Derma - Cutaneous Infestation Flashcards
Initial manifestation of skin disorders
Primary lesions
Flat Primary lesions
Macule
Patch
Erythema
Erythroderma
Non-palpable
Color change
<1 cm
Macule
Tinea versicolor
Macule
An-an / Tinea versicolor
Macule
Large macule
> 1 cm
Patch
Vitiligo
Patch
Melasma
Patch
Blanchable
Dilation of BV in dermis (redness)
Erythema
Blanchable redness
Scaling and desquamation
Erythroderma
Raised primarylesions
Papule Plaque Nodule Wheal/ Hives Tumor Cyst Comedo Horn
< 1 cm, raised solid
Papule
Raised solid lesiosn, capped by scales
Papulosquamous
Molluscum contagiosum
Raised
Papule
Lichen nitidus
Raised
Papule
> 1 cm
Plateau like elevated lesion
Maceration, erosion, scale on surface
Epidermal only
Plaque
Similar papules
> 1cm
Rounded surface
Nodule
Histoid leprosy
Raised
Nodule
Nummular eczema
Raised
Plaque
Erythematous, edematous papule/plaque
Wheal
Prototype lesion of urticaria
Wheal
Oval, arcuate contour, pink to red edematous papule, surrounded a flare of macular erythema
Wheal
Is wheal evanescent
Yes
Solid, raised growth
>5 cm
Elevated or deep-seated, pedunculated
Tumor
Encapsulated with liquid/ semisolid contents
Cyst
Hair follicle infundibulum dilated and plugged with keratin and lipids
Comedo
Conical mass of cornified cells
Horn
Viral pathogen associated with corn
SCCA
HPV
Fluid filled primary lesions
Vesicle Bullae Pustule Furuncle Abscess
Fluid filled
< 1cm
Vesicle
Vesicles are rounded, acuminate, umbilicated
Eczema herpeticum
Vesicles are discrete, irregularly scattered, grouped
Herpes zoster
Linea vesicles
Allergic contact dermatitis from urushiol
Dishydrotic eczema
Primary lesion
Vesicle
Fluid filled
> 1cm
Rounded, or irregularly shaped blisters
Bullae
Bullae diagnostic maneuvers
Nikolsky’s sign
Asboe-Hansen sign
Diagnostic maneuver of putting lateral pressure and having the epithelium shear off
Nikolsky;s sign
Extension of a blister to adjacent unblistered skin when pressure is put on top of blister
Asboe-Hansen sign
Bullae that has irregular vegetations on the base
Pemphigus vegetans
Hemorrhagic bullae
Enumerate
Pemphigus
Herpes zoster
Severe bullous drug rxn
Lichen sclerosus
<1 cm or > 1cm
Contains pus
Usually have inflammatory areola (nipple?)
Pustule
Healing of pustule
No scarring
Infected pustule
Folliculitis
Sterile pustule
Pustular psoriasis
Sycosis barbae
Primary lesion
Pustule
Deep necrotizing folliculitis with suppuration
> 1cm
Inflammated follicle centered nodule with central necrotic plug and overyling pustule
Furuncle
Localized accumulation of pus in dermis and subcutaneous layer
Abscess
Dilated superficial BV
Telangiectasia
Occur subsequent to primary lesions
Secondary lesions
Depressed secondary lesions
Erosion Ulcer Atrophy Poikiloderma Striae Burrow Sclerosis
Partial loss of epidermis
Initially appears as vesicle or bullae
Erosion
Bullae of impetigo
Secondary lesion
Erosion
Full thickness loss of epidermis and some dermis
Ulcer
Healing erosin
No scarring