Dermatology Flashcards
Pemphigus Vulgaris Presentation, Dx, Tx
Nikolsky Sign Oral mucosa 30-50 Dx: Bx=thin walled with cells everywhere Tx: Steroids Mycophenolate Rituximab
Pemphigoid Presentation, Dx, Tx
Hemidesmosomes
60-80
Negative Nikolsky, oral mucosa
Dermatitis Herpatiformis Presentation, Dx, Bx
Celiac Sprue IgA Deposition Vesicular lesions on the buttock, Extensor surfaces Dx: Anti Transglutaminase/endomysial Abs Tx: Symptomatic relief Avoid Gluten
Porphyria Cutanea Tarda Presentation, Dx, Tx
Uroporphyrinogen
Blisters in sun exposed areas, Hairy
Dx: Wood lamp turns urine coral red
Tx: Avoid the sun
Seborrheic Dermatitis Presentation, Dx, Tx
Rash, Scales, Flakes area where there is hair there will be a rash no hair=no rash Dx: Clx Tx: Selenium Shampoo f/u Cradle cap
Psoriasis presentation, Dx, Tx
Erythematous Patch silver scale that bleeds Extensor surfaces, gleteal fold Nail pitting Dx: Clx Tx: UV light first Topical steroids
Pityriasis Rosea Presentation, Dx, Tx
Self limiting, Herald patch, Trailing Scale, Spares palms and soles
Tx: none, self limiting
Lichen planus Presentation, Dx, Bx
raised purple papule, Lacy white lines Dx: Clx Tx: Topical steroids F/u-Medication induced ACEi, Loops
Contact Dermatitis Presentation, Dx, Tx
Poison ivy, Shape of an object
Tx: Avoid trigger
Topical diphenhydramine
Stasis Dermatitis Presentation, Dx, Tx
Edema, Erythema, Lower extremities darkens Dx: Clx Tx: Diuretics Compression stockings elevate the legs
Atopic Dermatitis kids Presentation
Allergies, Asthma, Atopy
Vesicles and crusts, Itch, Diaper line
Atopic dermatitis Adult presentation
Symmetric lichenification
AC fossa, popliteal fossa, Extensors
Hand Dermatitis Presentation Presentation, Dx, Tx
Too much handwashing
Healthcare workers, Food Prep, localized to hands only
Tx: Protective Gloves
Avoid Harsh soap
Atopic dermatitis Treatment
Tx: Avoid Trigger
Emulsions
Topical steroids
Hypersensitivity Drug Reactions Presentation, Dx, Tx
Symmetric, pink, widespread, morbilliform rash appearing 7-14 days after starting
Tx: Remove the drug
Antihistamines
Steroids