Intro to Disorders of the Skin Flashcards

1
Q

What are the functions of skin?

A
Mechanical barrier
Immunological organ
Homeostasis
Sensory and endocrine
Psychological
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two layers of the dermis?

A

Papillary and reticular layer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are adnexal structures?

A

Sebaceous glands, sweat glands, hair follicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What function do melanocytes have?

A

Create and transfer melanin to keratinized cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are Langerhans cells?

A

Dendritic cells found in the epidermis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the three compartments for pathologic considerations?

A

Epidermis and skin adnexa
Melanocytic system
Dermis and subcutis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are common nonneoplastic pigmentation disorders?

A

Freckles (ephelis)

Lentigo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the difference between freckles and lentigo?

A

Freckles: increase in the degree of pigmentation (not amount of cells)
Lentigo: increase in the number of melanocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a neoplastic benign disorder?

A

Melanocytic nevus (mole)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the three types of melanocytic nevus?

A

Junctional (D-E junction)
Compound (vertical growth down into dermis)
Intradermal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are two neoplastic malignant disorder of melanocytes?

A

Dysplastic Nevi

Malignant Melanoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is important consider when looking at possible neoplastic cells?

A

Larger than normal nuclei and an increased nucleus/cytoplasm ratio

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where is malignant melanoma found?

A

Skin, mucosa, meninges, uvea of eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the four ways to describe a melanoma?

A

Asymmetry, irregular borders, variations in color, diameter increase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are two types of benign tumors?

A

Seborrheic keratoses

Fibroepithelial polyp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is characteristic of seborrheic keratoses?

A

Coin-like waxy

Can be paraneoplastic syndrome

17
Q

What is a fibroepithelial polyp?

A

Skin tag

18
Q

What are premalignant tumors of the skin?

A

Actinic keratosis (can lead to squamous cell carcinoma)

19
Q

What does actinic keratosis present like?

A

Rough sand-papery feel can develop a horn like projection hyper keratosis

20
Q

What are two types of malignant skin tumors?

A

Squamous cell carcinoma (UV radiation)

Basal cell carcinoma

21
Q

What is a blister?

A

Separation in epidermis typically with fluid

22
Q

What are the three types of blisters?

A

Subcorneal
Suprabasal
Subepidermal

23
Q

What are two blistering diseases?

A

Pemphigus vulgaris

Bullous pemphigoid

24
Q

What is pemphigus vulgaris?

A

IgG auto reactive antibodies attack desmosome components; shallow so rupture easily; net like pattern; suprabasal blisters

25
Q

What is bullous pemphigoid?

A

Elderly individuals autoantibodies against hemidesmosome components; sub-epidermal non-acantholytic blisters

26
Q

Difference between desmosomes and hemidesmosomes

A

Desmosomes: adjacent cell connections
Hemidesmosomes: cell connections to basement membrane