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Derma > Lichen Planus > Flashcards

Lichen Planus Flashcards

1
Q

Pathognomonic lezyonu?

A

Wickham’s striae (beyaz çizgi paterni)

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1
Q

What are the 5Ps of Lichen Planus?

A

purple
pruritic
planus
plaque/ papule
polygonal

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2
Q

What is Lichen Planus?

A

Kronik inflamatuar bir hastalık, immune cells attack Keratinocytes

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3
Q

Location

A

cutaneous: tirnak, scalp
mucosal

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4
Q

Dx Lichen Planus

A

klinik genelde tipik
dermoskopi yardımcı
klinik tipik değilse, arada kaldıysan punch biyopsi yap
bazı tahliller isteriz

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5
Q

hangi tahlilleri isteriz?

A

HCV - hepatit c – en çok bu
HBC – hepatit b
karaciğer fonksiyon testleri
açlık kan şekeri
DIF (büllöz lezyonlardan ayırıcı tanıda yapıyoruz)

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6
Q

DD

A

Pityriasis rosea, Eczema, Psoriasis, Seborrheic dermatitis

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7
Q

Tx Lichen Planus

A

8-12 hafta içinde geçer
mild vakalarda
topikal steroids

ağır vakalarda (yaygın, tırnak veya saçlı deri tutulumunda, erosif mukoz membran tutulumunda):
sistemik steroid - 4 hafta - orta potentte
immunsuppresives – tacrolimus
retinoids
PUVA

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Derma (24 decks)

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