Dermatology/Immunology Flashcards
Etiology and management of seborrheic dermatitis
Associated with:
Pityrosporum
Topical antifungal, topical corticosteroids
HIV
Stuck upon skin impression
Warty brownish plaques
Not malignant or premalignant
Seborrheic keratosis
Small keratin containing cysts
Milia
Management for open and closed comedomes
Topical tretinoin
Management for Papillae acne
Topical benzoyl peroxide and erythromycin
Management for cystic and modular acne
Isotretinoin (Accutane)
Flushing with exertion or sun exposure
Management
Rosacea
Avoid triggers
Topical metronidazole
Recurrent large lumps in Scilla with serous fluid drainage
Hidradenitis suppurativa
White vesicles on erythematous base
Koplik’s spots
measles
Etiology of hairy leukoplakia
EBV
Strawberry tongue
Scarlett fever
Kawasaki syndrome
Rash. LAD
Gingival hyperplasia. Interstitial nephritis
Folic acid deficiency. Nystagmus.
Osteoporosis
Phenytoin toxicity
Recurrent erythema multi forms
HSV
Evanescence blanchable, non-pruritic rash
Erythema marginatum
Punch biopsy with cleavage plane in stratum corneum vs germinativum
Infectious
TEN
Punctuate bleeding spots with peeling a skin lesion
Psoriasis
Nail pitting
Onycholysis
Psoriasis
Rash
Erythematous papers and plaques
Sore throat 2 weeks ago
Guttate psoriasis
Management for pyoderma gangrenosum
Steroids
Cyclosporine
Well-defined reddish lesion
Corynebacterium
Fluoresce with bright light
Erythrasma
Fever. Headache. Myalgias.
Macular/petechial rash
RMSF
Management for wart
Topical salicylic acid
If genital»_space; imquimod
Dew drop appearance of vesicular rash
Appears in crops
Chicken pox
Painful
DNA virus
Multi nuclear giant cells
Herpes zoster
Separate branching hyphae on KOH scraping
Tinea infection
Tinea pedis
Cellulitis
Streptococcus
Bald patch
Broken hair follicles
Hair loss
Fine white diffuse scaliness mostly over temporoparietal areas
Seborrheic dermatitis
Hair loss. Patchy.
Smooth areas. Hair thinner at root (exclamation point) at edge of hair loss area
Alopecia areata
Hair loss
Scaly patches. Broken hairs. Some with black dots
Tinea capitis
Hypopigmentation patches
Meatball and spaghetti on microscopy
Tinea versicolor
Translucent pearly papules with telangiectasias
Basal cell carcinoma
Arises from keratinizing epidermal cells in exposed areas
Squamous cell carcinoma
Discrete or coalescing patches
Severe pruritus
Cluster of atypical lymphocytes in epidermis on biopsy
Sezary cells
Mycosis fungoides
Proliferation of fibroblasts in dermis
Dimple when pinched
Dermatofibroman
Autosomal dominant
Vascular disorder
Red to violet telangiectasias
Hereditary hemorrhagic telangiectasia
Pigmented lesions on lips/mouth
Associated with multiple hamartomatous polyps in GI tract
Peutz Jeghers syndrome
Oral sores
Edematous papules and bullae
Extension of blister with applied pressure
Pemphigus vulgaris
Antibodies at dermal-epidermal junction
No extension of blister with pressure
Bullous pemphigoid
Hep C
Palpable purpura
Low complement
Leukocytoclastic vasculitis
Mixed cryoglobulinemia
Grouped bullous/vesicular skin lesions
Very pruritic
Celiac
Dermatitis herpetiformis
Recurrent itching
Wheezing, SOB
Abd pain. Diarrhea
HSM
Systemic macrocytosis
Burn formula for fluids
Weight(kg) x 4mL x %burns
1/2 in 8 hours
1/2 in 16 hours
Contraindicated in IgA deficiency
IVIG
Recurrent infections
Staph aureus, gram neg, fungal
Unable to digest
NVT abnormal
Chronic granulomatous disease
NADPH oxidase deficiency
Management for C1 waterside deficiency
FFP (acute)
Danazol (chronic)