Dermatology Flashcards
Treatment for keloid scars?
Intra-lesional steorids
Most likely organism for fungal nail infection
Trichophytom rubrum
Management of fungal nail infection
If limited involvement- topical treatment with amorolfine
More extensive involvement give oral terbinafine
Management of athelets foot
Topical imidazole, undectonate or terbinafine first line
First line for rosacea?
Topical ivermectin
Drugs exacerbating plaque psoriasis
Truma
Alcohol
Beta blockers, lithium, antimalarials, NSAIDs, ACEI, infliximab
Withdrawl of steroids
First line oral abx in acne?
Tetracyclines
What is hidradentitis suppurativa?
Chronic, painful inflammatory skin disorder charatersied by development of inflammatory nodules, pustules, sinus tracts and scars in intertriginous areas
What is erythema ab igne?
Disorder caused by over exposure to infrared
Reticulated, erythematous patches with hyperpigmentation and telangiectasia
IF not treated risk of SCC
What is pityriasis versicolor
Superfiical fungal infection caused by malassezia furfur
What is dermatitis herpetiformis
Autoimmune blistering skin disoreder associated with coeliac
Caused by depisoition of IgA in the dermis
What are salmon patches?
Vascular birthmarks which usually self resolve
What are the causes of erythema nodosum?
Infection, systemic disease, malignancy, drugs, pregnancy
Most common bacteria in acne vulgaris?
Propionibacterium acnes
Lichen planus features
itchy, papular rash most common on the palms, soles, genitalia and flexor surfaces of arms
rash often polygonal in shape, with a ‘white-lines’ pattern on the surface (Wickham’s striae)
Koebner phenomenon may be seen (new skin lesions appearing at the site of trauma)
oral involvement in around 50% of patients: typically a white-lace pattern on the buccal mucosa
nails: thinning of nail plate, longitudinal ridging
What is pyogenic granuloma?
Overgrowth of blood vessels
Red nodules
Usually follows trauma
Can occur in crohns
What is keratocanthoma?
Dome-shaped erythematous lesions that develop over a period of days and grow rapidly
Contain a central pit of keratin
Then they begin to necrose and slough off
What can acne roseacea complication?
Blephatitis, keratitis and conjunctivitids
Causes of acanthosis nigricans?
type 2 diabetes mellitus
gastrointestinal cancer
obesity
polycystic ovarian syndrome
acromegaly
Cushing’s disease
hypothyroidism
familial
Prader-Willi syndrome
drugs
combined oral contraceptive pill
nicotinic acid
Appearance of types of melanomas
Superficial- Growing mole.
Noduar- Red or black lump or lump which bleeds or oozes
Lentigo- Growing mole but rarer. Slow growing
Acral lentiginous- Subungual pigementation or on palms or feet
What are dermoid cysts
Embryological remenants and may be lined by hair and squamous epithelium
First line lichen planus?
Topical steroids
Treatment of scalp psoriasis?
Topical potent corticosteroid
What is treatment for eczema herpeticum?
IV antivirals
Most accurate method for assessing the extent of burn?
Lund and Browder chart
What size does a lipoma need to be to US it?
More than 5cm
What is hereditary haemorrhagic telagnectasia
Autosomal dominant condition characterised by multiple telangiectasia over the skin and mucuous membranes