Dermatology Flashcards

1
Q

What is ‘champaign bottle leg’?
Cause
Presentation
Treatment

A

Lipodermosclerosis
Venous insufficiency causing fibrosis
Pigmented tight and hard skin, usually lower leg. Painful
Compression stockings,vein surgery, pain relief

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2
Q

What is the presentation of chronic atopic eczema?

A

Erythemous dry crusty flaky skin. Itchy.

Located on flexor surfaces, face, hands

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3
Q

How does acute or exacerbated atopic eczema differ from chronic?

A

Weeping and exudate

Vesicles and bullae

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4
Q

Complications of atopic eczema?

A

Broken skin becoming infected - appears like impertigo
Viral warts
Conjunctival irritation
Erythroderma

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5
Q

In a child with atopic eczema what may show on blood tests?

A

Eosinophilia

High IgE

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6
Q

Prognosis of eczema in early childhood?

Prognosis of eczema in adolecence or adulthood

A

Childhood - most clears by aged 6 or early teens

Adulthood - tends to follow relapsing remitting course

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7
Q

Behavioural management of atopic eczema?

A

Avoid irritants - soaps, animals, wool

Avoid getting too hot

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8
Q

Early medical management of atopic eczema?

A

Emollients

Steroid creams

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9
Q

What steroid creams should be used in early eczema?

A

Face - mild - hydrocrotisone
Body - mod - clobetasone
Soles and palms - strong - betamethasone

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10
Q

If steroid cremes are ineffective at dealing with atopic eczema at their recommended dose what can be done next? Assume effect on quality of life.

A

Oral steroids
UV phototherapy
Ciclosporin/azothioprine

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11
Q

What other sorts of eczema are there except atopic?

A

Discoid
Hand
Seborrhoeic
Contact

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12
Q

Where does seborrheic eczema tend to effect?

A

Side of nose, eyebrows, scalp, trunk

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13
Q

What sort of eczema should mild steroids be used as a preventative rather than reliever?

A

Seborrhoeic

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14
Q

What is psoriasis?

A

Polygenetic disorder causing hyperproliferation of the skin with inflammation

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15
Q

How does psoriasis present?

A

Well demarcated pink/red scaly plaques.
Extensor surfaces
Nail pitting - onycolysis - yellow discoloration

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16
Q

Psoriasis treatment

A
Emollients 
Mild topical steroid creams
Vit d3 analogue 
Tar
UVB 
Methotrexate 
Biological agents
17
Q

Risk of vit d creams in psoriasis?

A

If used in extensive psoriasis can cause hypercalcemia

18
Q

Complications of psoriasis

A

Erthyroderma

Arthritis

19
Q

Types of psoriaisis and differences in presentation

A

Plaque - classic
Flexure psoriasis - flexures, no scaling
Guttate psoriasis - small teardrop lesions on trunk post URTI
Pustular psoriasis - widespread, systemic symptoms, pustules