Lesions

Question 1

what are milia

Answer 1

small epidermoid cysts

Question 2

where are milia

Answer 2

cheeks, eyelids, forehead, genitals

Question 3

epid of milia

Answer 3

any age even infants. Sundamaged skin often

may resolve spontaenously

Question 4

tx milia

Answer 4

derm will “pop” it

Question 5

rim of peripheral darkening

Answer 5

dermatofibroma!

Question 6

tx of dermatofibroma

Answer 6

benign – leave it (if unusual, growing/irreg, consider further evaluation)

Question 7

what is dermatofibroma

Answer 7

benign fibrotic tumor

PINK

Question 8

wehre are dermatofibromas

Answer 8

extremities often

Question 9

epid of deramtofibroma

Answer 9

hx of trauma often (like a bite)

mult lesions can occur but can be assoc w systemic dis like lupus

Question 10

what is seborrheic keratosis

Answer 10

benign superficial epidermal growths like wax pressed onto skin
varied color
can peel/crumble

Question 11

seborrheic keratosis are assoc w activating muts in …?

Answer 11

FGFR-3

Question 12

multiple seborrheic keratosis acute onset is assoc w ….

Answer 12

SIGN OF CANCER
sign of “Leser-Trelat”
adenocarc of colon, breast, stomach, lung
this is usually not a cancer marker

Question 13

when biopsy a seb keratosis?

Answer 13

ugly duckling

Question 14

what is dermatosis papulosa nigra

Answer 14

variation of seb keratois
dark multiple small dots on cheeks in darker skin
tx is cosmetic – be careful! don’t scar!

Question 15

what are cherry angiomas

Answer 15

benign acq vasc prolifeation

trunk >40 yo

Question 16

what are angiokeratomas

Answer 16

bigger than cherry angiomas, and w some scale
on genitals
pts w Fabry’s disease have a lot

Question 17

retiform purpura!

Answer 17

toes curl!
can look like tons of huge cherry angiomas but purple-r
this is sign of vascular occlusion

Question 18

what are acrocordons

Answer 18

skin tags
little papules often on sites of friction
size range <1mm - bigger

Question 19

skin tags in children

Answer 19

think possible insulin resistance

Question 20

what are keloids

Answer 20

exuberant fibrous repair of tissue after cutaneous injury EXT past original site

Question 21

tx for keloid

Answer 21

NO surgery
intralesional corticosteroid inj painful
cryotherapy (might depigment too….)
cryo+intralesional triamcinolone

Question 22

what are epidermal inclusion cysts

Answer 22

mobile
dermal nodule
central punctum
filled with kcyte debris, oil
rancid

Question 23

hot red swollen cyst should be tx with …

Answer 23

NOT antibiotics bc sterile\
surgical removal best cure rate
if inflamed, incision/drainage