misc Flashcards

1
Q

erythema multiforme

A
necrotic keratinocytes
spongiosis, basal vacuolar changes, subepidermal blister 
dermal edema
perivascular lymphocytes
extravasated RBC
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2
Q

sweets syndrome

A
epidermal necrotic keratinocytes
dermal edema
diffuse dermal infiltrate of neutrophils lymphocytes, histiocytes few, eosinophils
extravasated RBC
vasculitis present/absent
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3
Q

LCV

A
epidermis nromal /necrotic/vesicles/pustules
vasculitis small venules
predominant neut, e/l/histio
nuclear dust
RBC extravasation, thrombi
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4
Q

DIF LCV

A

IgG/M/complement/fibrin( splash pattern)
granular pattern
superficial blood vessels

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5
Q

PAN

A
  • epidermis normal/necrotic/ulcerated
  • leukocytoclasticvasculitis of arteries( small/medium)- deep dermis/subQ fat
  • intimal proliferation/thrombi
  • fibrosis older lesions
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6
Q

PAN systemic complications

A

brain, heart
kidney, abdominal arteriits/aneurysms
death

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7
Q

PAN cuaneous lesions

A

urticarial, purpura, painful red nodules

livedo reticularis, digital infarct

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8
Q

PAN underlying systemic disease

A
  • hep B/C
  • cryoglobinemia
  • ANCA autoab
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9
Q

Epidermal nevus

A

Hyperkeratosis, papillomatosis, acanthosis, sometimes hypergranulosis ▪ Epidermolytic hyperkeratosis rarely (11.1) ▪ Acantholytic dyskeratosis rarely (11.3) ▪ Perivascular lymphocytes often

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10
Q

Epidermal nevus genetics

A

post-zygotic somatic mosaicism

mutations in FGFR3 gene or PIK3CA gene

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