Inflammatory Skin Diseases Flashcards
what are the 4 types of inflammatory skin diseases
Spongiotic intra-epidermal oedema
Psoriasiform-elongation of rete ridges
Lichenoid basal layer damage
Vesiculobullous blistering
example of spongiotic intra-epidermal oedema inflammatory skin diseases
eczemas, contact dermatitis, drug eruptions
example of lichenoid basal layer damage inflammatory skin diseases
lichen planus, lupus, drug eruption, TEN, erythema multiforme
protein mutated in eczema
fillagrin
what is the koebner phenomenum
outbreak at sight of trauma
what is lichenification
increased skin markings
describe the rash in atopic dermatitis
flexural erthymatous dry scaly + lichenifications + excoriations
what is required for a diagnosis of atopic dermatitis
itch + 3 of
- flexural rash
- PMH flexural rash
- atopy
- FH if <4y.o.
- onset <2y.o.
general management of atopic dermatitis
emollients and topical steroids
last last management of atopic dermatits
UVB phototherapy and oral immunosuppressants
what can cause ‘monomorphic punched out lesions’
eczema herpeticum
what pathogen can infect atopic dermatits
herpes simplex
how to diagnose contact allergic eczema
patch test
what type of eczema is nappy rash
contact irritant
what APC is involved in contact allergic eczema
Langerhans cell
what is the management of severe contact irritant eczema
TOP steroid
what clue on examination can help diagnose phosensitive dermatits
stops at collar
what causes photosensitive dermatitis
secondary to photosensitizing drug or atopy
what type hypersensitivity is a drug eruption
i or iv
what type of eczema can occur on the back of the neck / side of the leg due to scratching
lichen simplex eczema
what type of eczema causes defined oval discs of eczema
discoid eczema
what is seborrhoeic dermatitis
cradle cap eczema
what conditions does having psoriasis increase the risk of
CVD, psoriatic arthritis
what layer of skin undergoes hyperplasia in psoriasis vulgaris
epidermis, particularly keratin layer
which parts of the body are commonly affected by psoriasis vulgaris
hairline, extensor surfaces, nails
what conditions are affected by the koebner phenomenum
atopic dermatitis, psoriasis vulgaris, lichen planus
describe the rash in psoriasis
sharply demarcated scaly erythematous plaques
are psoriasis plaques reversible
yes
what changes can be seen in the nails in psoriasis
pitting, oncholysis, dystrophy, subungal hyperkeratosis
what is auspitz sign
removal of surface scale reveals tiny bleeding dilated capillary
what is a risk factor for guttate psoriasis
recent antibiotic treatment
what is the presentation of guttate psorasis
acute widespread itchy psoriasis
what is the management of guttate proasis
short course UVB therapy
what is the presentation of erythroderma
acute widespread red pustules