Derm

Question 1

Bullae on sun-exposed surfaces + Hairy

Answer 1

Porphyria Cutanea Tarda

Dx: Wood Lamp = red urine

Tx: Avoid sun

F/U: Look for: 1) Hemochromatosis, 2) Hep C, 3) recent onset OCP use

Question 2

Easily torn blisters + Blisters on oral mucosa

Answer 2

Pemphigus Vulgaris

Dx:

• Bx = tombstoning
• Immunofluorescence = abs surrounding cells (all over slide)