Dermatology

Question 1

Which clinical feature associated with chronic leg ulcers is characterised by star-shaped, ivory-white depressed atrophic plaques and an excruciating burning sensation?

Answer 1

Atrophie Blanche

Question 2

What are the causes of atrophie blanche?

Answer 2

Venous insufficiency. Or secondary to diabetes or Vessel vasculitis. Due to the occlusion of the vessels in the dermis which prevents normal healing and causes atrophy of plaques.

Question 3

What is lipodermatosclerosis?

Answer 3

Inflammation of the subcutaneous fat

Question 4

Presenting sign for lipodermatosclerosis

Answer 4

Champagne bottle neck sign as bottom of the leg become narrower due to constriction of the skin (upturned champagne bottle

Question 5

What is stasis eczema?

Answer 5

dry scaly eryethamatous skin - venous insufficiency

Question 6

What is the best management for overly exudative ulcers?

Answer 6

Topical steroids supported by clean bandages wrapping the ulcer.

Question 7

Which ulcer is associated with the malignant transformation of chronic leg ulcers?

Answer 7

Marjolin’s Ulcer

Question 8

Which conditions are necrobiosis lipoidica lesions associated with?

Answer 8

Diabetes mellitus and Rheumatoid arthritis