papulosquamous disease 1

Question 1

excess stratum corneum will result in what presentation

Answer 1

scale

Question 2

scale tells you the ____ is involved

Answer 2

epidermis

Question 3

Tineais an infection caused by a group of superficial fungi called ____

Answer 3

dermatophytes also called ringworm, jock itch or athletes’ foot

Question 4

cardinal features of tinea infections (3)

Answer 4

1. annular
2. serpiginous border
3. edge-active scale

Question 5

bedside KOH prep of tinea infections will show

Answer 5

fungal hyphae- spaghetti and meatball appearnce

Question 6

treatment of tinea

Answer 6

topical antifungals (zole)

3 exceptions: tinea capitis, tinea folliculitis, and onychomycosis

Question 7

nystatin treats what?

Answer 7

only candida

Question 8

disease caused by overgrowth of commensal skin yeast (malasezzia)

Answer 8

tinea versicolor- hypopigmentation

*** malasezzia are liphohilic and thus prefers oilier areas of the body

Question 9

pityriasis

Answer 9

scale is powder like

Question 10

treatment of tinea versicolor

Answer 10

1. topical antifungal creams
2. oral antifungals
3. antifungal shampoo/body wash

Question 11

you can permanently eradicate commensal organism, malasezzia

Answer 11

nope

Question 12

a common acute, self limited pepulosquamous eruption where the scale is pink

Answer 12

pityriasis rosea

Question 13

herald patch

Answer 13

it is the first lesion to appear primarily pink, oval and scaly— pityriasis rosea

Question 14

main erruption of pityriasis rosea will look like a

Answer 14

fir tree

Question 15

treatment of pityriasis rosea

Answer 15

1. supportive
2. narrow-band UVB in severe cases
3. erythromycin…meh

Question 16

immunologic rxn of helper T cells along the basal layer of the with the epidermis presenting with violaceous flat-topped polygonal papules and koebnerization is often present

Answer 16

lichen planus

Question 17

wickhams’ striae

Answer 17

lichen planus with mucosal involvement in the mouth— whitish lacy plaque

Question 18

lichen planus treatment

Answer 18

thought to be autoimmune thus

1. steroids: topical or short systemic
2. oral lesions- orabase

Question 19

“dandruff” loose, dry, moist or greasy scales affecting the scalp, eyebrows, eyelids, nasolabial folds, sternum and inguinal area . it is associated with several internal diseases such as parkinson, HIV, DM but the etiology is unclear

Answer 19

seborrheic dermatitis

Question 20

treatment of seborrheic dermatits

Answer 20

1. selenium sulfide shampoo
2. Tar shampoo
3. zinc pyrithione shampoo

Question 21

Cutaneous T-cell lymphoma at patch stage

Answer 21

mycosis fungoides

Question 22

CTCL treatment

Answer 22

1. topical steroids
2. topical chemo such as nitrogen mustard and carmustine
3. phototherapy
4. radiotherapy

Question 23

“Papulosquamous disease” is a large category of skin disorders that share _____ as a common feature

Answer 23

scale