Pemphigus Vulgaris - common age - patho - RF

- 40-60 - autoantibodies target desmosomes - genetics, UV radiation, viral infection, drugs

Breast candidiasis - presentation - mgmt

- sore nipples, deep, sharp shooting or burning pain - topic miconazole or clotrimazole - keep breastfeeding

Tinea Versicolor - presentation - bug

- hypo- or hyper pigmented macules/patches ton chest and back

Tinea Versicolor - presentation - bug

- hypo- or hyper pigmented macules/patches on chest and back - no itch to light itch - malassezia

Melanoma - 4 types - which is MC

1. Superficial spreading (MC) 2. nodular 3. Lentigo 4. Acral lentiginous

Derm Flashcards by Katherine Hammer

Pemphigus Vulgaris

common age
patho
RF

40-60
autoantibodies target desmosomes
genetics, UV radiation, viral infection, drugs

How well did you know this?

Not at all

Perfectly

Pemphigus Vulgaris

- clinical

mucosal involvement

- flaccid blisters + Nikolsky sign

How well did you know this?

Not at all

Perfectly

Pemphigus Vulgaris

- dx

bx Histology: intraepithelial cleavage with pacantholysis, “chicken wire”

How well did you know this?

Not at all

Perfectly

Pemphigus Vulgaris

- mgmt

high dose prednisone

How well did you know this?

Not at all

Perfectly

Bullous Pemphigoid

- age

elderly MC

How well did you know this?

Not at all

Perfectly

Bullous Pemphigoid

- clinical

large tense blisters

- negative nikolsky

How well did you know this?

Not at all

Perfectly

Oral candidiasis

- infant mgmt

nystatin suspension

- pacifiers and bottle nipples boiled before reuse

How well did you know this?

Not at all

Perfectly

Breast candidiasis

presentation
mgmt

sore nipples, deep, sharp shooting or burning pain
topic miconazole or clotrimazole
keep breastfeeding

How well did you know this?

Not at all

Perfectly

Tinea Versicolor

presentation
bug

hypo- or hyper pigmented macules/patches ton chest and back

How well did you know this?

Not at all

Perfectly

Tinea Versicolor

presentation
bug

hypo- or hyper pigmented macules/patches on chest and back
no itch to light itch
malassezia

How well did you know this?

Not at all

Perfectly

Tinea versicolor

- mgmt

topical: selenium sulfide, zinc, ketoconazole

- neck to knees daily for 2 weeks

How well did you know this?

Not at all

Perfectly

Cellulitis

- MC bug

- also s. aureus

How well did you know this?

Not at all

Perfectly

What is group A strep also known as

strep pyogenes

How well did you know this?

Not at all

Perfectly

Cellulitis

- mgmt

mild: PO cephalexin
Purulent: Clinda, Bactrim, Doxy
Severe: parenteral - cefazolin or vanc

How well did you know this?

Not at all

Perfectly

Melanoma

4 types
which is MC

Superficial spreading (MC)
nodular
Lentigo
Acral lentiginous

How well did you know this?

Not at all

Perfectly

Melanoma

- what is used to determine prob of metastasis?

Breslow depth scale

How well did you know this?

Not at all

Perfectly

Melanoma

- ABCDE

A: asymmetry
B: irregular border
C: variegated color
D: diameter ≥ 6 mm
E: Evolution, change

Melanoma

- ABCDE

A: asymmetry
B: irregular border
C: variegated color
D: diameter ≥ 6 mm
E: Evolution, change

Melanoma

- dx

histology of complete full-thickness excisions bx

Melanoma

- mgmt

Surgical excision with adequate margin (1 cm)

Erythema Multiforme

- MC etiology

Herpes simplex virus

- usu herpes labialis

Erythema Multiforme

- overview

immune-mediated disorder > cutaneous and sometimes mucosal lesions
hypersensitivity reaction

Erythema Multiforme

- major vs minor

Major: cutaneous and mucosal, has a prodrome

- Minor: just cutaneous involvement

Erythema Multiforme

- clinical

target-like lesions
red papule with surrounding pallor and outside red halo
few to hundreds
appear over 3-4 days, last 2-6 weeks
usu asx, but can burn or itch

Erythema Multiforme | - mgmt

steroids - mild: topical - severe: systemic + antihistamine for itching eliminate offending agent, acyclovir if HSV

Erythema Nodosum - patho - triggers

- immune-mediated delayed hypersensitivity reaction | - infection, drugs, inflammatory dz

Erythema Nodosum | - clinical

- tender, immobile, red nodular lesions | - bilateral anterior LE

Erythema Nodosum | - mgmt

- elevation, compression of legs | - NSAIDs

Chickenpox | - vaccination

12-15 months | 4-6 years

Chickenpox | - when is antiviral therapy recommended

- Pt >12 yo - at risk pts - all adults * * acyclovir

Stasis Dermatitis | - cause

chronic venous insufficiency

Stasis Dermatitis | - skin changes

- hyper pigmentation - eczema - fibrosis

Stasis Dermatitis | - RF

- older age - F - obesity - standing frequently

Stasis Dermatitis | - mgmt

- compression - emollients/lotions to moisturize - topical steroids, wet dressings - abx if cellulitis

Lichen Simplex Chronicus | - overview

- chronically pruritic skin | - related to constant scratching or rubbing of area = fibrosis

Lichen Simplex Chronicus | - clinical

- excoriated and lichenified skin | - itch scratch cycle

Lichen Simplex Chronicus | - RF

- depression/anxiety - liver dz - atopic dermatitis

Lichen Simplex Chronicus | - mgmt

- ID and curb compulsion to scratch | - steroids, antihistamines, antidepressants

Pediculosis capitus | - mgmt

- topical permethrin (MC), malathion, ivermectin - treat household members who share th same bedding or are infested also - Wash clothing/linen used 48 hours before treatment in hot water

Psoriasis | - patho

- up regulation of dendritic cells

Vitiligo | - patho

autoimmune melanocyte destruction