inflammatory dermopathies Flashcards

Be familiar with the clinical and histologic features of the acute inflammatory dermatoses:Urticaria, eczema/atopic dermatitis and erythema multiforme Be familiar with the clinical and histologic features of the acute inflammatory dermatoses:psoriasis, lichen planus and lupus erythematosus Be familiar with the clinical and histologic features of the autoimmune dermopathies: pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, and epidermolysis bullosa aquisita

1
Q

hereditary angioedema caused by

A

inherited deficency of C1 esterase inhibitor

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2
Q

localized mast cell degranulation leads to…

A

dermal microvascular hyperpermeability (urticaria)

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3
Q

red papules, with overlapping vesicles that ooze and become encrusted

A

acute excematous dermatitis (eczema)

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4
Q

epidermal edema also known as

A

spongiosis

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5
Q

immune presenting cells in skin

A

langerhans cells

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6
Q

condition where fluid seeps into the epidermis, splaying apaty keratinocytes

A

spongiotic dermatitis

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7
Q

hypersensitivity reaction to certain infections and drugs

A

erythema multiforme

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8
Q

infections that can cause erythema multiforme

A

herpes simplex, some mycoplasms and fungi

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9
Q

drugs that can cause erythema multiforme

A

sulfaonamides, penicillin, salicytes, hydantoins, antimalarials

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10
Q

wide diversity of lesions including macules, papules, vesicles and bullae with target lookin lesions

A

erythema multiforme

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11
Q

erythema multiforme pathenogenisis

A

skin-homing cytotoxic T cells attackin basal cells of the skin and mucosa

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12
Q

superfical perivascular lymphocytic infiltrate with epidermal edema abd degenerating keratinocytes

A

erythema multiforme

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13
Q

severe form of erythema multiforme

A

toxic epidermal necrolysis

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14
Q

complications of psorisis

A

heart attacks and stokes, arthritis

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15
Q

koebner phenomenon

A

psoroatic lesions brought on by trauma

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16
Q

cells mediating psorias reactions

A

T cells inducing keratinocyte hyperproliferation

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17
Q

well-demarcated pink to salmon colored plaque covered by looseky adherend silver-white scale

A

psorisis

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18
Q

rete ridges “test tubes in a rack”

A

psorisis

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19
Q

auspitz sign

A

multiple bleeding sites in psorisis

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20
Q

casues scaleing in psorisis

A

loss of stratum granulosum and extensive parakeratotic scale

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21
Q

treatment of psorisis

A

NSAIDS, cyclosporin, TNF antagonosts

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22
Q

puritic, ciolaceousm flat topped papules highlighted with white dots or lines

A

lichen planus

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23
Q

lesions concentrated at interface of sqaumous epithelium and papillary sermis

A

interface dermatitis

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24
Q

microscopic “sawtoothing” abd civatte bodies

A

lichen planus

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25
symmettic lesions on wrists, elbows, glans penis and often in the mouth
lichen planus
26
acanthosis, hyperkeratosis and hypergranulosis
lichen simplex chronicus
27
lesions that look like normal palm/dorsum of foot thckening
lichen simplex chronicus
28
protiens attacked in pemphigus diseases
demmoglein
29
type of hypersensitivity reaction in pemphius diseases
II
30
immunoglobulin attacking in pemphigus diseases
IgG
31
"fishnet pattern" on immunoflourecence
pemphigus vulgaris
32
superficial flaccid vesicles and bullae that rupture easily leaving extensive erosions and crust
pemphigus vulgaris
33
pemphigus disease that attacks mucosa and skin
pemphigus vulgaris
34
lysis of the intercellular adhesive junctions between neihboring squamous epithelial cells
acantholysis
35
detachment involves the cells immediatly ABOVE the basal layer
pemphigus vulgaris
36
pemphigus disease that mostly strikes elderly women and has oropharnygeal involvement
pemphigus vulgaris
37
site of attack in bullous pemphigus
hemidesmosomes
38
linear immunoflourecense in subepidermal basement membrane zone
bullous pemphigus
39
tense, fluid-filled blisters
bullous pemphigus
40
subepidermal nonacantholytic blisters
bullous pemphigus
41
full thickness epidermal blisters
bullous pemphigus
42
blisters do not rupture as easily
bullous pemphigus
43
extremly prurtic urticaria and grouped vesicles
dermatitis herpetiformis
44
strong association with celiac disease
dermatitis herpetiformis
45
granular deposits of IgA at tips of dermal papillae
dermatitis herpetiformis
46
Stevens-Johnson syndrome
severe form of erythema multiforme
47
causes Stevens-Johnson syndrome
sulfanomnides
48
severe form of Stevens Johnson syndrome
toxic epidermal necolysis
49
nikolsky sign
rubbing of skin produces blister (toxic epidermal necolysis)
50
pitting of fingernails
psoriasis
51
psoriasis associated with
arthritis, mypopathy, enteropathy, AIDS, CV disease, depression
52
malar erythema, worse in sun exposed skin,
lupus erythematosus
53
superficial and deep perivascular lyphocytic infiltrate with inflammation around hair follicles and sweat glands
lupus erythematosus
54
IgG against desmosomes
pemphius vulgaris
55
antibodies to gluten
demratiis herpetiformis
56
non0inflammatory acral blisters that heal with scar
epidermolysis bullosa aquisista
57
antibodies to collagen VII
epidermolysis bullosa aquisista
58
paucicellular subepidermal blister
epidermolysis bullosa aquisista
59
immunoflorecent line between epidermis and dermis
epidermolysis bullosa aquisista
60
collagen vascular diseases associated with
erythema multoforma