deck_3487113 Flashcards
- absence of melanocytes
* causes depigmentation
Vitiligo
- associated with defects in collagen support structure of dermis
Ehlers-Danlos Syndrome
- location: flexor surfaces in adults
- etiology: filaggrin mutation
- associated with asthma and allergic rhinitis
- staph aureus is suggested to exacerbate this disorder
- in children, is on cheecks and extensor surfaces
- eczema is type of atopic dermatitis
Atopic Dermatitis
- type of atopic dermatitis
Eczema
- etiology: common irritants
Irritant Contact Dermatitis
- etiology: common allergens
- delayed type hypersensitiviey reaction (type 4)
- diagnosis confirmed with patch testing
- skin biopsy would reveal spongiotic dermatitis
Contact Dermatitis
- location: lower legs
* etiology: lower extremity edema
Stasis Dermatitis
- same as nummular eczema
- round, annular, scaly plaques
- due to dry skin
- overuse of soap can make this worse
Numular Dermatitis
- location: scalp
- etiology: malassezia furfur
- also known as cradle cap
- infection of sebaceous glands
Seborrheic Dermatitis
- location: extensor surfaces
- may include arthritis
- may be associated with increased cardiovascular risk
Chronic Plaque Psoriasis
- skin cancer
- most common
- pearly
- common on nose
- tx: mohs surgery, vismoedgib (blocks smoothend gene)
Basal Cell
- second most common skin cancer
- occurs more common in immunosupporessed pts keratoacanthoma is a type of this cancer
- center crater
- develop rapidly
- on sunexposed skin, HPV, thermal injury
- actinic keratosis is premalignant skin lesion
Squamous Cell
- skin cancer
Melanoma
- often associated with immunodeficiency
Kaposi Sarcome
- can be treated with beta blockers
- most common benign soft tissue tumor of infants
- GLUT1 positive
Infantile Hemangioma
- associated with high levels of GLUT-1 expression (a placenta associated marker)
- also called strawberry hemangioma
Infantile Hemangioma
- associated with glaucoma and seizures
Port Wine Stain
- linear plaque on the face or scalp
- yellow-orange
- associated with allopecia
Nevus Sebaceus
- most commonly on face>trunk>extremity
* beign tumor of oil gland
Sebaceus Hyperplasia
- from fibroblast
- firm papule
- most common on legs
- dimple sign is characteristic
Dermatofibroma
- scar gowth above and beyond original border
Keloid Scar
- sudden appearance associated with adenocarcinoma of the stomach
Seborrheic Karatosis
- flat macules
* palms and soles most common
Junctional Nevus
- more common in asians and causcasians
Blue Nevus
- biggest risk factor for melanoma
- familial atypical moles and melanoma criteria: The occurrence of malignant melanoma in 1 or more first- or second-degree relatives The presence of numerous (often >50) melanocytic nevi, some of which are clinically atypical Many of the associated nevi showing certain histologic features CDK2NA mapped to 9p21 CDK4 mapped to 12q14 CMM1 mapped to 1p
FAMMM Syndrome
- six or more cafe au lait spots
- two or more neurofibromas
- axillary or inguinal freckling (Crowe’s sign)
- first degree relative with disorder
- autosomal dominant
Neurofibromatosis
- multiple lesions associated with neurofibromatosis
Cafe au Lait Patch
- melassezia furfur is causative agent
Tinea Versicolor
- acquired disease involving antibodies to cell-to-cell adhesion molecules in the stratum spinosum (keratinocytes)
- attacks desmosomes
Permphigus Vulgaris
- vitamin cross links tropocollagen together
- this disease is characterized by lack of vitamin C
- SS: keratotic plugging of hairs, corkscrew hairs, hemorrhagic gingivitis
Scurvy
- type 2 antibody mediated
* detachment between dermis and epidermis- hemidesomsomes
Bullous Pemphigoid
- do not debride
* tx with steroids and immunosuppression
Pyoderma Gangrenosum
- associated with hepatitis
Lichen Planus
- with internal malignancies, pts tend to have weight loss- most common is stomach cancer
- thickening of the skin
- common causes: obesity, diabetes
Acanthosis Nigricans
- filagrin mutation
Icthyosis Vulgaris
- honey colored
* associated with strep and staph
Impetigo