Derm manifestations of systemic disease Flashcards
What are the cutaneous associations with diabetes?
Acanthosis nigricans
Acral dry gangrene (fingers > toes)
Acral erythema
Carotenoderma (orange yellow skin colour)
Diabetic bullae
Diabetic cheiroarthropathy
Diabetic dermopahty (brown macules and patches on the shins)
Disseminated granuloma annularae
Eruptive xanthomas
NLD
Neropathic ulcers
Perforating disorders
Sclerodema
What are the dermatoses ass with metabolic syndrome?
Psoriasis
PCOS ○ Acanthosis nigricans
○ Acne vulgaris
Hirsutism
Dermatological manifestations of hyperthyroidism?
Skin:
- fine velvety smooth skin
- warm and moist (increased sweating)
- hyperpigmentation
- pruritis
Pretibial myxedema
Thyroid acropachy
Urticaria
Vitiligo
Fine thin hair
Diffuse alopecia
AA
Onycholysis
Koilonychia
Clubbing from thyroid acropachy
Dermatological manifestations of hypothyroidism?
Dry, rough, coarse skin
Cold and pale
Boddy and edematous skin (myedema)
Yellow discolouration as a result of carotenoderma
Easy bruising
Acquired Ichthyosis
Eruptive and/ or tuberous xanthomas
Increased incidence of vitiligo
Dull coarse adn birttle hair
Alopecia of the lateral thirds of the eyebrow
AA
Nails thin, brittle, striated
Slow growth
Onycholysis
Skin findings in Crohns diesase of UC
Directly Related
- cutanoues crohns
- fistulae (perianal / abdominal)
- apthos ulcers
- angular chelitis
- perianal skin tags
Associations:
- Erythema nodosum
- Cutaneous small vessel vasculitis
- Pustular vascultiis (Bowel associated dermatosis arthritis syndorme)
- Pyoderma gangrenosum
- Neutophillic dermatoses (sweets, acneiform lesions, panniculitis)
- pyostoma vegetans
- EBA
- psoriasis
- HS
Due to nutritional disorders
- scrodermatitis enteropathica like lesions
Cutaneous manifestations of Hep B /C
Cutaneous small vessel vasulitis
Cryoglobulinaemic vasculitis (C>B)
Urticarial vasculitis
PAN
necrotising livedo reticularis
Urticaria
Prutiris
PCT (C>B)
Lichen Planus
Necrolytic acral erythema
Gionotti crosti (B >C)
EM
EN (B >C)
Sacroidosis (C >B)
Cutaneous signs of rheumatoid arthritis
Rheumatoid nodules
Reactive granulomatous dermatitis
Neutrophillic dermatoses
- sweets
- rheumatoid neutrophillic dermatoses
- neutrophillic lobular panniculitis
Bywater lesions
Rheumatoid vasculitis
Intralymphatic histiocytosis
EED
comp of Rx:
- urticaria
- ISR
- psudoporphyria (NSAIDs)
- rheumatoid noulosis (MTx)