Inflammatory Disease of The Skin

Question 0

What are the two classifications of eczema?

Answer 0

Endogenous and exogenous

Question 1

What is the genetic component of eczema?

Answer 1

Mutation on filaggrin chrom. 1

Question 2

What are the types of endogenous eczema?

Answer 2

Atopic, seborrhoeic, discoid, varicose

Question 3

What are the types of exogenous eczema?

Answer 3

Contact and photo reaction (due to allergy or drugs)

Question 4

What blood levels are high in atopic eczema?

Answer 4

IgE

Question 5

What type of hypersensitivity reaction is dermatitis?

Answer 5

Type IV

Question 6

What are the different categories of hypersensitivity and an example of each

Answer 6

Type I - anaphylaxis
Type II - blood transfusion
Type III - serum sickness
Type IV - dermatitis

Question 7

What is serum sickness?

Answer 7

A delayed (4-10 day) reaction to non-human protein

Question 8

What are the complications of atopic eczema?

Answer 8

Bacterial infection - staph
Viral infection - molluscum
Tiredness
Growth reduction
Psychological impact

Question 9

What is the management of atopic eczema?.

Answer 9

Emollients
Topical steroids
Bandages
Antibiotics

Question 10

What are common allergens found in contact dermatitis?

Answer 10

Nickel
Chromate (cement)
Cobalt (dye)

Question 11

What is seborrhoeic dermatitis?

Answer 11

Chronic scales skin condition which is often thought to be dandruff and is worse in HIV

Question 12

What specific topical treatment can be used in seborrhoeic dermatitis?

Answer 12

Anti-yeast shampoo

Question 13

What is venous dermatitis?

Answer 13

Dermatitis found on the skin overlying varicose veins

Question 14

What is the definition of psoriasis?

Answer 14

A chronic relapsing and remitting skin condition which may appear at any age and affect any part of the skin

Question 15

What causes psoriasis?

Answer 15

Tcell mediated autoimmune disease

Question 16

What diseases is psoriasis linked to? (4)

Answer 16

Psoriatic arthritis
Metabolic syndrome
Liver disease / alcohol abuse
Depression

Question 17

What are the types of psoriasis?

Answer 17

Plaque
Guttate
Pustular
Erythrodermic

Question 18

How is psoriasis managed?

Answer 18

Topical creams
Phototherapy
Acitretin 
Methotrexate
Ciclosporin
Infliximab

Question 19

What is Acitretin?

Answer 19

An oral retinoid

Question 21

What topical therapies are used in psoriasis?

Answer 21

Moisturisers
Steroids
Retinoids

Question 22

What are the features of pityriasis alba?

Answer 22

Dry rough skin in cheeks
Hypopigmenations
More common in non-Caucasians

Question 23

What is the treatment for impetigo?

Answer 23

Topical antiseptic

Oral Abx - erythromycin

Question 24

What are the features of mastocytosis?

Answer 24

Mast cells in skin
Wide spread ski inflammation
Mistaken for impetigo

Question 25

What is the most common contact dermatitis in babies? What are the features of this?

Answer 25

Nappy rash Candida infiltration Treated with more nappy changes, avoid soaps and wipes, thick barrier protection (zinc), topical steroid + antifungals

Question 26

What is molluscum contagiosum?

Answer 26

DNA pox virus infection | Resolves on its on or with antiseptic

Question 27

What is tinae capitus?

Answer 27

Final infection of scalp

Question 28

What are the clinical features of tinae capitas?

Answer 28

Diffuse scaling of scalp | Patchy alopecia

Question 29

What is the treatment of tinae capitas?

Answer 29

Terbinafine

Question 30

Where to babies get scabies?

Answer 30

Soles and palms | Nodules in axilla, umbilicus

Question 31

What are t he triggers for acute urticaria in children?

Answer 31

``` Infection Infestation Injection drugs Inhalation of allergens Ingestion of allergens ```

Question 32

What haemoangiomas are dangerous? What are the features? Why do you worrying?

Answer 32

Segmented haemoangiomas of infants Occur as plaque Associated with visceral lesions and other underlying abnormalities

Question 33

What are the risk factors of haemoangiomas?

Answer 33

Pre-term | Low birth weight

Question 34

What are the complications of haemoangiomas?

Answer 34

Impaired vision Ulceration Infection Severe pain

Question 35

What is the treatment of haemoangiomas?

Answer 35

Propranolol

Question 36

What it sturge weber syndrome?

Answer 36

Ipsilateral capillary malformation Pia mater malformation Ocular dysfunction in children

Question 37

What is a Mongolian blue spot?

Answer 37

Blues grey pigmentation of skin which is a normal finding of black and Asian infants