Dermatitis and Eczema Flashcards

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1
Q

What does hyperkeratosis mean

A

increase thickness of keratin layer

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2
Q

What does parakeratosis mean?

A

persistence of nuclei in keratin layer

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3
Q

Acanthosis

A

Increased thickness of epidermis

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4
Q

What is papillomatosis

A

Irregular epithelial thickening

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5
Q

Spongiosis

A

oedema between keratinocytes

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6
Q

Does dermatitis= Eczema?

A

YES

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7
Q

What histology is dermatitis generally

A

spongiotic deramtitis

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8
Q

Name an example of contact allergic dermatitis

A

Nickel allergy, latex

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9
Q

What is the immunopathology of contact allergic dermatitis

A

Langerhans cells are antigen presenting cells which present to Th cells in dermis. They migrate to lymphatics and then when reexposed to antigen, inflammatory infiltrate is present

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10
Q

How can contact allergy dermatitis be identified?

A

Patch testing

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11
Q

What is the difference between allergy and irritant

A

irritant is non specific irritation such as soap, detergent, water and oil

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12
Q

irritant dermatitis is usually found in flexures true or false

A

false

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13
Q

How would you describe pruritus using 2 mechanisms

A

Itch> scratch ect ect

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14
Q

What would atopic eczema present as

A

severe itch, ill defined erythema, scaling, flexural distribution.

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15
Q

What else is atopic eczema associated with

A

hayfever, allergic rhinitis, asthma, food allergy

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16
Q

Is secondary infection common in atopic eczema

A

YES

17
Q

What does crusting suggest?

A

Staph Aureus

18
Q

What is eczema herpeticum

A

Herpes simplex virus

19
Q

What does herpeticum look like?

A

Punched out lesions, monomorphic

20
Q

How do you treat eczema

A

Emollients, avoid irritants, topical steroids, treat infection. Phototherap (UVB) and immunosuppressants

21
Q

What is the most important gene in atopic eczema

A

filaggrin

22
Q

What would photosensitive eczema look like?

A

Cut off erythema at collar