed transplanted patients
Squamous cell carcinoma
Rare cause of skin ulceration associated with Crohn’s disease and ulcerative colitis
Pyoderma gangrenosum
Cutaneous autoimmune disease primarily a disease of the elderly with bullous formation
Bullous Pemphigus
Diagnosis bullous Pemphigus is achieved by skin biopsy that reveals
Autoantibodies deposited along the basement membrane of normal skin and biopsy edge of intact bullied will reveal separation at the basement membrane and sub epidermal blister
Treatment bullous Pemphigus
High potency topical steroids