Common Cutaneous Problems

Question 1

Bullous lesion Expands laterally when pushed

Answer 1

Pemphigus vulgaris

Question 2

Characterized by nocturnal pruritis with curved or linear burrows
DX?
Tx?

Answer 2

Permethrin - treat patient, intimate contacts, family members same household

Apply permethrin 5% below neck repeat one week

DX? Scabies

Question 3

Razor bumps, shave bumps,secondary infection,keloid formation are committed complications
DX?
Tx?

Answer 3

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

Question 4

Oval erythematous plaque like lesions that often develop on extensor surfaces (elbows, knees,scalp), asymmetric polyarthritis
DX?
Treatment?

Answer 4

DX? Psoriasis

Tx? Phototherapy >20% body

RECALITRANT disabling MTX, DMARDS, INfliximab, eternacept

Question 5

Most common skin condition associated with celiac disease

Answer 5

Dermatitis herpetiformis

Question 6

Most common cutaneous malignancy associated with immunosuppressed transplanted patients

Answer 6

Squamous cell carcinoma

Question 7

Rare cause of skin ulceration associated with Crohn’s disease and ulcerative colitis

Answer 7

Pyoderma gangrenosum

Question 8

Cutaneous autoimmune disease primarily a disease of the elderly with bullous formation

Answer 8

Bullous Pemphigus

Question 9

Diagnosis bullous Pemphigus is achieved by skin biopsy that reveals

Answer 9

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

Question 10

Treatment bullous Pemphigus

Answer 10

High potency topical steroids