Dermatology High Yield Flashcards
What are the layer os the epidermis from surface to base?
Stratum Corneum
Stratum Lucidum
Stratum Granulosum
Stratum Spinosum
Stratum Basale
“felt connecting ACTIN cytoskeletos of adjacent cells with Cadherins”
Tight junctions/ Zonula aderins
“structural support via KERATIN interactions”
Desmosome/ Macula adherens
“channel proteins called connexons permit electrical and chemical communication between cells”
gap junction
“connects keratin in basal cells to underlying basement membranes”
Hemidesmosomes
What cell junction is targeted in Bullous pemphigoides?
Hemidesmosomes
What cell junction is targeted in pemphigus vulgaris?
Desmosome
“prevents paracellular movement of solutes; composed of claudins and occludins”
tight junctions
“flat lesion with well circumscribed change in skin color”
macule
“macule
Patch
“elevated solid skin lesion
papule
“papule
plaque
“small fluid containing blister
vesicle
“large fluid containing blister >1cm”
bulla
“vesicles containing pus”
pustule
“transient smooth papule or plaque”
Hives
“flaking off of stratum corneum”
Scale–> eczema, psoriasis, SCC
“dry exudate”
crust
What is hyperkeratosis?
increased thickness of stratum corneum
What is parakeratosis?
hyperkeratosis with retention of nuclei in statum corneum
What is spongiosis?
epidermal accumulation of edematous fluid in intercellular spaces
What is acantholysis?
separation of epidermal cells
What is Acanthosis?
Epidermal hyperplasia
What is an example of acanthosis?
Acanthosis nigricans
“normal melanocyte number with decreased melanin production”
albinism
What is deficient or defective in albinism?
Tyrosinase enzyme
Tyrosine transport
“hyperpigmentation associated with pregnancy”
melasma
“irregular areas of complete depigmentation”
vitiligo
What causes vitiligo?
Autoimmune destruction of melanocytes
What type of hypersensitivity is atopic dermatitis (eczema)?
Type I
“intradermal nevi vs junctional nevi”
Intradermal= papular
junctional= macular
What epidermal layer is increased in psoriasis and which is decreased?
increased= spinosum
decreaed= granulosum
what is Auspitz sign?
pinpoint bleeding spots from exposure of dermal papillae when scales are scraped off
“inflammatory facial skin disorder characterized by erythematous papules and pustules”
rosacea
“flat, greasy, pigmented squamous epithelial proliferatoin with keratin filled cysts”
Seborrheic keratosis
What is leser trelat sign?
sudden appearance of multiple suborrheic keratosis indicating an underlying malignancy
Bollous impetigo is associated with which type of infectious agent?
S. aureus
Common causes of cellulitis?
S. pyogenes
S. aureus
Infection involving the upper dermis and superficial lymphatics?
Erysipelas
Most common cause of abscesses?
S. aureus
What are bacterial causes of necrotizing fasciitis?
Anaerobic bacteria
S. pyogenes
What causes scalded skin syndrome?
Exotoxin destroys keratinocyte attachements in stratum granulosum
What type of antibody is seen in pemphigus vulgaris?
IgG antibody against desmoglein
Which blistering skin disorder has separation of epidermis?
pemphigus vulgaris
Which blistering skin disorder has tense blisters?
bullous pemphigoid
Which blistering condition is more severe?
pemphigus vulgaris
What skin disease is associated with celiac disease?
dermatitis herpetiforms
What is dermatitis herpetiforms?
IgA at tips of dermal papillae
“fever, bullae formation and necrosis, sloughing of skin, high mortality rate”
Stevens johnson reaction
what is acanthosis nigricans associated with?
hyperinsulinemia ad visceral malignany
“premalignant lesions caused by sun exposure?
actinic keratosis
“painful inflammatory lesions on subcutaneous fat, usually on anterior skins”
erythema nodosum
What conditions are associated with erythema nodosum?
Sarcoidosis coccidiodomycosis histoplasmosis TB streptococcal infections leprosy crohn disease
“sawtooth infiltrate of lymphocytes at dermal- epidermal junction”
lichen planus
What are the 6 P’s of lichen planus?
Pruritic Purple Polygonal Planar Papules Plaques
What type of rays from the sun are associated with tanning? With sunburn?
UVA= tan
UVB= burn
“pink pearly nodules with telangiectasias and rolled borders and central/ crusting ulceration”
basal cell carcinoma
What is the histological feature of basal cell carcinoma?
Palisaiding carcinoma
What is the mosts common skin cancer?
BCC
What type of exposures can lead to SCC of the skin?
Arsenic, sunlight and immunosuppression
What is the precursor to SCC?
Actinic keratosis
What is the SCC varient that grows VERY quickly but then can regress over the course of months?
Keratoacanthoma
Tumor marker for melanoma/
S-100
What is the ABCDE of melanoma?
Assymetry Border irregularity Color variation Diameter >6mm Evolution over time
What is the mutation seen in melanoma?
BRAF kinase