Papulosquamous diseases Flashcards

1
Q

diseases

A
  • Pityriasis rubra pilaris
  • cutaneous T cell lymphoma
  • discoid lupus erythematosus
  • drug eruptions
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2
Q

Pityriasis rubra pilaris

A
  • reddish-orange scaling plaques w palmoplantar keratoderma and follicular keratotic papules
  • AD
  • type 1- classic adult tyoe (80%)- red brown plaques w islands of sparing
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3
Q

Cutaneous T cell lymphoma

A
  • CD 4 cells
  • > 50 yo; M 27x > F
  • scaling plaques- mimic eczema!!!
  • itchy
  • red-brown
  • check for LAD!
  • patch, plaque, tumor
  • mycosis fungoides
  • sezary’s syndrome
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4
Q

Discoid lupus erythematosus

A
  • scarring atrophic photosensitizing dermatosis
  • 20-40 yo
  • heat shock protein induced by UV light
  • most asx
  • be aware of SLE sx’s
  • malignant transformations (SCC) can occur in chronic lesions
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5
Q

Discoid lupus erythematosus- clinical

A
  • erythematous papule or plaque w modest amt of scale
  • scarring plaque!!!
  • mucosal, palms, soles
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6
Q

Drug eruption

A
  • anything can cause a rash!!
  • 2 wks after new meds
  • immunocompromised- 10x inc
  • type 1- classic immediate hypersensitivity (urticaria)
  • type II- cytotoxic
  • type III- cell-mediated immune complex
  • type IV- delayed hypersensitivity
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7
Q

dennie morgan

A
  • folds under eyes

- in atopic dermatitis

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