Lecture 10 Skin Flashcards
Common skin abnormalities.
- Hirsutism
- Some common nail disorder
- Eczema
- Psoriasis
- Seborrheic nad actinic keratosis
- Skin malignancies
Excessive growth of hair.
Hair quality tend to be thicker and darker.
In women, results in typical male pattern, such as on the face and chest
In men, it is more difficult to diagnose but can be proposed for men with overly excessive hair growth
May occur in prepubescent children and can be a sign of serious endocrine dysfunction.
What is the disease?
Hirsutism
Give me 4 causes of hirsutism.
- Adrenocortical tumours (excessive androgen)
- Polycystic ovary syndrome
- Mediation
- Congenital adrenal hyperplasia (excessive androgen)
Bacterial or fungal infection in the soft tissue.
Pathogen enters the nail crevice and cause infection around the nail.
What is the disease?
Paronychia (η²ζΊη)
Give me 2 management of paronychia.
- Determine the offending pathogen
- Oral antibiotics maybe required
Fungal infection of any component of the nail unit.
Also known as tinea unguium.
What is the disease?
Onychomycosis (η°η²)
Give me 2 management of Onychomycosis.
- A topical anti-fungal agent maybe used in association with oral anti-fungal agents.
- Nail avulsion maybe required.
Decreased perfusion to the nail unit or any number of systemic disease.
Inherited disorder.
Cause the nail plate become spoon like.
What is the disease?
Koilonychia (εη²)
Give me 2 management of Koilonychia.
- Determine the cause and manage appropriately.
- If due to nutritional deficiency, increase the deficient nutrient
Presentation:
Pruritic rash, erythematous, may become confluent to form a wide area of rash, urticaria, predominantly flexor surface.
What is the disease?
Dermatitis
Give me 2 types of dermatitis.
- Contact dermatitis (Contact with irritant)
- Atopic eczema (Eczematous dermatitis) : seasonal, pet, food, drug
Common complication of Eczema.
Excoriation β> Bleeding β> Infection
Give me 6 treatment of Eczema.
- Cornerstone is keeping the skin and lesion moisturised.
- Oral antihistamines if sever pruritis
- Topical ointments: Corticosteroid
- Short doses of oral corticosteroid in sever cases
- Phototherapy
- Antibiotic if infected
Common, chronic, scaly, no-contagious red plaques which also affects nails and joints.
What is the disease?
Psoriasis
What is the aetiology of psoriasis.
- Not fully understood
- Not allergic
- Primarily a disorder of excessive growth and reproduction of skin cells due to immune system over activation.