Common Skin Disorders Flashcards
Superficial inflammation of the skin that is more common to the older population
Eczema (UK) / Dermatitis (USA)
Cause of Eczema/Dermatitis
Irritants, exposure, allergies, and idiopathic genetic factors
3 stages of Dermatitis
Acute
Subacute
Chronic
S/Sx of acute dermatitis
Extensive erosions
Serous exudate
Erythematous vesicles
Pustule
S/Sx of subacute dermatitis
Erythema
Excoriations
Scaling papules
Silvery sheen
S/Sx of chronic dermatitis
Thickening of the integumentary system
A chronic inflammation that appears before asthma and is related to autoimmune problems
Atopic Dermatitis
Atopic conditions
Asthma
Allergic Rhinitis
Atopic Dermatitis
a structural protein found in the epidermis, particularly in the granular layer primarily forms that stratum corneum
Filaggrin
Clinical manifestations of Atopic dermatitis
manifests in localized areas such as skin folds
dry skin
Xerosis
Crusting
Pruritus
Most common environmental skin condition that is triggered during skin-to-skin encounter with a triger
Contact Dermatitis
Triggers of contact dermatitis
Fake jewelries (nickel)
Chromate
Wool fats
Rubber additive
Topical antibiotics
A skin disorder caused by venous insufficiency
Stasis Dermatitis
S/Sx of Stasis Dermatitis
Pruritus
Heaviness in the leg
Hemosiderin staining
Wound located in the medial malleolus
Rx for Stasis Dermatitis
Compression
AROM
Unna boots (for amb)
A skin disorder commonly correlated to acne however, it has an idiopathic cause
Rosacea
Risk factors of Rosacea
Autoimmune
H. Pylori
S/Sx of Rosacea
Erythema
Telangiectasia
Blepharitis
Keratitis
Rhinophyma
thickening of the nose, bulbous appearance
Rhinophyma
inflammation of the cornea
Keratitis
Visible broken blood vessels
Telangiectasia
Inflammation of the oil glands inside the eyelids
Blepharitis
Another name for warts
Verrucae
Name for plantar wards
Verruca plantaris
Type 1 Herpes Simplex
Cold sore, fever blister
Type 2 Herpes Simplex
Genital lesion
A superficial skin infection commonly caused by streptococci or staphylococci
Impetigo
Another name for Impetigo
Pyoderma
Mode of transmission of Impetigo
Direct contact`
S/Sx of Impetigo
Small macules
Oozing, inflammation of the glands
Malaise
Isolated bullae
A rapidly spreading acute inflammation with infection of the skin and subcutaneous tissue that spreads
widely through tissue spaces
Cellulitis
Cause of Cellulitis
Streptococcus pyogenes and Staph in adults
Hemophilus Influenza B in children
Types of Cellulitis
Erysipelas
Facial
Parametritis
Surface cellulitis
Erysipelas
Cellulitis in the cheeks or neck
Facial
Cellulitis found around the pelvis or around the uterus
Parametritis
S/Sx of Cellulitis
Erythematous, edematous, and tender
Feels hot to touch
Red streaks
Rx for Cellulitis
Intravenous antibiotics
Oral antibiotics
Good nutrition and hydration
Avoid contact with others
A viral infection that causes an outbreak of a painful rash or blisters on the skin
Herpes Zoster
Another name for Herpes Zoster
Shingles
HSV-1 is common among what population
Individuals with weakened immune systems or immunocompromised people
Mode of transmission of HSV-2
Sexual contact
Stages of Herpes Zoster
Pre-eruptive
Acute Exudative
Chronic
Stage of Herpes Zoster where it presents with burning pain on affected area at least or before 48 hrs, skin rashes appear, headaches, sensitivity to light
Pre-eruptive
Stage of Herpes Zoster where it presents with several umbilicated and painful blisters emerge, form ulcers. It is the most infectious phase of HZ
Acute Exudative Stage
Stage of Herpes Zoster where it presents with intense discomfort persisting more than 4 wks, dysesthesias and paresthesia
Chronic
Common, benign viral infections of the skin and adjacent mucous membranes
Warts/Verrucae
Cause of Warts
Human Papillomavirus (HPV)
S/Sx of warts
Thick white surface
Pointed projection
Elevated
Rx for Warts
Salicylic acid
Cryotherapy and use of acids
Electrodissection
a common skin infection caused by fungi known as dermatophytes
Ring worm/Tinea Corporis
Ringworm on the head
Tinea Capitis
Ringworm found in hair follicle
Tinea Barbae
Athlete’s foot
Tinea Pedis
Jock Itch
Tinea Cruris
Ringworm found in the nails
Tinea Unguium
Cause of tinea pedis
Yeast infection (candidiasis)
S/Sx of Athlete’s foot
Foul odor
Erythema
Skin peeling
A highly contagious skin eruption caused by itch mite (Sarcoptes Scabiei)
Scabies
Clinical manifestations of Scabies
Intense pruritus
Linear ridges
Vesicles
Pustules
Rx for Scabies
Scabicide
Permethrin
Ivermectin
An infestation by Pediculus humanus, a very common parasite infecting the head, body, and genital area
Pediculosis
Cause of Pediculosis
Infestation of Pediculus humanus
Types of Pediculosis
Pediculus Humanus
Pediculus Capitis
Pediculus Corporis
Rx for Pediculosis
Appropriate cleaning solution
An autoimmune skin disorder caused by stress, anxiety, and emotional distress
Psoriasis
S/Sx of Psoriasis
Erythematous papules and plaques
Silvery scale
Painful and itchy
Rx for Psoriasis
Phototherapy
Immunosuppresants
Aka Scleroderma
Systemic Sclerosis
A type of Systemic Sclerosis that presents with skin involvement limited to the hands, face, forearms, and lower legs. It presents with CREST syndrome
Limited Cutaneous Systemic Sclerosis
The most common type of Systemic Sclerosis with a more widespread skin involvement, often affecting the trunk and proximal extremities.
Diffuse Cutaneous Systemic Sclerosis
Stages of Systemic Sclerosis
Edematous
Sclerotic
Atrophic
S/Sx of Edematous stage Scleroderma
B non-pitting edema at distal extremities
S/Sx of Sclerotic stage Scleroderma
Tight, smooth, waxy or shiny
Loss of skin folds
Pigmentation changes
Nose-pinched appearance
S/Sx of Atrophic stage Scleroderm
Atrophy of skin/muscle
Contractures
Marked weakness
inability to ambulate
Rx for edematous stage
ROM
Rx for sclerotic stage
Assistive devices
Rx for atrophic stage
prevent ulceration
Inflammation of the connective tissue with unknown cause
Systemic Lupus Erythematosus
S/Sx of SLE
Discoid lesions
How many items in the ACR classification of SLE should be present to diagnose SLE?
4/11
ACR classification of SLE
Malar rash
Discoid rash
Photosensitivity
Oral ulcer
Arthritis
Serositis
Immunologic d/o
Renal d/o
Neurologic d/o
Hematologic d/o
Rx for SLE
Sunscreen
Protective clothing
NSAIDs
Biologics
Immunosuppressants
A flat red rash over the back of the fingers, elbows or knees. Typical lesions over bony prominences on the extensor surfaces of the hand.
Gottron’s sign/papules
S/Sx of Polymyositis
Ms weakness
Wt. loss
Atrophies
Fatigue
Bed bound
S/Sx of Dermatomyositis
Inflammation of the area
Heliotrope rash (Lilac)
Erythema
Patchy
Scales
Overexposure to cryotherapy, cold air or cold water
Cold injuries
Localized cold injuries
Frostbite
Systemic cold injuries
Hypothermia
RF for Cold injuries
Lack of insulating body fat
Age
Homelessness
S/Sx of Cold injuries
Numbness
Swelling
Pale
Skin becomes white until thawed
Tingling
Pain
Blisters