Dermatitis Flashcards
Hyperkeratosis
Increased thickness of keratin layer
Parakeratosis
Persistence of nuclei in the keratin layer
Acanthosis
Increased thickness of epidermis
Papillomatosis
Irregular epithelial thickening
Spongiosis
Oedema between keratinocytes
Dermatitis
Skin lesions with similar clinical & pathological features but different PATHOGENETIC MECHANISMS (i.e. different causes)
Spectrum of disease.
Acute phase dermatitis
> Papulovesicular
Red (erythematous) lesions
Oedema (spongiosis)
Ooze or scaling and crusting
Chronic phase dermatitis
Thickening (lichenification)
Elevated plaques
Increased scaling
General features of Dermatitis
Itchy
Ill defined
Erythematous
Scaly
In drug reaction-related Dermatitis, what type of cells are present?
Eosinophils
Contact Allergic Dermatitis
One of the most common types of dermatitis
Very common.
- in response to chemicals, topical, therapies, nickel, plants
Gloved hands - why are the back of the hands normally more affected in contact dermatitis?
Skin on the back of the hand is thinner so allergen can penetrate skin faster
Immunopathology of contact allergic dermatitis
> Langerhans cell in epidermis processes antigen
> Processed antigen is then presented to Th cells in dermis
> Sensitised Th cells migrate into lymphatics and then to regional nodes where antigen is amplified
> Specifically sensitised T cells proliferate and migrate to and infiltrate the skin
—> DERMATITIS
Diagnosing contact allergy
Patch testing.
- Batteries of allergens are placed in small wells
- Applied to back skin and left in place for 48 hours
- Reactions checked after 96 hours
IRRITANT contact dermatitis
> Another v common type.
> non specific physical irritation rather than a specific allergic reaction
soap, detergent, cleaning products, water, oil
> Can be difficult to distinguish from allergic contact dermatitis and may CO EXIST