Derm, Haem conditions Flashcards
Pathology of Henoch Schonlein Purpura (HSP)
IgA mediated vasculitis
What 3 infections precede HSP
- Group A Strep
- EBV
- Mycoplasma
Clinical features of HSP
- Low grade fever
- Swollen painful joints (knees and ankles)
- Abdo pain
- Bloody diarrhoea
Type of rash in HSP
Macular –> purpuric lesions –> join together (look like bruises)
How is HSP diagnosed
Clinically
Most common complication of HSP.
How to monitor this.
Renal involvement.
- UnEs, creatinine
- Serum albumin
- Urine dipstick and microscopy (haematuria, proteinuria)
- Urine albumin: creatinine ratio
Pathology of idiopathic thrombocytopenia
IgG antibodies attack platelets
diagnosis of exclusion
5 most common childhood exanthematas
- Measles
- Rubella
- Chickenpox
- Parvovirus B19/ Slapped cheek
- Roseola
How to differentiate measles and rubella
Measles symptoms tend to last 10 days
Rubella symptoms tend to last 3 days
Measles rash is preceded by Koplik spots
Type of measles/ rubella/ roseola infantum rash
Macular papular
Type of chickenpox rash
Vesicle with erythematous halo
“dewdrops on rose petal)
Type of parvovirus B19 rash
Fine lacey rash on cheeks
Common sites of eczema in children
- Forehead, cheeks
- nape of Neck
- Elbows, wrist
- Groin
- Knees, ankles
Bacterial causes of non-bullous impetigo
- Staph aureus
2. Strep pyogens
Risk factors for impetigo
Eczema
any other condition that causes break in skin