Miscellaneous Flashcards
What is hyperhidrosis
Excessive sweat production
How do you Rx
Topical aluminium chloride
Botulinum toxin into axillary
Transthoracic sympathectomy
What is leukoplakia
White, hard spots on mucous membrane
Pre-malignant
Who is it common in
Smokers
What Dx do you have to exclude
Candidiasis - scrubs off
Lichen planus
SCC - biopsy to exclude
What is lichen planus
Planus - Purple - Papular - Pruritic - Polyglonal Itchy papular rash Common on palms, soles, flexures Often white lines on surface or rash Can affect buccal mucosa Thinning of nails Koebner +ve
How do you Rx
Topical steroid - very potent Mouth wash if oral Steroids / immunosuppression if severe Hydroxychloroquine but can worsen psoriasis Anti-histamine
What is lichen sclerosis
Inflammatory condition commonly affecting genitalia in elderly female
Associated autoimmune
What does it lead too
Atrophy of epidrmis
White plaques
Prominent itch
How do you Rx
Clinical
Biopsy if suspect VIN
How do you Rx
Topical steroid
Emollient
What is there increased risk of
VUlval cancer
What can cause pruritus
Liver disease Iron deficeincy anaemia Polycythaemia CKD Lymphoma Hyper and hypothyroid DM Pregnancy Urticaria Skin disorder - scabies/. eczema / psoriasis / lichen plans / dermatitis herpetiforms
What skin disorders occur in pregnancy
Polymorphic eruption
Pemphigoid gestinalis
What is a polymorphic eruption
Pruritic condition of final trimester
Lesions in addominal striae