Midterm Flashcards
Name the condition that usually has a family history of eczema, hay fever or asthma (60-70%) and is usually seen in 7-15% of general population.
Atopic Dermatitis
Name the condition.
Rosacea
This women used neomycin ointment and had this reaction. What type of reaction is this?
Allergic Contact Dermatitis
Name this common(2-5%) condition, that is a chronic, inflammatory disease and is associated with pityrosporum ovale, genetics, stress and dietary factors affect onset of disease.
Seborrheic Dermatitis
Name the condition.
Atopic Dermatitis
Name the condition found on the: wrists (mc), forearm, ankles, ant legs, lumbar regions, and genitals- up to 50% have mucous membrane, and 10% nail (split,ridge,etc.)
Lichen Planus
Name this condition with the following characteristics
- All races (10-20%), including brown and black
- Females>male - around age 20 first noticed
- Spring, early summer – 2-24 hours after 1st sun exposure – last 7-10 days
Polymorphus Light Eruption
Name the condition.
Erythema Multiforme
Name the condition and which type
Seborrheic Keratosis - Smooth Type
Name this condition associated with sunlight reaction, (low dose).
Polymorphus Light Eruption
Name the condition.
Rosacea
Name the condition.
Lichen Planus
Name the condition.
Seborrheic Dermatitis
Name the condition.
Perioral Dermatitis
Name the condition.
Atypical Nevus
Name the condition.
Erythema Multiforme
Name the condition.
Erythema Nodosum
Name the condition that has pruritic papulovesicular or scaly coin-shaped lesions
Nummular Eczema
Name the condition.
Psoriasis
Name the condition and what sign is commonly seen with this?
Dermatofibroma, “dimple sign” w/ lateral compression
What is the condition and what caused it? What type of response is this?
Allergic Contact Dermatitis from Nickel, it is a type IV cell-mediated delayed hypersensitivity
Name the condition.
Allergic Contact Dermatitis
Name the condition. What is the common name?
Seborrheic Dermatitis - Cradle Cap
This phenomenon results from the release of cytokines that develop in a distal primary dermatitis, i.e. tinea pedis, stasis derm, etc
Autosensitization reaction dermatitis
Name the condition.
Acne Vulgaris
Name this condition with chronic, unchanging macular lesions. Benign on biopsy
Junctional Nevi
Name the condition.
Erythema Multiforme
Name this condition is recurrent, self resolving, and is of unknown etiology
Dishydrotic Eczema/Pompholyx
Name the condition that has tender lesion in axillary, inguinal, intermammary and/or anogenital region
Hydradentitis Suppurativa
Name the condition.
Rosacea
Name the condition.
Pityriasis Rosea
Name the condition that is associated with chronic itch-rash-scratch cycle. It is also negative for fungal, bacterial or viral orgin.
Lichen Simplex Chronicus AKA Neurodermatitis
This older women claims this scaly dry rash on her leg returns every winter. She has no other dermatitis history. With history you determine she is deficient in EFAs. What is her condition?
Asteatotic Dermatitis/Eczema
Name this condition with moderate pruritis and what is a key note association?
Lichen Planus
Wickham’s striae
Name the condition.
Contact Irritant Dermatitis,
Name the condition.
Superficial BCC
Name the condition.
Atopic Dermatitis
Name the condition.
Keratoacanthoma
Name the condition.
Atopic Dermatitis
Name the condition and what are 3 pertinent negatives of this condition?
Rosacea
Negative KOH
Negative Hx of topical creams
Negative blood tests
Name this pre-malignant condition that can be found on sun-exposed areas? How often will this condition develop into SCC annually?
Actinic Keratosis
1 out of 1000 lesions
Name the condition.
Actinic Keratosis
Name the condition.
SCC
Name the condition.
Nodular Melanoma
Name the condition. And what is a keynote about its healing?
Actinic Keratosis - “A sore that doesn’t heal”
Name the condition.
Guttate Psoriasis
Name the condition.
Lentigo Melanoma
What is the most common cause of this dermatitis?
Nickel
Name the condition.
Psoriasis
Name the condition.
Acral Lentiginous Melanoma
Name the condition.
SCC
Name the condition.
Keratosis Pilaris
Name the condition. What caused it?
Allergic Contact Dermatitis
Poison Ivy
Which of the following is not a DDx for this condition?
Keratosis pilaris
Rosacea
Psoriasis
Acne
Seborrheic dermatitis
Keratosis Pilaris
Name of condition with painful swollen sweat glands?
Hydradentitis Suppurativa
This painful itchy condition has been recurrent and usually lasts 2-3 weeks and then clears. The patient says it starts with deep-seated blisters between the fingers.
Pompholyx, Dyshidrotic Eczema
Name the condition and 4 characteristics.
BCC
- “pearly” or “translucent”
- Telangiectasia - haphazard
- can be pigmented/sclerotic
- “translucent” when stretched
Name this condition that if scratched will reveal pinpoint bleeding.
Psoriasis
Name the condition.
Psoriasis
Name the condition.
Lichen Planus
Name the condition.
Lichen Simplex Chronicus
Name the condition.
Polymorphous light eruption
Name the condition.
Actinic Keratosis
Name the condition.
Lichen simplex chronicus
Name the condition.
Actinic Keratosis
Identify?
No pruritus, Neg KOH, Neg ANA
Seborrheic Dermatitis
Name the condition.
Chronic itchy lesions
Resistant to tx Neg KOH Neg culture
Biopsy- spongiosis
Nummular Dermatitis
This chronic skin condition is a minor feature in what condition?
Keratosis pilaris feature of Atopic Dermatitis
Name this locally invasive, aggressive, and destructive condition.
BCC
Name the condition, in which stage of life does it commonly appear, and what is its growth pattern?
Nodular Melanoma
M/C in 6th decade of life
No radial growth, so early metastasis
Name this condition possibly associated with fluoride and sodium lauryl sulfate
Perioral dermatitis
The improvement in Actinic Keratosis is the result of which therapy?
photodynamic therapy
This is associated with which condition.
30-50% have ocular symptoms (iritis, scleritis, keratitis, chalazia, blepharoconjunctivitis)
Rosacea
Name this condition that has chronic itch in a post menopausal women and negative KOH.
Lichen Simplex Chronicus AKA Neurodermatitis
Name this condition that has rapid growth within few weeks- can self- resolve within a month-year
Keratoacanthoma
Name the condition.
Psoriasis
Name this condition that is a delayed abnormal reaction to UV radiation
Polymorphous light eruption
Name the condition.
Psoriasis
Name this very common condition that is a button-like dermal nodule that is pink, brown, tan, and darker at center. It is commonly found on the leg>arms>trunk and are only few mm to 1 cm in diameter. This lesion will have the ‘dimple sign’ with lateral compression. What are 3 treatment options?
Dermatofibroma
Tx-leave alone, excision, cryotherapy
Name the condition.
Atopic Dermatitis
Name the condition.
Irritant Contact Dermatitis
Name the condition. And name the type.
Seborrheic Keratoses
- Rough Type
Identify:
Itchy since the introduction of food 3 months ago. Both parents have asthma.
Atopic Dermatitis
Name this condition that is noted for having Herald patches.
Pityriasis rosea
Associated with an acute inflammatory process at a distal site. “ID reaction”
Autosensitization dermatitis.
Name the condition.
Dermal Nevus
Name this condition that has a possible association with fluoride and sodium lauryl sulfate.
Perioral Dermatitis
This condition can develop from actinic keratosis.
SCC
What are 3 treatment options for AK?
5-Fluorouracil- applied bid for 2-4 weeks – very irritating
Acetaminophen with codeine often given to control pain
Petrolatum often used between applications to soothe skin
Name the condition that centrally affects the face- forehead, cheeks, nose and chin and may include iritis or blepharoconjunctivitis
Rosacea
Name the condition that is associated with the
Five P’s: What are those P’s?
Lichen Planus
Five p’s: Pruritic, Planar (flat- topped), Polygonal, Purple Papules, 2-10mm in diameter
Which condition has papulopustules on an erythematous base that may have occasional: itching, burning, and feeling of tightness
Perioral dermatitis
What is an acute inflammatory/ immunologic rx of subcutaneous fat leading to painful red swollen nodules on the extensor aspect of the extremities Prodrome: fever, malaise, later arthralgias, arthritis and hilar adenopathy.
Erythema Nosodum
What are some dietary recommendations for those with acne vulgaris?
Whole foods high in fat, low to moderate protein, high complex carbohydrates, low glycemic diet to stabilize blood glucose
Dairy and wheat elimination
Telangiectasia is commonly found in association with what condition?
Rosacea
Why is removal of keratoacanthoma recommended?
To rule out BCC, SCC, warts, AK
What are the relevant (major and minor) food allergies associated with atopic dermatitis?
Major: eggs, milk, peanuts, soy, fish, wheat
Minor: citrus, tomato,strawberries, corn, chocolate, food preservatives and coloring
What are some treatments for actinic keratosis?
Antioxidants, fruit, vegetables, green tea, etc
Black salve (iris, red clover, sanguinaria)
5-Fluorouracil
Vitamin A
Curaderm
Cryotherapy (3-10 seconds max/ 3) w/ 5FU
Which condition has the following characteristics?
- Single or scattered discrete lesions
- Adherent hyperkeratotic scales – “rough texture”
Actinic Keratosis
Which condition will the patient have Streptococcal pharyngitis 1 week before rash and will resolve spontaneously in weeks to months?
Guttate Psoriasis
Which condition will show the Hutchinson’s sign and will have periungual spread from the nail?
Acral Lentiginous Melanoma
What are characteristics of SCC and where is it commonly found?
- Scaling to ulcer
- Elevated nodule to tumor
-Indurated, eroded nodule that ulcerates and bleeds easily
Commonly found on: lower lip, top of ears, tongue, head, neck, back of hands
Oil accentuates the lacy, white Wickham’s striae of this condition?
Lichen Planus
What are 4 systemic considerations for management of Polymorphous light eruption?
Beta-carotene, 60 mg tid 2 weeks before sun
Niacinamide, 2-3 g/day helped 60% of pts in one study
Vit B-6, 150-200 mg, taken 30 minutes before sun, or 100 mg/ hr for 8-10 hours before sun (case reports)
Consider antimalarial drugs
