Derm Disease

Question 1

with hands involved

Answer 1

scabies

Question 2

with arm pit involved

Answer 2

scabies

Question 3

Answer 3

shingles and VZV

Question 4

treatment for Sarcoptes scabiei (Scabies)

Answer 4

permethrin cream and oral ivermectin

vacuuming, hot water laundering and treat people in household

Question 5

Answer 5

toxic epidermal necrosis

Question 6

what sign is seen with toxic epidermal necrosis ?

Answer 6

Skin detaches with lateral pressure (Nikolsky sign)

Question 7

Answer 7

hidradenitis suppurativa

not infectious or due to hygiene

Risk Factors: female, family history, smoking and obesity

2nd or 3rd decade

can last for several yearrs

Question 8

A patient with toxic epidermal necrosis ____ and ____ should be consulted

Answer 8

optho and OBGYN

Question 9

Answer 9

fever, palpable purpura

Rocky Mountain Spotted Fever (RMSF)

Question 10

Rocky Mountain Spotted Fever (RMSF) treatment

Answer 10

doxycycline

Question 11

Answer 11

atopic dermititis

Question 12

Answer 12

psoriasis

Question 13

Answer 13

bullous pemphigoid

Question 14

Answer 14

infantile hemangioma

Question 15

Answer 15

calciphylaxis

Question 16

Answer 16

Neurofibromatosis type 1

Question 17

Answer 17

morgellons disease

Question 18

Answer 18

keloid

Question 19

Answer 19

port wine syndrome

• Associated with developmental delay, recalcitrant seizures, and ocular abnormalities like glaucoma
• Overgrowth of the underlying soft tissue and bone can lead to extensive deformity and functional impairment

Question 20

Answer 20

lichen planus

Question 21

Answer 21

pyoderma gangrenosum

Question 22

Answer 22

lipoma

Question 23

Answer 23

Seborrheic keratosis

Question 24

Answer 24

skin tags

Question 25

Answer 25

cherry hemangioma

Question 26

lesion on hand too

Answer 26

Kaposi’s Sarcoma * Most commonly associated with HIV/AIDS and transplant patients due to immunosuppression * Neoplasm of endothelial cells linked to human herpesvirus 8 (HHV-8)

Question 27

what can cause psoriasis

Answer 27

medications and strep

Question 28

Answer 28

Kaposi’s Sarcoma ## Footnote * Most commonly associated with HIV/AIDS and transplant patients due to immunosuppression * Neoplasm of endothelial cells linked to human herpesvirus 8 (HHV-8)

Question 29

Answer 29

Sweet's syndrome ## Footnote •50% idiopathic, 50% with underlying trigger »Infections •Upper respiratory infections esp streptococcal »Malignancies (acute myelogenous leukemia) »Inflammatory bowel disease »Autoimmune disorders »Drugs »Pregnancy

Question 30

•This patient has had progressive shortness of breath and developed these lesions within a scar on her knee.

Answer 30

Sarcoidosis ## Footnote ●Any organ system can be involved ○Patient’s need CXR, PFTs, eye exams, ECG/Holter, +/-Echocardiogram ○Cardiac disease causes 13-25% of deaths ●End stage of pulmonary sarcoidosis is fibrosis with bronchiolectasis and “honeycombing” of the lung parenchyma ●Pulmonary involvement is less common in children than adults ○arthritis, uveitis and cutaneous lesions especially common in childhood onset disease ●Lymphopenia, leukopenia and an elevated ESR can be seen in up to 40% of patients

Question 31

Answer 31

**Necrobiosis Lipoidica** Necrotizing skin condition associated with diabetes »22-65% of patients have diabetes * “necrobiosis lipoidica diabeticorum” * \<5% with diabetes develop this condition * Disease activity not clearly linked to glycemic control * First-line treatment with topical and intralesional corticosteroids can help reduce ulcerations