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z dermatology clin med > Fungal Disorders of skin > Flashcards

Fungal Disorders of skin Flashcards

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Dermatology Board Prep flashcards
1
Q

What is the usual species of Candida?

A

Candida albicans

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2
Q

What are typical clinical features of Candidiasis lesions?

A

Primary lesion is erythmatous pustule/papule.

Red glistenning surface

Scaling, advancing border

Satellite lesions

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3
Q

Where does Candidiasis grow?

A

Dark, warm/moist areas

Intertriginous locations

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4
Q

Is Candidiasis part of the normal human flora?

A

Yes, be careful when taking samples of lesions and in interpretations of results due to normal flora.

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5
Q

Definition of Candida Balanitis including areas affected and risk factors.

A

Funfal infection and inflammation of the glans penis.

Uncircumsized males at high risk

May/may not be associated w/ intercourse w/ infected partner

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6
Q

Clinical features Candida Balanitis

A
  • Tenderness
  • Erythematous papules/pustules/erosions
  • exudate
  • satellite lesions
  • Edema
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7
Q

What disease is this?

A

Candida balanitis

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8
Q

Treatment & Prevention for Candida balantis?

A
  • Txt=topical antifungal & look for recurrent cases (may be sexual originating), retract foreskin and clean with warm water
  • Prevent=skin dry, hygiene, powders, & probiotics
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9
Q

Definition, predispositions, & clinical features of Candida Intertrigo

A
  • Def = superficial infection of intertriginous (skin on skin) areas
  • Predisp = obesity, pendulous breasts, tight clothing, DM, poor hygeine
  • Clinical = erythematous macerated skin, bilateral against touching surfaces, & satellite lesions
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10
Q

Txt & Prevention of Candida Intertrigo

A
  • Txt = topical antifungal, vinegar wet dressings, air
  • Prevent = powders, ointment, & weight loss
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11
Q

Which type of Candida is this?

A

Candida Intertrigo

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12
Q

What is another name for oral Candidiasis?

A

Thrush

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13
Q

Thrush definition & predispositions

A
  • Def = mucous mem infection of oral region
  • Predisp = neonate, DM, Ab use, HIV, or immunosupressed
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14
Q

Thrush clinical appearance and Txt

A
  • Clinical = “stuck on” creamy exudates/plaques w/ erythema, burning, & loss taste
  • Txt w/ topical antifungals (Nystatin)
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15
Q

What disease is this clinical presentation common in?

A

Thrush

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16
Q

Angular Cheilitis predispositions, clinical features, & txt

A
  • Predisop = lip licking, elderly, & dentures
  • Clinical = macerated angles of mouth, erythema, fissures
  • Txt = topical antifungals, cover barriers, address underlying cause
17
Q

Tinea Versicolor definition, etiology, and predisp

A
  • Def = superficial fungal infect, chronic, asymp dermatosis of primarily the torso
  • Etiology = M. furfur & M. globosa
  • Predisp = oily skin, heat/moisture/sweating (summer), pregnancy, steroid use
18
Q

Tinea Versicolor clinical features & txt

A
  • Clinical = macule w/ fine scale, patches, & vitiligo
  • Txt = antifungals, selenium sulfide, wash clothing, pre-treat prior to summer
19
Q

What is the most common dermatophytosis in children?

A

Tinea Capitis

20
Q

Tinea capitis definition, etiology/causes, & predispositions

A
  • Def = scalp infection
  • Etiology = Trichophyton >> Microsporum (pets)
  • Predisp = pets, close contact, malnutrition, childrien, & soil
21
Q

Tinea Capitis txt

A
  • oral/topical antifungal, cleaning sheets/bedding, txt pets if from animals
22
Q

Tinea Capitis Types

A
  • Kerion = Inflammation
  • Seborrheic = patchy fine adherent scales, may have adenopathy, broken off hairs, looks like dandruff; most common
  • Non-inflammatory - black dots, areas of alopecia, mild to moderate scaling, occipital adenopathy, tenderness
  • Pustular - pustules, no scaling or alopecia
23
Q

Which Tinea is this?

A

Tinea Capitis

24
Q

Kerion def, predisp, clinic features, & txt

A
  • Def = inflamm. scalp infection
  • Predisp = friction, ingrown hairs, athletes, obesity, children, DM…
  • Clinical = alopecia, tender, boggy area, fever, & lymphadenopathy (occipital)
  • Txt = refer to dermatologist, oral antifungals
25
Q

What is this lesion characteristic of?

A

Kerion (Tinea Capitis inflammatory type)

26
Q

What is the common name people refer to as Tinea Corporis?

A

Ring worm

27
Q

Tinea Corporis def & predispositions

A
  • Def = tinea of trunk/body, not hands or feet
  • Predisp = warm climates, contact, other tineas, contam. soil
28
Q

Tinea Corporis clinical features & treatment

A
  • Clinical = Scaly papules/macules, raised sharply-marginated border, itch
  • Txt = NO STERIODS, topical antifungal PO
29
Q

What type of tinea is this?

A

Tinea Cruris

30
Q

Which type of tinea is this?

A

Tinea Pedis

31
Q

Tinea Cruris def & predispositions

A
  • Def = tinea of the groin “jock itch”
  • Predisp=swimming, sweating, obesity, steroids, males, tinea pedis, & location
32
Q

Tinea Cruris clinical & Txt

A
  • Clinical = itch, bilat, plaques with scale, erythema or brown, spares penis/scrotum (if on scrotum would likely be candida)
  • Txt= drying, topical antifungals, powders, hygiene, txt pedis/manus
33
Q

Unique feature about Tinea Manus lesion locations

A

Often unilateral…2 hands 1 foot or 2 feet 1 hand

34
Q

Tinea Manus predisp, clinical, and txt

A
  • Predisp = other tinea (pedis/cruris)
  • Clinical = scaling, itch, papules, bullae, dorsal side may look like ring worm, volar surface may be hyperkeratotic
  • Txt = txt other areas, topical/PO antifungals, hygiene
35
Q

What is another name for Tinea Pedis?

A

Athletes foot

36
Q

What is the most common tinea overall?

A

Tinea Pedis

37
Q

Tinia Pedis etiology, predisp, and Txt/prevent

A
  • T. rubrum
  • Predisp = gym use, sweating, atopic
  • Txt = Change socks, airing feet, hygiene, antifungals
  • Prevent = aquasocks, clean bathrooms, shower sandals

z dermatology clin med (18 decks)

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