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MSK 2 Final DF > papulosquamous and vesiculobullous diseases Matthys > Flashcards

papulosquamous and vesiculobullous diseases Matthys Flashcards

1
Q

scaring atrophic photosensitizing dermatosis
mild itching
SCC transformation can occur in chronic lesions
hypo or hyper pigment
erythematous papule or plaque with modes amt of scale
mucosal, palms, and soles

A

discouid lupus erythematosus

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2
Q

push on this and feels like it pushes back

A

bullous pemphigoid

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3
Q

branny greasy red scale on face/chest/penis
mild flaking in hair baring areas
sebopsoriasis

A

seborrheic dermatitis

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4
Q

who has a 10X increase in drug eruption incidence

A

immunocompromised

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5
Q

causes/clinical psoriasis vulgaris

A

trauma
infection: HIV
sunlight/ drugs lithium b blocker nsaids

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6
Q

diagnosis and treament of dermatitis herpetiformis

A

HE and DIF biopsy

gluten free diet

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7
Q

DD erythrasma

A

tinea

psoriasis

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8
Q

treatment of EM

A

antivirals

steroids

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9
Q

erythrasma bacteria, climate, disesae

A

corynebacterium minutissimum
chronic
diabetes
warm humid places

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10
Q

staph scalded skin syndrome

A

sever impetigo to widespread skin denudation
exfoliation then painful erythema
**blister at the granular layer of the epidermis splitting desmosomes (TEN doesn’t have this)

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11
Q

treatmetn for impetigo and can possibly get

A

Antibiotics

glomerulonephritis

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12
Q

treatment for CTCL

A

topical steroids, PUVA, topical nitrogen mustard

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13
Q

DD herpes below belt, above belt

A

chancroid and urethritis

hand foot and mout disease
proctitis

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14
Q

reddish orange scaling plaaues of unknown etiology with palmoplantar keratoderma and follicular keratotic papules
thick palm and soles

A

pityriasis rubra pilaris

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15
Q

DD of TEN

A 
EM
scarlet fever
GVHD
SSSS
exfoliative dermatitis
generaized bullous fixed drug eruption
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16
Q

common site discoid lupus in african americans

A

ear

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17
Q

clinical TEN

A 
1-3 week prodrome
fever, skin tender
pain buring skin
new added drugs common
skin with crinkled surface
mucosal membrane involvement***
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18
Q

differential of SSS

A 
scarlet fever
kawasaki 
TEN
EM
child abuse
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19
Q

chicken pox spares

A

distal extremity

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20
Q

what involvement 70% of time in erythema multiforme

A

mucosal

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21
Q

pityriasis rosea

A

rose or pink colored scaly pathces or thin plaques

viral exanthem
CD4 and langerhan’s cells in dermis

“christmas tree”

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22
Q

tinea corporis

A 
superficial infection of skin
koh 
culture
skin, hair, nail
common under prostetics
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23
Q

wickham’s stria

A

lichen planus

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24
Q

diagnosis of CTCL

A

bioposy, chest xray cbc with buffy coat

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25
dermatitis herpetiformis clinical pruritic burning skin blister in symmetric fashion, grouped urticarial wheal to vesicle to bulla waxes and wanes
dermatitis herpetiformis clinical
26
bullous pemphigoid clinical
formation of tense bulla uv radiation or drug induced bullous, vesicular, urticarial, acral in children
27
pemphigus vulgaris __ disorder of ___ and ___ circulating __
autoimmune disorder skin and oral mucosa circulating IGG1 and 4
28
treatment pityrisasis rubra pilaris
retinoids
29
fever, faint orange red macules positive nikolsky sign paper like wrinkling of epidermis
staph scalded skin syndrome
30
lichen planus and what disease
hepatitis C
31
extensive full thickness skin detachment
Toxic epidermal necrolysis
32
discoid lupus treatment and diagnosis
ana and biopsy sunscreen topical steroid antimalerials
33
scarring plaque on cheek
discoid lupus
34
treatment of bullous pemph
prednisone
35
treatment of pemphigus vulgaris
prednisone | imuran
36
differential of impetigo
``` herpes tinea pedis bullous pemphigoid staph scalded skin pemphigus vulgaris ```
37
staph scalded skin heals when
5-7 days
38
treatment SSS
antibiotics | fluids
39
polymorphous light eruption
idiopathic photodermatoses relating to sun exposure papules, vesicles, plaques mainly am indians shows up 30 min after sun exposure
40
clinical pemphigus vulgaris
mucosa then skin | flaccid bulla on skin with erosion in oral mucosa
41
treatment drug eruption
antihistamines | steroids
42
drug eruption
2 weeks after new meds | morbilliform, erythematous, macular papular eruption with minimal scale often
43
pathophys of psoriasis vulgaris
immune based smoking, sun, alcohol HLA B-13 AD
44
HSV 1 pathophysiology
respiratory droplets
45
treatment erythrasma
antibioticl
46
treatment of TEN
``` iv fluid burn unit steroids as last resort ivig prevent infection ```
47
honey colored crusted regions
impetigo
48
description of herpes
vesicle on top of erythematous base
49
bullous pemphigoid
autoimmune subepidermal blister rarely involves oral mucosa | auto IgG against BPAG
50
pathophys of erythema multiforme
drugs infection allergies to sun, food, etc
51
oval teardrop on erythematous base | dew drop on rose pedal
chicken pox | varicella virus
52
polymorphous light eruption treatment and diagnosis
topical steroid, oral or IM steroids, antimalerials R/O porphyria, lupus photopatch test
53
scalp/face/chest p ovale (abnormal immune response with normal amt of yeast) humidity, trauma, seasons hiv
seborrheic dermatitis
54
s aureus, nares mainly, normal flora, neonates and infants most common for bullous rapid blister, asymptomatic hot weather scratch then get
impetigo
55
red brown scaly macules with erosive collarette like scale | wood's lamp
erythrasma
56
treat chicken pox
VZIG antiviral antihistamines
57
scaling plaques which mimic eczema itchy multiple diff shades of red brown round, oval annular or bizarre shape
CTCL
58
benign self limited eruption classically seen as targetoid or iris shaped macules or vesiculopapules on palms or soles
erythema multiforme
59
chronic inflammatory scaling eruption more common in norway pustular and erythroodermic flares 10% will suffer with psoriatic arthritis
psoriasis vulgaris
60
DD pityrisasis rosea
2ndary syphillis

MSK 2 Final DF (10 decks)

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